Approx4-5 months ago I experienced what felt like an irritation surrounding my lungs that could best be described as a light burning sensation, as well as a constriction on inspiration . This was accompanied by diffuse burning sensations across the upper part of my chest/chest wall- concentrating over my right pectoral area . This burning sensation has been present since - still remains diffused throughout only my right side – has moved to my right side throat, and through my back to the scapula area , and occasionally sensation to my spine., and feels muscular in nature – radiating from chest wall.
I initially consulted Pulmonologist and he took xray of lungs which were clear- as well as clear breath sounds in all areas- did breathing measurement test and breathing was fine. Then Consulted ENT – examined via scope – and throat was clear . He suggested Cardiology as it may be atypical cardiac pain – went to ED …all labs normal (except for elevated CCK, but ruled out as I had tried doing exercises earlier in the day). – including cardiac enzymes, EKG normal , ECHO normal, Chest x-ray normal , Cardiologist indicated pain was strictly chest wall. Referred to Gastroenterologist, paced on high dose of Prevacid, scheduled for colonoscopy, and endoscopy- results for Endoscopy presented with rings in esophagus, biopsy obtained – negative for eosinophilic esophagitis or any other abnormalities, was normal . Colonoscopy revealed some mild diverticulitis, but otherwise normal . Received abdominal ultrasound and hida scan for gall bladder – Hida scan revealed gall bladder working at 5%, gall bladder was removed approx 3 weeks ago. The pain (burning sensation) in Right pectoris and right scapula area continues as well as burning sensation in my throat, that moves up to my ear.( I have noticed a small canker sore on my tonsil arch that is not healing, but not getting larger – Fatigue is present , but I do know my testosterone is low as well – Since the gall bladder surgery digestion is much better but the burning sensation continues and is definitely Muscular and feels as it may have moved to my scapula joints – I ran my own ESR which came back at a 7, and also did a 10 day titrating dose of prednisone , which seemed to make the pain worse. I am at a loss, I know there is something wrong – I’m just not sure which direction to go in –
Medical History- 50 years old, non smoker, non drinker, have lost approx 30 lbs ( planned via eating better, and walking daily ) over the last 4 months . Generally healthy – only hospitalization is when I was 5 yrs old for Reyes syndrome( encephalitis) . Sleep is not effected, pain is 0-1 at start of day – increases as day proceeds.
Thanks ahead of time for your response
Category: Rheumatologist