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What Would Cause Pain In The Arms And Upper Ribcage, Belches And Tingling Sensation In The Legs When Diagnosed With Anxiety And GERD?

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Posted on Tue, 19 Sep 2023
Question: last night I was hurting in both arms my upper left ribcage was hurting my legs was tingling I was belching I wasnt short of breath was it an anxiety attack I have GERD and an anxiety disorder I always think I'm having a heart problem i no anxiety goes with heart attacks a look also
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Answered by Dr. Ilir Sharka (1 hour later)
Brief Answer:
I would explain as follows.

Detailed Answer:

Hello,

After reviewing your recent clinical symptomatology, I would explain that your symptoms seem more likely related to GERD exacerbated by excessive anxiety.

Chest discomfort coupled with belching supports such an alternative.

In this regard, I recommend using a gastric anti-secretory agent such as any PPIs (Pantoprazole, Omeprazole etc.)

In addition, an anxiolytic drug such as Alprazolam 0.25 mg daily for short periods of time (not to exceed 2 weeks of therapy) would be helpful to decrease your anxiety level.

In case your GERD symptoms become persistent and gastric anti-secretory drugs do not help enough, you should discuss with your attending doctor on a careful physical evaluation and additional tests to specify any possible associated health condition.

Considering your age and nonspecific symptomatology, cardiac related issues seem quite unlikely.

Hope to have been helpful to you!

Regards,
Dr. Iliri Sharka
Cardiologist
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9541 Questions

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What Would Cause Pain In The Arms And Upper Ribcage, Belches And Tingling Sensation In The Legs When Diagnosed With Anxiety And GERD?

Brief Answer: I would explain as follows. Detailed Answer: Hello, After reviewing your recent clinical symptomatology, I would explain that your symptoms seem more likely related to GERD exacerbated by excessive anxiety. Chest discomfort coupled with belching supports such an alternative. In this regard, I recommend using a gastric anti-secretory agent such as any PPIs (Pantoprazole, Omeprazole etc.) In addition, an anxiolytic drug such as Alprazolam 0.25 mg daily for short periods of time (not to exceed 2 weeks of therapy) would be helpful to decrease your anxiety level. In case your GERD symptoms become persistent and gastric anti-secretory drugs do not help enough, you should discuss with your attending doctor on a careful physical evaluation and additional tests to specify any possible associated health condition. Considering your age and nonspecific symptomatology, cardiac related issues seem quite unlikely. Hope to have been helpful to you! Regards, Dr. Iliri Sharka Cardiologist