A pain on the left side of my chest/heart?

Worst, Severe Pain on Left Side of Face, Can't Sleep, PLEASE HELP!?

  • My boyfriend has been dealing with this excruciating pain for over a month now all the way down the left side of his face. We've been to the doc and ER multiple times and they keep saying it is a sinus infection. I just do not accept this. He has no drainage or congestion, and is completely fine besides the excruciating pain he gets ONLY on the left side behind his eye, under his eye, his nose, in his mouth, sometimes down his throat and neck and in his head. He has bursts of pain about every 5 to 10 minutes and it gets so bad that he cries and sometimes punches the wall. It is terrible for me to see him like this, I do not know what to do. The worst part is that he has had, literally, maybe 10 hours of sleep in the last month. Whatever this is, it wont let him lie down or sit up and sleep, the only way he is able to alleviate the pain is to stand up and constantly swish cold water in his mouth. This is also causing him to go to the bathroom all the time because he consumes probably 10-15 bottles of water a day just to ease the pain. I feel so helpless because I don't know what to do for him. He was sent for a CT scan a few days ago, and has an appointment to go so an ENT this Friday. The CT scan came back fine and now we are still waiting to see the ENT in a few more days. The docs have him on the highest possible dosage of Loratab for pain every 4 hours but the Loratab does not combat the pain at night so he can sleep so now, not only is battling whatever this is, but he is a walking zombie and going crazy because he cannot sleep. He keeps telling me he is sooooo tired, but whatever he has will not subside long enough for him to rest. We have tried everything possible and nothing is working. We have tried the Nettipot throughout the day for several days, no help. We have tried the Mucinex DM and Sudafeds, no help. We have tried hot compresses and ice packs, no help. We have tried humidifiers, vaporizers, steamers, no help. We've tried the hot baths and showers, no help. We have tried drinking hot liquids, eating soups, no help. We've tried Tylenol, Advil, you name it, we've tried it, no help. We've tried Unisom so he can sleep, no help. We've tried saline sprays and Ocean Spray (both recommended by the doc), no help. The first week this started happening, he was prescribed Z-pack antibiotics, no help. The second week he was prescribed Keflex antibiotics and Prednisone steriod, no help. I fear that something is very very wrong and the doctors are way to oblivious to see. They have not once done an X-ray or MRI or even touched him. They just ask him questions and say "Oh it's a sinus infection." One doc did look in his ears and said he had some earwax buildup but I do not believe that is the cause for this kind of pain. This is crazy person pain and when it hits, he turns into a completely different human being. Please help, he is depressed and sad all the time and is giving up hope. He can't sleep and it's making him absolutely crazy. Like I said, the only thing that relieves it is swishing cold water around in his mouth but that is only a temporary fix until he has to do it again 5 minutes later. PLEASE PLEASE PLEASE help him if you have any suggestions or may know what is happening to him. PLEASE!

  • Answer:

    These symptoms sound like trigeminal neuralgia, a painful facial nerve condition. Have a look at the website below. If this sounds like the condition, print the publication and take it back to the doctor! Good luck, someone out there will listen to you.

GonGetAW... at Yahoo! Answers Visit the source

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Well, I guess it wouldn't hurt for me to make a guess, especially since "sinus infection" keeps being the diagnosis. I'm going to see it as a muscle issue, and it's gonna be very difficult to make that one fly. But here goes. There is a muscle that goes from behind the ear down to the collarbone and top of the sternum. Generally, when a person has a muscle pain, it hurts, you know where the pain is, there's the lumpy muscle right there, and you deal with it. But the Sternocleidomastoid is a completely different animal. Problems with the muscle show up at all kinds of other places. Like at the eye, causing pain, or conjunctivitis, or even excessive tears. It can even cause blurred vision. Pain over it, behind it, seriously strange. At the nose, and mouth, and ears, and headaches. It can even cause pain on the other side of the midline. Now, after I've told you that, I'm going to have to give you a site that will verify what I've said, even to the point of it causing pain that seems like a sinus infection, or having trouble swallowing. This muscle has a frighteningly bad symptom-set, and most doctors don't think about it. All right, that being said, the first website gives a small version of the range of issues, as well as showing the location. But ignore the stretch they show, there is a better one later. Second site gives a more adequate description of the breadth of symptoms attributable to the muscle. And if you see a word or term you don't recognize, look it up, and I've done an example of that with the third website, which is another reminder of the depth of symptoms that can show up, rather than just surface stuff. Notice that the sinusitis and sinus headache symptoms are discussed there, too. You'll notice that the sternocleidomastoid problems can cause symptoms of maxillary sinus congestion, the sort of thing you were trying to deal with by using the saline sprays and Ocean. Fourth site is a video telling how to stretch the muscle. I need YOU to watch the video and practice doing it first. Turn your head to the left till your chin is nearly touching your shoulder, you should come within about an inch without shifting the shoulder forward. Then, from that position, simply turn your head upwards, as though looking at the ceiling. After a few of those, you turn your head to the right and do the same stuff. If there's some difficulty, with either direction, pay attention to how far you (or he) can go, and work on it. And before I stop, I'm going to make a speculation that the swishing the water may be momentarily stretching the muscle a bit by going side to side, but certainly needs more than it's getting. As a massage therapist, I wish you luck, and can tell you that if indeed it's Sternocleidomastoid Syndrome, it would be one of the worst, but not the worst. Had one that had been diagnosed with Multiple Sclerosis because of the transient blindness and staggeringly bad headaches. Best to you both.

Durable Med

I think an xray or MRI is most definitely needed. It could be a tumor or cancer. it could also be signs of other diseases like Multiple Sclerosis (but maybe not). I have a friend who has MS and her initial onset symptoms were pain behind her eyes, loss of equilibrium and eventually blindness (thankfully that was temporary). If your insurance allows i would go see a nuerologist. They will do a more comprehensive exam. Honestly what u described reminded of when my jaw was broken. It hurt to even move my head! But im sure he would know if he'd broken his jaw or not. Please consider seeing a neurologist - get a referral id your insurance requires it. Oh one other thing - how are his teeth? Does ne have any abcesses or bad teeth? Surprisingly tooth problems sometimes manifest themselves withpain in the head and neck because the poison will travel thru the bloodstream to the brain. Please b persistant and get a xray, MRI, and a referral to a nuerologist. Good luck and GOD BLESS!

prissa

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