Sharp pain, discomfort and burning in the chest

[shayeralmahmud]

I m 31 years old man. Last few days i m facing serious discomfort in my middle and left of the chest with burning. even occasionally i feel sharp pain at my left chest. i sometime feel very weak and get sweat in very small exercise. i just went to doctor they did my ECG number of time and found it normal. They did my Blood CPC, Cardiac Anzyme test, Kidney Creatinine, Urine, Stool, Blood Cholesterol (total cholesterol 209) found all report normal. My Creatinin Kinsas range only found 378. My BP is mostly found normal sometimes it is found to be 135/90. Last for 06 days i m undergoing this discomfort and still could not recovered. I even feel some shaky feeling at my left shoulder and arm. When i go to sleep or lye down i feel the discomfort most and its so much that i cant even sleep. I am taking Antacid regularly but still in the same state. However my H Pylori test has been done and i m waiting for the report. Am i going to have a Heart Attack ??? i am worried. 2 weeks back i had watery diarrhea and twice i marked fresh blood in my stool. but now no problem with stool.

[Flycaster305]

Sharp pains aren't typical of heart attacks or angina, in my experience.  When I've had heart attacks, it is more of a pressure, like a weight on the chest.  Same thing with angina, but usually milder.  I think the best way to determine if you have a heart issue is to get nitro pills, and when you have a long-lasting pain, take a pill.  Get ready for a big head-ache, but if the chest pain goes away you might have a cardiac issue.  Troponin levels are very important in diagnosing a heart attack, in my opinion, but if you haven't had heart damage, the heart attack is more of a warning, like angina.
If your concerns are affecting your quality of  life, ask for an angiogram, where a probe is inserted into your heart arteries and scoped, and you will get a very accurate diagnosis.  If you go to the ER repeatedly, they will do the test for sure.  Keep us informed.

[S_Chaney]

The ecg and blood tests can't rule out a heart problem. The ecg has to be taken at the time of the episode and the troponin test will only register if actual damage was done to the heart muscle.

Due to your age the doctors tend to assume it isn't coronary artery disease and that can be bad for you.

Until the problem is identified it's safer to assume it's serious and go into the ER every time you have an episode. The more times you show up, the greater the chance they will find an answer.

I had my first heart attack at age 34, after a year full of tests that kept saying I was fine.