apollo
  • female
  • 32 Years
  • 20/02/2025

I'm 32 years old and have been experiencing chest pain when I get angry or cry for the last six months. I checked with ECG and ECHO TMT, and everything came out normal. No palpitations or shortness of breath, but I do have a lot of belching and epigastric pain. Im taking two pantocid tablets now. It's scary because it feels like I might be having a heart attack. My gut says something isn't right, and it's really worrying me. Since the pain started, I've become quieter. Any idea what could be going on?

Doctor 1

Answered by 1 Apollo Doctors

It sounds like you may be experiencing symptoms of acid reflux, which can often mimic heart-related issues. The chest pain triggered by emotions, along with belching and epigastric pain, are common symptoms of acid reflux. Since your ECG, ECHO, and TMT results are normal, it is less likely to be related to your heart. To help with your symptoms, continue taking Pantocid as prescribed. Additionally, you can try taking an antacid like Rantac (150mg) when you experience epigastric pain. Avoid spicy and acidic foods, eat smaller meals, and try not to eat close to bedtime. It may also be helpful to elevate the head of your bed while sleeping. If your symptoms persist or worsen, it would be advisable to follow up with your doctor for further evaluation and possible referral to a gastroenterologist.

Dr. Ibrahim Suggests...

Consult a Gastroenterology/gi Medicine Specialist

Answered 04/07/2025

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  1. Understanding Pantocid (Pantoprazole 40mg)

    • Pantocid is a proton pump inhibitor that reduces stomach acid production.
    • It treats conditions like acid reflux, gastritis, and ulcers.
  2. Possible Causes of Your Symptoms

    • Chest pain during emotional stress, belching, and epigastric pain may indicate acid reflux or gastritis.
    • Normal ECG, ECHO, and TMT results suggest heart issues are unlikely.
  3. Importance of Continuing Treatment and Monitoring

    • Continue taking Pantocid as prescribed to manage symptoms.
    • Implement lifestyle changes: avoid trigger foods, eat smaller meals, and manage stress.
  4. When to Seek Further Medical Advice

    • Seek urgent care for severe chest pain, shortness of breath, or palpitations.
    • Consult a gastroenterologist if symptoms persist or worsen.
  5. Addressing Emotional Well-being

    • Recognize the impact of symptoms on mood and behavior.
    • Consider discussing emotional health with a healthcare provider.
  6. Summary and Reassurance

    • Your symptoms are likely related to stomach issues, not heart disease.
    • Maintain open communication with your doctor for proper diagnosis and treatment.

Recommended next steps

Consult a Gastroenterology/gi Medicine Specialist

Answered 10/09/2025

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.