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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In The Shoulder And Tightness In The Chest?

Hello Sir , I am Akash from india. 25 years old currently i am on ciplar 40 twice a day for rapid heart beat from last 1year . I was feeling good . But suddnly from last week i am feeling pain in my left shoulder (arm ) tightness in chest , shortness brath i feel so low . Like i am going to die , i cant do dayily activities from last 1 week pain gets wrose when i move my body. i feel some strange feel in throat and from last 2 days some kind of nausea . I went ER for 3 times for same problem in last 3 years . Yesterday again i had Ecg , Tress Test ( Treadmill) i was on beta blocker i told them . They said its ok Do a test . I achived target heart rate etc . Doctor said its nothing about Heart . They said its just muscular pain or so . The doc. Who refer me To specialist said after looking my results that its Depression , ( Anxiety ) , panic etc . I sure am lot depressed . Really SORRY for such a long question but just want toletting u know my concern . Is this possible to get all of these symptoms due to server depression ?? I Know i am depressed for long time . Any help will appreciate. Really thank you . Have a Good day . Regards :)
Mon, 25 Feb 2019
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Physical Therapist or Physiotherapist,  's  Response
Hello,

As what I under from your history is you need to meet up an electrocardiophysiologist. Because some times due to having a lag in the electrophysiological activity in the heart there might be leading to symptoms gets disorganised.

Coming to depression part there are research articles supporting to exercise helps getting rid of depression. Sometimes one needs to make sure that having more depression leads to set in of the fatigue in the body and make restrictions of the physical activity of the individual leading to other abnormal reactions in the body and other symptoms.

Usually, when you visit an ER the treatment is composed of symptomatic and needs a thorough examination for the same. As you mentioned all reports turned normal I feel a particulate specialist will be of help.

As mentioned earlier about exercising I will recommend you to take a cardiac clearance certificate from the cardiologists and start involving in exercise. In my practice of 12 years, I have seen that depression can be removed with the help of physical exercise as it makes the brain works more into positive energy and release of testosterone helps to make mood lift.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Jay Indravadan Patel, Physical Therapist or Physiotherapist
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What Causes Pain In The Shoulder And Tightness In The Chest?

Hello, As what I under from your history is you need to meet up an electrocardiophysiologist. Because some times due to having a lag in the electrophysiological activity in the heart there might be leading to symptoms gets disorganised. Coming to depression part there are research articles supporting to exercise helps getting rid of depression. Sometimes one needs to make sure that having more depression leads to set in of the fatigue in the body and make restrictions of the physical activity of the individual leading to other abnormal reactions in the body and other symptoms. Usually, when you visit an ER the treatment is composed of symptomatic and needs a thorough examination for the same. As you mentioned all reports turned normal I feel a particulate specialist will be of help. As mentioned earlier about exercising I will recommend you to take a cardiac clearance certificate from the cardiologists and start involving in exercise. In my practice of 12 years, I have seen that depression can be removed with the help of physical exercise as it makes the brain works more into positive energy and release of testosterone helps to make mood lift. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist