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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Treatment Is Suggested For Moderate Chest Pain,heaviness And Anxiety?

Hello,
I'm a 20 year old male experiencing moderate chest pain and tightness, as well as at time having a hard time breathing due to the "heaviness" in my chest. They started a few months ago after a year of virtually no exercise (continuous bedrest) and eating either fast food or processed meats for every meal every day. I also consumed a medium-sized bottle of ketchup daily, for about a year. One day, during a very large meal my heart began to beat very oddly and was moderately painful. These pains continued and I went to a clinic shortly after. It was dismissed as anxiety. I have been acutely anxious as well, at most times very tense and stressed, usually about nothing, however I never had chest pains. It has been a couple months since then, and the chest pains have continued, and in fact worsened. There are points when my chest is extremely tight and I feel as though I cannot breathe. Also, my anxiety has diminished greatly during this span and I frequently meditate to relax, and stay relaxed throughout the day. Almost any time I am emotional, my chest begins to hurt. Recently, I have had pain in my upper-middle-upper back as well. Palpitations occur multiple times daily. I have begun to dismiss all of these symptoms as anxiety however the thing that I continue to debate is whether my past extreme anxiety, coupled with my consummation of fast food or processed meats (chicken strips) daily for a year as well as a completely sedentary lifestyle have perhaps caused a problem with my heart. For the past month, I have improved my lifestyle habits drastically and continue to have these pains.
Thank you for reading :)
Tue, 19 Apr 2016
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Pulmonologist 's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
In my opinion, you are mostly having stress and anxiety related symptoms.
But better to rule out heart diseases first because all these symptoms are commonly seen in heart diseases.
So get done blood pressure monitoring, ecg, 2d echo and Holter monitoring (24 hours continuous recording of ecg).
If all these are normal then no need to worry for major heart diseases.
Stress and anxiety appear more likely in your case.
So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it's solution. You may need anxiolytic drugs too. Continue meditation and other relaxing exercise.
Don't worry, you will be alright.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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What Treatment Is Suggested For Moderate Chest Pain,heaviness And Anxiety?

Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, you are mostly having stress and anxiety related symptoms. But better to rule out heart diseases first because all these symptoms are commonly seen in heart diseases. So get done blood pressure monitoring, ecg, 2d echo and Holter monitoring (24 hours continuous recording of ecg). If all these are normal then no need to worry for major heart diseases. Stress and anxiety appear more likely in your case. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it s solution. You may need anxiolytic drugs too. Continue meditation and other relaxing exercise. Don t worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.