I'm experiencing some burning sensations around my chest and it's been going on for about a year now. It comes and goes, but its mostly on my left side and sometimes it even extends to my left hand. I've had an endoscopy, echocardiogram, and X-ray, and everything showed up normal. My doctor mentioned it might just be in my head, but I still feel it almost every day. I'm really not sure what to do at this point. Any ideas or suggestions?

Possible Causes of Burning Chest Sensation

1. Non-Cardiac Causes
   a. Nerve-related issues: Consider neuropathy or nerve compression.
   b. Musculoskeletal problems: Muscle strain or costochondritis.
   c. Gastrointestinal causes: GERD or esophageal spasms, despite normal endoscopy.

2. Cardiac Considerations
   a. Atypical angina: Possible despite normal echocardiogram.
   b. Further evaluation may be needed.

Diagnostic Considerations

1. Additional Tests
   a. Cardiologist review or stress test.
   b. Nerve conduction studies.

2. Symptom Monitoring
   a. Note triggers and associated signs.

Management and Recommendations

1. Lifestyle Modifications
   a. Avoid trigger foods and manage stress.
   b. Maintain good posture.

2. Medications or Therapies
   a. Discuss options with your doctor based on further evaluation.

When to Seek Immediate Medical Attention

• Worsening chest pain, shortness of breath, or other concerning symptoms.

Follow-up and Support

1. Regular Follow-up
   a. Monitor symptoms and adjust management as needed.

2. Symptom Diary
   a. Keep a diary to aid in diagnosis and treatment planning.