Dr. Hanif warmly welcomes you with thanks for a consult!
I have carefully worked through your case, and can well realize your health worries. Being your physician, I want to assure, I will take care all of your medical concerns according to the latest medical guidelines.
It seems to be Psychological stress and
Depression is the major contributor in such cases. I can't even rule out cardiac disease possibility in only the history like this. You feel less symptoms in the morning that is usually not the case in depression Or
anxiety induced symptoms. But there have been seen a huge overlap of the symptoms and new guideline (as given in DSM-V) we go for both heart and psychiatric evaluation.
You need to
consult a Psychiatrist and he is the personnel trained to handle such issues with success. If he says it's not related to stress, get referred to a cardiologist and have a thorough heart evaluation.
You cardiologist may go for the Physical Examination, EKG, Exercise
stress test,
Echocardiography and if needed
Angiography.
Hope I answered all of your questions. Please click on 'I Find This Answer Helpful' and don't forget to add your precious positive feedback to help me able to assist you better in future too.
For any disease you have, a timely follow-up regarding the treatment efficacy and to see if there is any need to change the treatment options is very necessary. So keep a follow up to see how you doing. Remember to write down my name in the start of your question next time, & I will be with you right away. I am available 24/7 for providing you expert
medical opinion on any health issue. Have a blessed time ahead.
Regards!
DR. MUHAMMAD HANIF
USA
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