Thanks for your query at DoctorSpring.com
I understand your concern.
Though heart diseases are less common at your age, considering you family history it can not be completly ruled out.
Heart burn at the centre of the chest, which is unrelated to physical activity, worsing of heartburn during night and obesity all these factors point towards GERD. lifestyle modifications such taking small sized multiple meals, elevating head end of bed while sleep, avoiding cchocolate, alcohol, ssoft drinks, tea, coffee, exercise may help.
ECG interpretation requires quite a skill which can be read by trained physician only. There are different leads which has show different sizes of QRS complexes and T waves normally. I would advice you to do ECG done by a physician and other investigtions like complete blood profile, metabolic profile. Cardiovasucular system examination, blood pressure and ECG will help to exclude diagnosis of heart problems. Your physician may advice you to undergo eosophagoscopy to confirm diagnosis of GERD.
Hope it was helpful
Feel free to discuss further
Patient replied :
I have had esophagoscopy twice, it only confirmed that I had esophagitis. When I did the 24 hour ph measuring of my esophagus it did not show a lot of acid reflux, nothing to say I had GERD atleast. (it was unfortunately measured on one of my good days) The closing mechanism between my esophagus and my stomach seemed fine. But I do have esophagitis and the medicines just barely keep it in check it seems, it still hurts now and then. I take Rantidin and Esomeprazol for this. Aloe vera gel has also seemed to work. My GP in Norway told me there was nothing else to do.
But the pains I have now does not feel like heartburn (only some of it does), it's closer to the skin which is why I was thinking it might be from muscle strain. Now the pain has moved to the left breast and the nipple seems swollen so It might just be irritated. I don't know if an Irritated nipple can cause a burning pain in the breast. Or maybe it's all caused by vagus stimuli?
The pain in the breast could definitely arise from the swollen nipple.
Is the nipple red or is there any discharge? That could indicate a local infection.
Esophagitis if not controlled can be extremely painful and it does not seem like the medicines are working.
Did you ever get tested for H. Pylori? If the medicines have not been able to control, H. Pylori infection could be the cause.
Patient replied :
I do not know if I have been tested for H. Pylori, I know that they did not take any samples during the esophagoscopy. They might I have checked for it on a bloodsample, but if so I was not properly informed.
My nipple is only slightly red in the middle, like it can get from friction. It's slightly darker than normal all over and bigger. There is no discharge.
Right now my pain is in the left side of the chest, in addition to the burning feeling in the skin or under the skin there is a clearer and deeper pain sitting a bit above the left breast. I am confused by the many different pain sensations, is there anything that can cause stinging pain, burning pain and pain that feels like muscle pain in the chest that lasts over days? Or Is it just different causes coincidentally affecting the same area?
There may also be a psychological exaggeration of the symptoms stemming from your previous experience of travel symptoms and an apprehension arising out of a significant family history. The ecg changes, I am not very sure what they mean and can comment if you could upload a strip of ecg. Machine calibration disturbance can lead to shift if baselines. So I feel that these symptoms may be travel fatigue related. But you have a family history of weak hearts and your brother and grandmother suffered from it. So please get some basic tests like 2d echo and a proper ecg along with a hemogram (for blue hue).
Regarding H. Pylori, it is not the part of routine tests unless asked for. The stinging pain could just be from uncontrolled esophagitis. You need a detailed medical gastroenterologist opinion besides the tests I asked for.