I have pain in my chest doc. says is caused by achalasa.Specialist cant find any way to help me. Help?
143769
TREATMENT OF ACHALASIA — Several different options are available for the treatment of achalasia. Most have been used for many years, but one (botulinum toxin injection) is relatively new. Unfortunately, none of these treatments can halt or reverse the loss of nerve cells in the wall of the esophagus. However, all of these treatments are effective for overcoming the blockage created by the LES and restoring normal movement of solid food and liquid down the esophagus and into the stomach.\n\nTwo of these treatments (drug therapy and botulinum toxin injection) work by pharmacologically reducing the LES pressure while two other treatments (balloon dilatation and surgery [myotomy]) work by mechanically weakening the muscle fibers of the LES. Each of these treatments has various advantages and disadvantages that you should discuss with your doctor before making a decision.\n\nDrug therapy — Two classes of drugs, nitrates and calcium channel blockers, have muscle-relaxing effects. These drugs can relax the LES and decrease symptoms in people with achalasia. They are usually taken by placing a pill under the tongue 10 to 30 minutes before meals.\n\nMedical therapy is the least invasive option for treating achalasia. However, most people find that long-term medical therapy is inconvenient, often ineffective, and sometimes associated with side effects such as headache and low blood pressure. Furthermore, these drugs tend to lose their effectiveness with repeated use.\n\nBalloon dilatation (pneumatic dilatation) — Balloon dilatation mechanically stretches the contracted LES. This procedure is effective for relieving most symptoms of achalasia in around two-thirds of patients, although chest pain persists in some people. Up to one-half of patients may require more than one session for adequate relief. Balloon dilatation is currently considered as the standard non-surgical treatment for achalasia.\n\n  Procedure — People undergoing balloon dilatation are usually told to fast for at least 12 hours before the procedure, and some people may be placed on a liquid diet one or two days in advance. Using fluoroscopy, a doctor advances a guidewire down the esophagus and positions it inside the LES. A deflated balloon is then advanced along this guidewire, positioned inside the LES, and inflated for about 60 seconds. The balloon is then deflated and withdrawn, and the person is monitored in a recovery area for five to six hours to detect any complications of the procedure. If there are no complications, people can usually resume eating after six hours.\n\nIn most cases, only one dilatation is performed during each session; if a person's day-to-day symptoms do not improve, additional sessions can be performed. The balloons are available in three sizes; the smallest size is usually used during the first session, and larger sizes are often used during subsequent sessions. If a person's symptoms are still present after three sessions, doctors usually recommend surgery.\n\n  Success rate — A single balloon dilatation session continues to relieve symptoms of achalasia in about 59 percent of people one year after the procedure and in about 25 to 50 percent of people five years after the procedure. The success rate at later time points has not been well studied, but some people have remained symptom-free for as long as 25 years. Prolonged relief of symptoms is more likely in people over the age of 40 years.\n\n  Complications — About 15 percent of people experience severe chest pain immediately after balloon dilatation, and some experience fever.\n\nThe most significant complication of balloon dilatation is creation of a tear (perforation) in the wall of the esophagus; this complication occurs in about 2 to 6 percent of people undergoing the procedure, and it is most likely to occur during the first dilatation session. Symptoms of persistent pain or discomfort in the hours after the procedure may signal that the esophagus has been torn.
755662
Latoya,\nYou seem very genuine, so I will be very straightforward.  You have to go to a doctor.  There are too many different things that it could be.  You could have asthma, anxiety, hear trouble, etc.  A doctor can figure this out pretty quick with a regular appointment.  If you don't have insurance, go to the health dept.  It is a big hassle, but if you are worried all the time, stress can make you feel this way-best, or you could have ashtma-worse case.  It is too hard for somone to tell you online, and why guess?
96888
I need to know what medical history, Medications , allergies. What were you doing at the time, did you experience Chest pn with this, or shortness of breath. did you seel medical attention, did you have flu like symptoms.\n\nI am a paramedic , not a doctor but I may be able to answer your questions.
487556
Try putting a heating pad on your chest while you are laying in bed. That might make the muscles relax a bit.\nAre you sure that it's your heart that is hurting and not your lungs? You say that you have insane allergies and cold right now. A cough in essence is a trauma to your lungs. Any type of heavy coughing causes everything to bump into one another in there. Think of it as a blender effect. If you are at all concerned I would talk to your allergist. They might be able to perscribe something to help with the coughing and it might ease your pain. Definatley seek help because there also might be a more serious issue in there. Granted I'm not a doctor but you don't want to dismiss anything when it comes to your health. \nHere's hoping for you to get well soon.
