RLR
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Well, some physicians try to diminish fear and worry by demonstrating a rather dramatic lack of concern over patient symptoms. In other words, if the doctor doesn't appear concerned, then neither should the patient. I've observed it before and find that it comes off as unprofessional. Patients need to understand why they're experiencing symptoms and an explanation for why the symptoms are harmless in nature. Although not widely known, I'll share a little secret that many physicians constitute the most horrible patients because they whine endlessly, profess low pain thresholds and tell you how to treat them as if they know best. If it weren't for professional courtesy, I'd refer them elsewhere.
Your labs will likely come back fine. He's looking for inflammation through full blood counts and reactive proteins and although it might be present, it's probably not responsible for the majority of your symptoms. Your breast can be tender for a number of reasons, the majority of which have absolutely nothing to do with space-occupying masses (the C word).
The chest pain you are experiencing is most likely due to something known as DaCosta's Syndrome and is very common among persons under considerable stress. It is not associated with heart disease of any type.
If you were prescribed Zantac, it would have been provided as a result of gastrointestinal complaint or symptoms of some type, although I don't see it reflected in your posting. Zantac is an H2 inhibitor and reduces gastric acid by reducing histamine type 2. It should be remembered that this drug is also available in an over-the-counter version that may prove to be less expensive depending upon your insurance provisions. Also note that this is not a drug to be taken after meals, but rather prior to consuming food. It works best when you reduce the proportions of food as well, and if hungry between meals, eat light snacks with an emphasis on "light." Intestinal gas that becomes trapped in the lumen of the intestines can trigger the Vagus nerve, which in turn can result in the phenomenon that you experience as palpitations. It does not mean that anything is wrong with your heart and merely represents in inappropriate electrical signal. The syndrome is enhanced when stress or anxiety is present because of changes to the parasympathetic nervous system.
I might ask whether there's been any particularly stressful event taking place recently or anticipation of something on the horizon that you're not looking forward to. Your symptoms appear to fit rather nicely into the classification of anxiety disorder with somatic features. It's important to realize that you can experience physical symptoms in the absence of physical disease. Although the symptoms themselves are harmless, they can go a long way to make you feel as though you are extremely ill.
My thoughts here are that you are experiencing some GI distress and other symptoms of anxiety that have recently arisen. We'll talk more.
Best regards and Good Health
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