Hello!
Welcome and thank you for asking on HCM!
Regarding your concern, I would explain that a comprehensive differential diagnosis of many disorders affecting the mediastinal structures (bones,
esophagus, lungs, musculoskeletal, aorta, etc) should be done.
I agree with your doctor on the fact that your symptoms don't seem to be cardiac related. A prolonged
chest pain is not characteristic for any cardiac disorders.
From the other hand, I would like to know if your symptoms are modulated by respiration or body movements. This pattern would go in favor of a musculo skeletal disorder.
A back bone disorder (like chronic degenerative changes of the vertebral column), could mimic this clinical scenario.
Are your symptoms related to eating? A gastroesophageal reflux or
esophagitis could cause similar symptoms with
heartburn and burping.
I recommend consulting with your GP for a careful physical examination, a resting ECG, a chest x ray and some blood lab tests (
complete blood count, PCR, sedimentation rate, kidney and liver function tests, blood electrolytes, etc.).
A fibrogastroscopy for possible esophagitis or gastritis and a cervico-thoracal x ray study may be needed to exclude the above mentioned disorders.
If all the above mentioned tests result normal, I would recommend taking some painkillers (ibuprofen,
acetaminophen), which would help in case of a
musculoskeletal pain.
I would also advise to perform a lot of physical activity and lose weight.
Hope to have been of help!
Best wishes,
Dr. Iliri