305294
It could be spasms in your intercostal muscles (the muscles between your ribs). This can be painful and can make breathing painful.\n\nIf you can, try vigorously massaging the affected area while trying to take a deep breath.\n\nRegardless, it's worth bringing up with your physician.\n:)
77942
See a doctor right away, you have a problem with your lungs.  Could be simple, could be more serious but the sooner you start to fix it the better.
947764
Your symptoms you describe could apply to several different things.  You should really see a doctor in person for an exam and possible labs or chest x-ray.  \n\nA lot of these things can depend on your age.  If you are 20 years old, it might be something simple that can easily be fixed with antibiotics.\n\nIf you are older, it might be symptoms of a potential chronic disease.\n\nSince your symptoms listed could potentially apply to numerous different things, I wouldn't even try to hazard a guess over the Internet.  See your doctor.\n\nI am not a doctor.  I am a nurse.\nGood Luck to you!\nRobin
687712
There are many ways to treat it check out all your options before you go with orthodox medicine. Kemo was responsible for my dad dying faster and in more pain than if he had done nothing.
895210
Could be a couple of things.  I would see a doctor.  First have you done any heavy lifting or weird stretching, if so it could be your intercostal muscles.  These are muscles that help you breather.  Very, very painful if torn.  You could also have an ulcer that is bleeding.  This will give off the same pain.  Again it could be a lot of different things.  I would see a doctor, even if the pain goes away.
116371
I would suggest to you that you contact Cebu Community Hospital or Chong Hua Hospital. I am sure that they can direct you in the right direction: However, I would also suggest that you contact you Primary Care Physican and advise him of your situation and he may have a Thoracic Physician in mind that he feels comfortable with.\nBest of Luck to you.
1184028
Definitely see your doctor.  Tightness in the chest is not something to mess with!
700471
I AM NOT A DOCTOR, but I did have, had the same systems a year ago.  I thought I was having chest pains and panicked.  Went to the ER, after my trying to explain the pain, (different country) and after an eternity found it was not my chest, but my lungs, I had an ammonia, (walking)  After a couple of days looking back since I am an older person, and if anyone has that little tickle (cough) in their throat check it out. Also dander from pets. Sorry pet lovers I have birds, dogs, cats, the list goes on because I live in the country..\n\nI also felt something different for at least a couple of months, but did not think anything of it, just a tickle in my throat\n\nHonestly I thought it was chest pains, but turned out to be my lungs.  Because I described where the pain was the doc's where checking out the heart, took like eons for them to know it was the lungs. Once x-rays and everything came back they started treatment, am grateful to be alive now.
778130
I would see your local doctor.  My guess is your on some type of medication.  He/She can put you one  a lite pain reliever while the side of your chest heals.  The reason it hurts is you have been coughing for some time and the muscles on your side have been used and therefore ache.  If your Doctor can prescribe some stuff, your muscles can relax and heal, therefore relieving an pain in the future.
684509
hi there,\n\nDid you file a workers compensation case?  If so you might want to consider it.  You sound like you might be on the brink of multiple chemical sensitivity.  I have a friend who was exposed to different things at her old job and wound up with lung damage.  You might want to talk to your doctor more about what you were exposed to, he might send you to a pulmonologist and they would do lung function tests to check for damage or chemical pneumonia.  Probably the ER doctors don't have the history of what you were exposed to, to make an accurate diagnosis.  Asthma can mimic acid reflux sometimes as the reaction to the chemicals you inhale can affect the esophagus and stomach as well so acids might very well come up in your throat.  Your airways might constrict too.  You definitely need to talk to your doctor more about it, and possibly file workers comp.  Also, you might need a doctors note not to be around those chemicals, like a job modification.
952917
I would contact your doctor who handled your case, spontaneous pneumothorax once makes you more likely for another.  But there is no way to eliminate your chances, I have seen folks come into the ER for a cough, a sneeze, and then others have no reason or way they know it could have happened.  I have seen repeated visits from folks who have problems.  I again would contact your doctor and see what he or she would like you to do.  They might have something they wish for you to do in order to fly, or swim or they might advise against it.
1162375
You need to go to a pulmonologist.  He will be better to diagnose you correctly.  It sounds like you might have asthma, in which case you would need to be on medicine long-term or at least have an inhaler on hand for flare-ups.  I have asthma and believe me, it is serious business.  Go to a pulmonologist, please.  Check out the site below for further information.
906680
You might try an ACE bandage snugly wrapped around the injured muscle.  But don't wrap it so tight that you can't take deep breaths, that could cause you to get pneumonia.  You may also want to go to a medical supply store and see if they have anything that they could recommend.  I've pulled chest muscles and it HURTS!  I feel your pain.