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What Causes Chest Pain With Anxiety?
Question: Is it normal to have throbbing pain in chest with anxiety? I have issues with anxiety and chest pain. There seems to be a tightness and soarness at the center of my chest that I call the limiting factor. Because it often limits my breathing with anxiety. I am attempting to do breathing exorcises to help.
However, I noticed that when I sleep occasionally I wake up startled or in a panic and my heart starts beating rapidly. And I get a throbbing pain in the chest that corresponds to my heart beat. I am wondering where this pain comes from. A pounding sensation I hear is normal with anxiety. Some people feel like their heart is pounding out of their chest. What I was wondering is, is it normal to experience some pain along with the pounding? And is this pain from the heart or from somewhere else? Is it something to be concerned about?
Brief Answer:
Rule out Ischemic heart disease andHyperthyroidism
Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day
Dear Mr XXXXXXX
Anxiety is associated with variety of Psychosomatic symptoms. During episode of anxiety there many changes occurring in the body
1. There is increased sympathetic overactivity: Increased activity causes elevated heart rate. Normally we are not aware of our own heart beat, change is in rate or rhythm will cause own to feel their own heart beat beat. This is palpitation that you are experiencing
2. Decreased pain threshold: During episode of anxiety the pain threshold is decreased and pain can be perceived at many region especially chest. The chest pain you could be experiencing is likely to be due to that. It's quite common to have palpitations and chest pain occurring together.
Having explained to you the cause of Your symptoms based on your history of anxiety provided by you. Even then it's advisable to look for other serious causes, consider them , investigate and rule them out as the cause. It will be more reassuring and will avoid the risk of missing them out
It's a Clinical policy to rule out the following
1. Ischemic heart disease
2. Hyperthyroidism
Any chest pain, no matter how insignificant is it has to be evaluated to rule out Ischemic heart disease.
Other possibility is to rule out Hyperthyroidism as the cause, as it may be a cause for anxiety.
I would suggest you to get the following investigation done in consultation with your Physician
1. ECG
2. 2 D Echocardiography
3. Thyroid profile
If the reports are normal than there is no cause for concern. The symptom are due to anxiety, which will just require lifestyle modification
Do get back to me if you need any further assistance, will be glad to assist you.
Take care
Best Regards
Dr Deepak Kishore
MBBS, MS, MCH
Consultant Surgeon
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I have had an ecg done a number of years ago when my chest pain issues started. I haven't had one recently. Recently I had an xray done of my stomach looking for possible gall bladder issues. But they never found anything. Is the 2d echocardiology similar to this?
Brief Answer:
Repeat ECG this time
Detailed Answer:
Hi
Greetings
I would suggest a repeat ECG this time again. 2 D Echocardiography is equivalent to ultrasound scanning of the heart to rule out cardiac abnormality. So a thorough evaluation this time is all that is required.
Do take care
Best Regards
Dr Deepak Kishore
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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