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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Chest Pain. Used Urjesic, Broxen, Panston And Brofon. Suggest

Dear Doctor,
I'm Haris from Pakistan & 25 year old ... I have been suffering in chest pain since 2007, this pain is like burning and dell now it goes toward solder and left arm, minimum of 30 time my ECG was ok and i have also done ECO Test, X-Ray, Blood Pressure and Blood Test everything is ok but pain is still there.
My Doctors said it is muscular pain for that i used Durjesic, Broxen, Panston and Brofon but after using these medicine I could not get relief even for 1 minut. Later then Dr. recommended me Stomach Medicine ...but that also could not effect.
Please help me ... i'm very upset and my study is also disturb due to this problem
Mon, 3 Jun 2013
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Endocrinologist,  's  Response
Hi,
There are many causes of chest pain but the most common cause of chest pain in young individuals is Anxiety. Of course it is important to rule out chest pain from heart causes by not only doing ECG, and Echocardiography but also doing 24 hour Holter monitoring and doing Exercise Tolerance Test. Gastro Eosophageal Relux Disease(GERD) is also a common cause of chest pain which typically causes a burning pain and sometimes regurgitation of food from stomach back into mouth. Thats the reason for your previous prescription of stomach medicines which suppress stomach acidity. These are called PROTON PUMP INHIBITORS(PPI's). But, these PPI's have to be take continuously for at least 1 month followed but extended therapy as guided by your symptoms. Overall the impression is that most likely cause of chest pain in your case is anxiety and you can be helped by taking Propranolol 40mg twice daily for at least one month and anxiolytics like Alprazolam 0.5 mg at night for 20 days followed by Alprazolam 0.25 mg at night for next 10 days. I have seen young patients with chest pain improving with this regime. But this should only be done after ruling out heart diseases by investigations described above.
Regards
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Suffering From Chest Pain. Used Urjesic, Broxen, Panston And Brofon. Suggest

Hi, There are many causes of chest pain but the most common cause of chest pain in young individuals is Anxiety. Of course it is important to rule out chest pain from heart causes by not only doing ECG, and Echocardiography but also doing 24 hour Holter monitoring and doing Exercise Tolerance Test. Gastro Eosophageal Relux Disease(GERD) is also a common cause of chest pain which typically causes a burning pain and sometimes regurgitation of food from stomach back into mouth. Thats the reason for your previous prescription of stomach medicines which suppress stomach acidity. These are called PROTON PUMP INHIBITORS(PPI s). But, these PPI s have to be take continuously for at least 1 month followed but extended therapy as guided by your symptoms. Overall the impression is that most likely cause of chest pain in your case is anxiety and you can be helped by taking Propranolol 40mg twice daily for at least one month and anxiolytics like Alprazolam 0.5 mg at night for 20 days followed by Alprazolam 0.25 mg at night for next 10 days. I have seen young patients with chest pain improving with this regime. But this should only be done after ruling out heart diseases by investigations described above. Regards