What could cause chest pain despite all normal reports?

Question

Hello doctor,

I am 36 years old. I am feeling a chest pain from the last three days. About nine months ago, echo, angiography, etc., were done which were normal. Still, pain is felt.

Answer 1

Hello,

Welcome to icliniq.com.

There are many causes of chest pain:

Musculoskeletal: It is a stabbing type of pain, very annoying, and is associated with tenderness, usually following trauma, abrupt violent movement, uncomfortable sleeping position or exposure to extreme cold weather.
Heart attack: Compressing chest pain, dull aching, suffocating in nature, usually radiates to the left shoulder, sometimes to the jaw, and at times with epigastric pain.
Inflamed pleura: Usually, it is a stabbing, localized pain that develops following a common cold or simple chest infection.
Gastric reflux: Central burning chest pain, usually after eating a meal, very common especially in obese.
Other not common conditions: Herpes Zoster or gynecomastia.
Other serious causes: aortic dissection or pulmonary embolism.

So, please tell me the nature of the pain. Is it associated with efforts, food, or movement? Also, sometimes it is the spasm of the coronaries that cause the pain and the angio is free. I recommend further discussion and follow up in order to reach the appropriate diagnosis and start the management.