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Arthritic, have they ruled out costochondritis?  This was giving me problems that felt like heart pain or heart symptoms and it was determine I have it.

"viral respiratory infectionsⁱ can commonly cause chest pain due to costochondritis"

Also:

Different types of infectious diseasesⁱ can cause costochondritis.

• Viral: Costochondritis commonly occurs with viral respiratory infections because of the inflammationⁱ of costochondral junctions from the viral infection itself, or from straining from coughing.
  
• Bacterial: Costochondritis may occur after surgery and be caused by bacterial infections.
  
• Fungal: Fungal infections are rare causes of costochondritis.

Just a thought to consider. .....

JeanneRoz

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JeanneRoz ~ DXⁱ'd w/ CPNⁱ 4/2007; 6/07 -"officially" dx'd w/CFIDSⁱ/FM; also: HHV6, EBVⁱ, IBSⁱ-C, 100 Doxyⁱ:BIDⁱ;250 AzithM/W/F; Tindamax Pulses, B12 shots, ERFA Dessicated Thyroid,Cortef, Iodoral 25 mg, Vit D-6,000 units, Supp's

Jeanneroz does have another perspective and I wonder if you have had a cardiac stress test or ultrasound as well to evaluate the internal structures of your heart?  Another specialist to add to the mix could be a drag or very helpful before you take a long term course of advil.  Does it help some have you tried it to see.  The question is it something to take for a longer time.  There have been a number of discussions some time ago about the effects of the NSAID class of pain relievers.  I looked into it thinking that to add it in might help reduce my liver inflamation but decided that it might be more of a load than an asset as I recall.

I don't recall anyone here talking about taking Diflucan periodically as a preventative but that may be something that is done from time to time.   Do you have any symptoms that are associated with the posibility of dysbiosis?

Is there frequent coughing on your part or some heavy lifting or over stretching during activity that could have set you up for intercostal inflamation that Jeanneroz is talking about?

Does the pain actually follow the pulse rate of your heart or is this just the way it seems to you?  Just asking some thought provoking questions so you can see if from different directions to describe it better.

I'll be interested in how this all plays out for you, I hope you continue to post on it.    Louise

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6-07WheldonCAP CFS20+yr

(11-29-07 started Cholestyramine HS PRNⁱ x 7d for porphyrin+endotoxinsⁱ removal)

Check out Louise's Blog at; http://www.cpnhelp.org/blog/louise for the details of my treatment adventure!

Hi, Louise....from my understanding the bacteria's or viruses, in and of themselves, can cause costochondritis without having had a physical muscular strain.  So perhaps this (costochondritis) could be another "illness" resulting from being infected with CPNⁱ? 

 Also, with reference to the previous discussions on NSAID class of pain relievers,  FWIWⁱ, I opted to take Serrapeptase instead as it is better tolerated long-term and does not harm the liver or cause stomach problems -- it has alleviated most of my pain.

The serrapeptase may be an alternative for you to consider, Arthritic :)

JeanneRoz

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JeanneRoz ~ DXⁱ'd w/ CPNⁱ 4/2007; 6/07 -"officially" dx'd w/CFIDSⁱ/FM; also: HHV6, EBVⁱ, IBSⁱ-C, 100 Doxyⁱ:BIDⁱ;250 AzithM/W/F; Tindamax Pulses, B12 shots, ERFA Dessicated Thyroid,Cortef, Iodoral 25 mg, Vit D-6,000 units, Supp's

I found the definition of Costrochondritis and tietze syndrome and the diferentiation between there similar and seemingly somewhat similar and often confused condition an easy non-technical read at; http://www.medicinenet.com/costochondritis_and_tietze_syndrome/article.htm.  Also found some references to it in relationship to fibromyalgiaⁱ which seems to make some sense from my perspective. 

My perspective is that conditions and syndromes are symptoms and constelations of dysfunction and not defined as diseasesⁱ in their own isright.  For example; Itis as a suffix expresses inflamation of a certain type of body tissue for example; dermatitis, inflamation of the derma or skin etc.

Years ago my son had a brief occurance of chest discomfort diagnosed as costocondritis. Inflammation in the Intercostal area of the chest.  Likely his was related to some activity and not geneticsⁱ or a virus as the event was self limiting and of short duration, he recalled no traumatic event when questioned. 

Jeanneroz,It is good to know that perhaps the enzyme serrapeptase offers a way to clear the inflammation for you and that it was an answer to your chest pain and as you say likely a better solution that NSAIDsⁱ.  Nata please let us know if you try it and how it work for you. 

I may order some to test it out for a foot complaint that my husband keeps bringing up and that has become irksome and dragging on.  Thanks Jeanneroz for bringing forward the serrapeptase option once again. Louise

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6-07WheldonCAP CFS20+yr

(11-29-07 started Cholestyramine HS PRNⁱ x 7d for porphyrin+endotoxinsⁱ removal)

Check out Louise's Blog at; http://www.cpnhelp.org/blog/louise for the details of my treatment adventure!

JeanneRoz & Louise, thanks so much for your input.

Yes, I've had a costochondritis w/ painful heartbeat for a couple of years ever since my arthritis started but with CAPⁱ, esp. when I switched to Minoⁱ and added Flagylⁱ, the pain along the sternum slowly going away. I used to have irregular heartbeat as well and it's been gone for the past 4 months now. I  believe changing CAP, upping vits B-group and D and working out helped with that.

I did an echo heart study back in Nov.'08 and my heart is good except some trace to mild regurgitations in 3 valves, mitral annular calcifications and borderline atrial hypertrophy. I was told all of that is still within normal and I'd like to keep it from progressing.

Despite my sternum pain diminishing, all of the sudden I got new developements in my back. The pain is somewhere at the base and inner side of my left shoulderblade and goes inside of thorax and heart. It aggravates with movement, breathing, coughing (I don't cough too much though) and at the same time my painful heartbeat got increased. I actually feel my heart painfully pulsing for a few times every time when I bend over, lay down, lift/push something heavy, turn to the side if I am in bed and similar movements. 

At the same time I got a new pain in my r.foot that is also very bothersome. So I am wondering if this new problem is just another spiral of my infection. May be I shouldn't have switched from Rifampin to Biaxin. Or, may be a new die off area.

In any case, I am concerned about painful heartbeat, b/c of possibile pericarditis. 

JeanneRoz, would serrapeptase be similar to Wobenzym? I have it at home and could start today.

Louise, how is Cholestyramine working for you? Did you feel any distinct effects from starting it? The physician assistant of my CAP dr is swearing by it. She claimed when she had a persistant shoulder pain (she is a former lyme patient), Cholestyramine took her pain away starting just in 3 days.

Thanks,

Nata.

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Nata.

CAPⁱ since Jan'08 for arthritis. Doxyⁱ, Rif, Azith, Bactrim. Ongoing: Minoⁱ 200 mg/day, Clarith  1000 mg/day, Amoxicillinⁱ 2000 mg/day, Flagyl pulses. Vit D 5000 UI & supps.