Erasmus : Chest wall pains, atypical chest pains, and short sharp jabbing pains have no recognised cause and no generally accepted treatment.
DR Xxxxx : The Paill Spectrum model offers a possible theory for their pathogenesis. The Paill Spectrum model suggests that other symptoms such as chronic fatigue, sweaty hands, dizziness, or loss of balance, aches and pains may be associated. Blood tests may help to confirm the diagnosis. The Paill Spectrum model of disease proposes new alternative treatments for this illness, disease or condition. Most doctors will tell you there is no cure and little treatment for atypical chest pain (short sharp pains that make up this non cardiac chest pain).
Short sharp jabbing chest pains and parasternal tenderness ,
both have the same underlying cause : namely Paill Spectrum infection.
These are very common symptoms experienced by many people throughout their life at different times. Strangely, no reason is usually given by doctors as to what was the cause of the symptom. The symptoms often recur. Usually they are fleeting and of short duration. Generally, they last only a maximum of 10 - 15 seconds. On occasion, in some patients, they last for up to 10-30 minutes. Times longer than this are also possible, but are generally rare. Back to Chest Pains top
The patient does not have any of the typical associated cardiac symptoms. There is no central chest heaviness. There is no abnormal pain or heaviness in the neck or left arm. The patient is generally not especially short of breath although breathing can cause some jabs of pain exacerbated by the act of breathing. The heart is beating normally, with usually a normal beat rhythm and no weird feelings associated with its beating. The patient may get worried if its lasts more than a few seconds or if it seems to be particularly severe.
Typically an affected patient goes to Casualty at a local hospital or to their local doctor as they are concerned that they have a heart condition. At Casualty, a history is taken, an ECG is done (normal), blood tests for cardiac enzymes are done (normal again). Effectively, nothing has been found to cause the symptom being investigated. If the patient is lucky and the doctor is clever, the parasternal tenderness may have been found, but usually little else is.
Strangely, if you follow people up over the next few days, the most tender side can flip erratically and unpredictable from one side of the chest to the other. There seems to be no consistent pattern of inflammation in the pain or tenderness that the patient complains of.
It’s not your heart!
Yes, But what is wrong with me.
Answer: It’s not your heart.
Medical Letters come back with the label “atypical chest pain” or “Chest Wall Pain”. As often as not, to make sure that a potential heart condition that may be difficult to diagnose is not missed, a number of anti-anginal medications is prescribed. Some unlucky patients go on to have ECG Stress tests, Stress Echocardiograms or even angiography. Since heart lesions are not uncommon, this amount of testing may find something.
Many patients in spite of all this investigation and treatment, do not get better and continue to complain ungratefully about the same symptom. :-?
Stalemate! Back to Chest Pains Top
Radiological imaging is often unhelpful in diagnosing
Paill Spectrum infection.
Same for cardiac blood tests: typically showing normal cardiac troponins or normal MB isomer CK isoenzymes, an absence of inflammation on FBC and normal electrolytes, renal and liver function tests.
DR Xxxxx : The nature of the pain is typical and unique to Paill Spectrum infection. The pains are typically very sharp, brief and disappear by themselves.
The only important medical sign to assess that is directly related to the presenting symptom, is the para-sternal chest wall tenderness. Patients are typically surprised at how tender these areas may be without them having suspected that there was any tenderness in the area at all.
Tests: ECG and cardiac enzyme results will be normal .
Typical Paill Spectrum Symptoms will often be present:
Signs of cardiac irritability such as extra beats (VPCs) "may" often be present and are usually regarded as innocent symptoms unrelated to the presenting pain symptom, but related to the associated anxiety. Perhaps there is another point of view possible.
See Syndrome page for more information. Back to Chest Pains top
Chest tenderness and fleeting pains are a “fragile: symptom of Paill Spectrum infection and it is usually easy to achieve improvements in symptom intensity or frequency over several months of even basic therapies such as nutritional changes.
Symptom resolution is more likely to become fully resolved, if antibiotic therapy is added to nutritional interventions
:-]] Chest symptoms may be seen in some of the case examples,
See Case I (Paill Anxiety & Depression).
For basic Nutritional interventions in this and other symptoms see: Link
For information on antibiotic intervention: see the Download zip files.
For information to read now about treatment, see Treatment Page
For something completely different, What can you tell me about epilepsy or febrile convulsions
Back to Chest Pains top
Erasmus : In summary:
Chest wall pains, atypical chest pains, and short sharp jabbing pains in the chest are discussed as symptoms under the Paill Spectrum model. The medical fraternity rarely explain why these symptoms occur, in spite of extensive testing and expense. Many patients have recurrent symptoms for years, for no known reason.
This Web Page discusses a new theory to explain non-cardiac chest pains also known as atypical chest pains. The sharp jabbing pains are reported by patients at hospitals, and need to be differentiated from angina or heart pains. Many victims often undergo extensive cardiac investigations to exclude the presence of a heart attack. The Paill Spectrum model of disease proposes new alternative treatments for illness. The Paill Spectrum model of disease also proposes a definition of the illness in terms of symptoms, signs, investigations and response to treatment. Download the clinical assessment file from the Download Page.
Related Topics in this Series:
This web page discusses a new theory to explain non-cardiac chest pains also known as atypical chest pains. The sharp jabbing pains are reported by patients at hospitals. A typical diagnosis is non cardiac chest pain. It's not your heart is as close to a diagnosis as most people ever get given by their doctor. The discussion covers chest wall pains, atypical chest pains and sharp chest pain. Symptoms often seen in association include extra heart beats, VPC, chronic fatigue, sweaty hands and irritability.
Chest wall pains, atypical chest pains, and short sharp jabbing pains have no recognised cause and no generally accepted treatment. The Paill Spectrum model offers a possible theory for their pathogenesis. The Paill Spectrum model suggests that other symptoms such as chronic fatigue, sweaty hands, dizziness, or loss of balance, aches and pains may be associated. Blood tests may help to confirm the diagnosis. The Paill Spectrum model of disease proposes new alternative treatments for this illness, disease or condition. Most doctors will tell you there is no cure and little treatment for atypical chest pain (short sharp pains that make up this non cardiac chest pain).
Goo:Want to know more than your doctor?
Goo: Want to take control of your own health?
Goo: Check out the Paill Treatment sheets, as many others have.
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