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Pain and exercise


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#1 Margaret

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Posted 01 April 2009 - 01:45 AM

Hi Everyone,

I need some feedback again, please. Gareth has been complaining of having a *heart attack* whenever he's been doing running or weights the past 2 months. The pain is right smack in the middle of his chest. He had his heart echo/stress test yesterday and we won't find the results till 4/10 when we talk to the Cardiologist.

He used his inhaler before starting on the treadmill but, by the end of the 6 minutes, his heart rate was up to 170 and he was hurting. The techs let him go home knowing that he was hurting so bad and said something to the effect 'that his heart is OK but they *think* it is skeletomuscular pain.'

For those of you who have esophageal dysmotility (G does) does exercise cause pain in that area? Maybe he's having spasms again like he did when first diagnosed. Also, I noticed that his O2 levels dropped to 73 at one point......it seems that would cause ALL his muscles to hurt, not just the center chest area. What could be some other causes?
Thanks for any feedback.

Take care, Everyone.
Margaret

#2 annkd

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Posted 01 April 2009 - 05:20 AM

Hi Margaret - I can relate to what Gareth is experiencing. I, too, get extreme pain in the middle of my chest when I exert myself (exercising, walking fast, even gardening). My doctor had me go to a heart center for tests and everything was fine. It was, in their opinion, spasms from the reflux. My doctor prescribed nytroglycerin and I take them when needed. It usually helps. I'm not happy about this "fix" as I think there is more that I should be doing. I'm anxious to hear other thoughts. -Ann

#3 Jeannie McClelland

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Posted 02 April 2009 - 05:49 AM

Hi Margaret and Ann,

With the usual caveat that I'm not a doctor, have no medical qualifications whatsoever, can't diagnose or treat, here goes.

I find if I push myself enough to be breathing very hard, I get the pain Gareth describes. With me, I think it is now a muscular thing. My pulmonologist says I have some restriction to my chest expansion and she had the PT department give me a couple of exercises to loosen/strengthen the muscles in the torso. (I'm pretty non-compliant, unfortunately~) Maybe, given the O2 levels Gareth dropped to, that could have caused his heart/lungs to be working so hard he got a sharper, localized pain. When my O2 drops way down, the feeling I get is extreme tiredness and weakness in the muscles themselves (before I get that graying-out sensation).

I had a full fundoplication done a year ago, which eliminated the reflux and has stopped the esophageal spasms from that cause (I still get them if I eat things that are too cold or lumpy - like a wodge of bread, for instance.) Anyhow, yes, an esophageal spasm feels just like a heart attack! And like Ann, they'd run the tests to make sure my heart was OK, which it was.

So maybe Gareth's symptoms are a combination of things. As a mum, I think I'd get him to back off on the exercise until you've seen the cardiologist. Better safe than sorry, I always say.

Best wishes and warm hugs,
Jeannie McClelland
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#4 Kathy D

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Posted 02 April 2009 - 06:07 AM

Hi Margaret,

Sorry to hear that with Gareth. I had costochronditis a few weeks ago. It was crushing pain in the center of my chest, turns out it was inflammation of cartilege on my ribs/sternum. I wonder if he could have some inflammation that only shows up when he exersizes?

Let us know how it turns out.

KD
Diffuse Scleroderma Diagnosed March 2009

#5 debonair susie

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Posted 02 April 2009 - 08:00 AM

Hi Margaret,

I'm sure it's so hard for you in each instance that arises, where Gareth's health issues are concerned.
Add to that, their inability to immediately hone in on the cause.

Since we ARE all different, it doesn't make it easy, either. Yet, tossing out our experience is what we do, eh?

Esophageal spasms are horribly painful and is in the area Gareth may be experiencing the pain.
My spasm usually occur while in bed, but that's me.

The muscular pain could be a possiblity too.

As far as Costochondritis is concerned, whenever I get that particular pain, it bothers me for a few days. If I allow it time to heal, the pain subsides.

I have a niece who played softball in high school. Whenever she exerted herself, she would have pain. The cause, they found out, was Asthma, so she began using inhalers, which helped greatly!

I hope that the cause is found, Margaret and that the treatment can be an easy one for Gareth.

Let us know how things are going?
Special Hugs,

Susie Kraft
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#6 Margaret

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Posted 02 April 2009 - 12:28 PM

<<I had costochronditis a few weeks ago. >>

Hi Everyone,

KD & Susie: Gareth had this when first diagnosed, along with restrictive lung issues. He uses an inhaler for exercises, but this *heart attack* stuff has only been the past 6 weeks or so. It is all starting to come back to me -- lots of the same issues he had when first diagnosed. I have an e-mail to his Rheumatologist about everything and asking if we should up the Plaquenil.

Do you people *ride out the flares* or up the meds when you have a flare up -- which is what I am calling this now!!!

Take care, Everyone.
Margaret