
What Causes Chest Pain In A Dibetic?

Please allow anti anxiety medications to work.
Detailed Answer:
Hello XXXX
Thanks for writing in to us.
This is Dr.Riyanka and I am glad to be helping you with your query.
Since you are already on treatment for anxiety with Nusam and Mirtaz, and your TMT, ECG and echocardiography are within normal limits, a cardiac cause of your problem is less likely and your psychiatrist is possibly right.
Mirtaz (Mirtazapine) and Nusam (S-adenosylmethionine) are both given for anxiety disorders. SInce your Mirtax has been recently increased, you might take about 15 days to adjust to the higher dose and your symptoms to be controlled.
Chest pain that is sharp and present most of the time including while walking can be costochondritis which is a benign inflammation in the front of ribs. This is usually relieved by pain killers and can stay unchanged for weeks to months.
CT angiography is not compulsory but you can go ahead for peace of mind. It is a completely non invasive test and take less than 5 minutes for the actual procedure. This will show any possible blocks in your coronary arteries and that is very unlikely if other tests are within normal limits. You have to get a basic kidney function test and inform of any drug allergy and other medications at the time of scan.
In my opinion please stop worrying about heart diseases and allow your anti anxiety medication some time to produce the desired effect and control your symptoms.
Meanwhile you can try doing meditation for 30 minutes each day for relaxation.
Hope this answers your query.
Do write back if you have any further doubts.
If you are satisfied with my reply then please close this thread and leave a feedback.
Get well soon
Dr.Riyanka

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