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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chest And Arm Pain, Heart Palpitations With Lost Of Breath. Treatment?

Hello I am a 21 year old male about over a year ago I got my heart checked out by a cardiologist thinking that I had a heart problem because I would get chest pains like burning sensation that started by one day after using cocaine which I only used cocaine for about 6moths on and off . So I stopped using drugs cause of these pains and Anxiety ended up getting checked out and EKG ECG and stress test were all normal.now this was all over a year ago since then ive felt better but sometimes still get chest pains and left arm pain and I only drink alcohol now .. When I work out like running and hiking I'm fine so I've really started to think I got anxiety?! These past 2 days I started getting heart palpitations like skipping heart beats with some lost of breath and some not yesterday they lasted mostly all night and could not sleep. Now today it felt a lil different like a air bubble going up my chest to my throat . I have been stress out lately about a recent situation and I do worry about my heart a lot ever since that day after cocaine use .. Could it just be anxiety panick attacks that give me all these sypmtoms that I somedays feel and some days don't ? Been to emergency about 7 times the past year all tell me anxiety :/ Thank you for your time
Mon, 30 Sep 2013
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Psychiatrist 's  Response
Hello,
First of all let me advise you to abstain from any kind of drug abuse.
You did not mention how much and how frequently do you consume alcohol. You must not take alcohol on daily basis, however once in a while a limited amount of alcohol in social setting is ok but never alone or excessive amount.
Since you describe your investigations are normal its more likely that you may be having alcohol withdrawal if you are taking alcohol regularly and stopped it, if yes see a psychiatrist for it.
And if you do not consume alcohol daily then you may be having panic attacks and anxiety symptoms. See a psychiatrist for it, for therapy and drugs to get better.
Feel free to ask if you need any more help.
Regards.
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Psychiatrist Dr. Vikas Gaur's  Response
Hello,

Cocaine abuse can precipitate or aggravate anxiety disorders in patients and the symptoms may persist even if patient stop taking cocaine. Your heart related investigations are normal so it is very much possible that what you are experiencing could be because of anxiety.

Just discuss with your doctor about starting antianxiety medicine like Cloneazepam to be taken on as and when needed basis if you are having occasional anxiety attacks and most likley you will notice a good improvement very soon.

Kind regards

Vikas
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Chest And Arm Pain, Heart Palpitations With Lost Of Breath. Treatment?

Hello, First of all let me advise you to abstain from any kind of drug abuse. You did not mention how much and how frequently do you consume alcohol. You must not take alcohol on daily basis, however once in a while a limited amount of alcohol in social setting is ok but never alone or excessive amount. Since you describe your investigations are normal its more likely that you may be having alcohol withdrawal if you are taking alcohol regularly and stopped it, if yes see a psychiatrist for it. And if you do not consume alcohol daily then you may be having panic attacks and anxiety symptoms. See a psychiatrist for it, for therapy and drugs to get better. Feel free to ask if you need any more help. Regards.