question: Hello Dr.I am 29 years old. I am 6'2 and weigh 230 and for the past 6 months I have had very intense chest pain. I have gone to the ER numerous times and have followed up with my Cardiologist. The following exams have been done: bloodwork, EKG, catscan of the heart, stress test, sonogram of the chest, chest x-ray, and a I wore a 24 hr heart monitor. All test continue to come back negative and I am sent home each time with a clean bill of health. A few months ago, I went to a GI and was diagnosed with GERD, esophaghitis, hiatal hernia, and mild gastritis. I also went to a therapist since my chest pain continued. I have been prescribed Nexium, Adavan, and Zoloft to treat the GI problems and anxiety. But I can not understand how my GI issues can be causing such intense chest pain. I keep thinking that maybe there is another underlying cause that is being overlooked. I am still concerned that I may have a cardiac related problem. I am eating much better and taking medicines as prescribed. What else could this intense chest pain be? I have read it could be muscular. I just want answers so that I can move forward. Who else should I follow up with and are there other tests that I should have done?Armando