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What Do The Following Test Reports Indicate?

Posted on Mon, 7 Aug 2017

Question: Hi Doc,

I am 30 yr old mail.I had chest pain in Dec 2016 then I had my ecg , 2d echo ,stress test and lipid test all where negative.But from last 2-3 months I feel pain in my left chest and under my arm and same at the same location at my back.I feel breathless at that time.It comes for 15-20 minutes then it slows down.It happens every alternate day or 4-5. Days in a month and also I feel tingling around my entire body.

I don't understand what it is.Is it related to heart or something else .

Please suggest.

Answered by Dr. Rishu Saxena (1 hour later)

Brief Answer:
Non cardiac pain.

Detailed Answer:
Hi,
Thanks for query.
You are just 30 years old and your all baseline cardiac tests are normal.
Sensitivity of stress test and echo done together is about 90% to rule out cardiac disease.

Please answer
Do you have gastritis?
Acid peptic disorder?
Gas problem?
Anxiety issue?

Gastric and anxiety can mimic the nature of pain you are experiencing.

Have you ever tried an anti anxiety or proton pump inhibitor,

Waiting

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Rishu Saxena (47 minutes later)

Hi doc,

Thank you for your comments.

I do have gastric problem and currently I am taking anxiety tablets depranex and betacap.But still facing issues like chest pain or breathlessness.

I am doing yoga n prayanam .Then why the pain is not getting vanished.Its coming and going.

Please suggest

Answered by Dr. Rishu Saxena (13 minutes later)

Brief Answer:
Its due to gastric cause.

Detailed Answer:
Hi again XXXXXXX
As suspected by me most likely your breathlessness and chest pain are related to gastritis and acid peptic problem.

I would suggest you to condult a Gastroenterologist on this forum for the same.

Rest assure its not cardiac.
Gastric pain often mimics cardiac pain.
You need a Gastroenterologist.

As of now you can take an antacid like pantoprazole 40 mg once daily bbf.

Thanks.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Rishu Saxena (16 hours later)

Thanks doctor for your suggestion.

Does gastric pain causes pain only on left side , or any other part because i do have pain only on the left side of my chest??

I am always afraid when i get chest pain i think i will get heart attack.
How to remove fear of such.I do prayanam and yoga.

But still my fear does not go.

Please suggest

Answered by Dr. Rishu Saxena (2 hours later)

Brief Answer:
Follow up answer.

Detailed Answer:
Hello there-
Pain can be on right or left or on both sides.It varies from patient to patient.
As 2d echo and stress test are negative and you are just 30 its not cardiac.
Second most common cause of left sided chest pain is acid peptic disorder or gastritis.
Issues related to anxiety are also increasing your problem.
You are getting obssesive about the thought that your pain is related to heart.Obsessive Compulsive Disorder (OCD) is a mental health disorder that affects people of all ages and walks of life, and occurs when a person gets caught in a cycle of obsessions and compulsions. Obsessions are unwanted, intrusive thoughts, images or urges that trigger intensely distressing feelings.

I would recommend you to start SSRI's like Paroxetine initially at doses 25 mg once daily increased to doses of 50 mg (maintainance).

Thanks.

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

Above answer was peer-reviewed by : Dr. Vaishalee Punj