Question
Do U Think It Can Also Be Liquid Or Air Inside Of Me?
If It Is Whut Do Dat feel Like?

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The text above is a follow-up to ...

-----Question-----
Ok ive been to the e.R 4 times had cat scan and ekg im all good.. Small Heart Nothing wrong with me.They told me i had chest wall pain but it was 3 weeks ago it still hurts. but the thing is; Is it normal for my heart to beat harder than normal cus of the pain? Cus it beats hard where i can see my chest move.I press on my rib under my right side where the breast will be. It hurts but i also get shallow breathing..
what are chest wall pain symptoms? and how long do it last?
Im only 19 it cant be angina or nothin similar.Can it? I really mainly wanna kno bout my heart and why it beats like dat..
-----Answer-----
Hi Josh and thanks for writing,

Benign chest wall pain is most likely a transient and fleeting irritation of the pleura, the slippery membrane that lines and protects the lungs. The pleura are very sensitive to pain, and for reasons that are usually not clear, some momentary irritation causes a painful sensation that can be quite severe, but that quickly subsides. This condition has no medical significance whatsoever. It is very common. Most people will experience these symptoms at some point in their lives.

The pain is usually a sharp "catch" that interrupts a breath, and that returns with each breath for a few moments - then it subsides. It is not related to exercise, and generally can be localized to a specific small area (smaller than the palm of the hand) on the chest wall.

It usually lasts for less than a minute, but can come back on and off for an hour or so. Frequently patients will describe recurrent symptoms every few weeks or months.

from: http://heartdisease.about.com/cs/coronarydisease/a/CPH.htm

The increased heart rate could well be due to the sympathetic nervous system which kicks in when we experience pain and releases catecholamine hormones which cause:

Acceleration of heart and lung action
Inhibition of stomach and intestinal action
Constriction of blood vessels in many parts of the body
Liberation of nutrients for muscular action
Dilation of blood vessels for muscles
Inhibition of tear glands and salivation
Dilation of pupil
Relaxation of bladder
Inhibition of erection

I hope this answers your question, all my best,

Margot

Answer
Hi Josh,

I really couldn't even begin to guess if you would have air or liquid inside of you - is there any reason you suspect you might? I'd have to agree with the physicians from the ER as the symptoms you describe do match their diagnosis.

If you do not improve or get worse, you should go back and see your family doctor to discuss things. If the pain has been constant for three weeks then you should go see your doctor and keep him up to date regarding your pain - he may want to run some more tests now to see if anything has changed since you were in the ER.

Wishing you good health,

Margot