Thank you for asking your query at DoctorSpring.
From symptom analysis your chest pain is NOT likely to be of Cardiac origin. A non cardiac chest pain - possibly an ulcer related / GERD pain is more likely. I do understand that pain differs from your heart burn pain, but still a GERD is very much likely. Anyhow to be sure please let me know whether you have the following symptoms or features. You can reply as a followup.
1. Is the pain radiating ? Like to the arms or neck ?
2. Is there any sweating / nausea / vomiting / syncope when the pain comes ?
3. Does this pain has any relationship with food intake ? Like skipping a meal aggregates it ?
4. Can you sleep comfortably at night ? Are you troubled by the pain ?
Patient replied :
Thank you for your reply. Here are the answers to your questions:
1. No radiation.
2. Yes, I have also been having intermittent flushing and sweats, also intermittent nausea without vomiting, but this does not always occur in direct conjunction with the pain. The pain is fairly constant, and those come and go.
3. I haven't been eating a whole lot lately, so it's hard to say. I haven't noticed a correlation such as that the pain improves after meals.
4. The pain is obnoxious and is troubling me, and I am not sleeping well (it's currently about 3:20 am here), but I don't think the pain is the cause of my waking at night. It does not worsen when I'm lying down vs. sitting.
To test your GERD theory, I just tried a pepcid complete... it does not seem to be helping. :(
Thank you for the additional information. Considering the nature of symptoms, family history, medical history and the additional details you have provided, Chest pain of Cardiac origin is less likely. But it is never possible to rule out a heart condition 100% without further investigation. Although with symptom analysis it is reasonably sure than the pain is non cardiac, I recommend getting an ECG done if the pain is persistent and troubling.
GERD / Ulcer dyspepsia is possible even though pepcid did not give you a relief. You will need to take the medicaiton for 7-14 days to see appreciable benefit. I recommend OTC Prilosec as it is a better alternative.
Hope this helps
Please feel free to ask followup questions / clarifications.