I am a 23 year old male, 5ft8 and +-70 kgs. I have always been very active, working out at least 10 hours a week. About 10 months ago i noticed chest discomfort and shortness of breath for the first time while doing some light work around the house. Since then, these symptoms have gradually gotten worse over time to where i can no longer do any sports, can hardly walk, and have trouble breathing when lying down. Also, even the slightest consumption of alcohol makes symptoms a lot worse, not immediately, but with a delay of +-2days. The main symptoms are:
Shortness of breath
Tight/pressure feeling in (upper) chest going into my throat. Sometimes feeling like something is stuck in my throat
Tight/pressure feeling between shoulder blades
Inability to exercise, symptoms worsen significantly upon physical exertion
Bad recovery (used to be a track athlete, monitored my heart rate (recovery) for several years. Seems significantly worse now).
I never had any troubles with anxiety, but this was the first 'diagnosis' i got. Since then i've seen 3 independent therapists/psychiatrists, all of which have cleared me for any mental health issues after 20+ sessions with each of them. During treatment I was given Zoloft for 4 months and Xanax for several weeks after. Neither of them had any effect on symptoms.
Additionally i've had an extensive medical work-up;
Standard stress test
Cardiopulmonary exercise test
The most noteworthy conclusions here were a dilated left atrium, extremely low VO2-max despite having a very active lifestyle shortly before symptoms started and a flattening O2-pulse and disproportionally increasing heart rate at the anaerobic threshold during cardiopulmonary exercise test.
24h ph test
These revealed relatively mild GERD and a small hiatal hernia. After treatment with pantomed 40mg for several weeks these issues resolved, but symptoms stayed the same.
Tested for asthma, negative
- Brain, neurology
Several other test for neurological diseases.
Several chiropractors, physiotherapists.
Was checked and treated by several therapists. Did not seem to help and could not give me a clear diagnosis. Didn't find any severe problems.
Ruled out by blood tests several times.
Treatment by a certified hyperventilation therapist for 4 months. Ruled out hyperventilation as a cause.
Followed several courses focused on breathing (mindfullness, meditation).
My doctors have been wonderful and provided my with an extensive medical workup. However they don't know where to turn next. My situation is still deteriorating to where i had to quit my job and moved back in with my parents as i can no longer take care of myself. If any of you have any suggestion or thought, please consider leaving a comment. I am truly desperate. I'm starting to lose hope, as i'm completely unable to have an even remotely normal life. I hope anyone takes the time to read this and try to help me. Thank you all very much in advance.