HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

What Causes Chest Pain And Palpitations?

Posted on Mon, 7 Jul 2014

Question: feeling uneasy in left side of chest
feeling needle like pain near left side of breast
feeling rapid heart bits
feeling needle like pain sometimes on both hands

Answered by Dr. Anantharamakrishnan (10 minutes later)

Brief Answer:
Seee a doctor / get examined & investigated

Detailed Answer:
Dear friend,
Welcome to Health Care Magic

See an Internist / get examined / investigation may be necessary...

Your symptoms do not suggest Coronary Artery Disease (CAD) – pain from the heart is oppressing, in central chest (and left), worse on effort, relieved by rest, may radiate to shoulders and arms, associated with sweating and so on.

Rapid heartbeats – could be from Anaemia / Anxiety / Alcohol / Tobacco (smoking) / Caffeine (too much tea, coffee, cola) / Fever / Infection / Pain / Stress / Thyroid and so on- / At times, abnormal nerve paths in the heart (bypass tracts) or disease of the conduction system may be responsible!

A thorough history and physical examination is the first step -
ECG (Electrocardiogram / EKG) – Routine 12-lead – is part of clinical examination.
     HOLTER (24 to 48 hour ambulatory monitoring) is done to analyse and plan for further management, if a routine ECG does not show. It may also detect silent (no symptom) ischemia.
     ECHOcardiogram is necessary to see the heart valves (Mitral Valve Prolapse) / heart muscle (Cardiomyopathy) and heart function (Ejection fraction, wall motion abnormality) / clots...
      TMT – Treadmill exercise ECG; may be with thallium isotope – is necessary to evaluate ischemia (reduced blood flow / Coronary Artery Disease)

The treating doctor alone can suggest further based on his assessment of the situation.

Take care
Good luck

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anantharamakrishnan (14 minutes later)

I have done ECG twice, It showed normal
also I have done test like CBC, cholesterol, Glucose, nothing found
I am feeling needle like pain below the left breast
I am feeling more hungry
what could be reason?
Please suggest as i am going to marry

Answered by Dr. Anantharamakrishnan (52 minutes later)

Brief Answer:
Possible Stress

Detailed Answer:
Hi

Normal ECG & blood tests are reassuring
The reason most likely could be Anxiety
Counselling – Psychological assessment and assistance – may be of great help
Feeling more hungry could be from ulcer… have an endoscopy done…

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anantharamakrishnan (32 minutes later)

Why the pain is pointed at one position (below left breast)
sometimes feel burning near chest increasing appetite
what is remedy

Answered by Dr. Anantharamakrishnan (9 minutes later)

Brief Answer:
Simple analgesics help

Detailed Answer:
Welcome again

Pain over a point is not from heart or lungs.
It is local – muscle spasm, from tension / or inflammation of cartilage, tissue beneath - costochondritis..
Over The Counter anxiolytics / ice packs / Proton pump inhibitor like Omeprazole will be useful in the meanwhile. Muscle relaxants are useful.
This facility does not allow prescription services - see your doctor and get appropriate prescription…

Regards

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar