- male
- 35 Years
- 20/02/2025
I'm a bit worried about this chest pain I've been having for the past 9.5 months. I've seen a bunch of cardiologists and done a ton of tests like ECG, 2D Echo, TMT, lipid profile, and thyroid, but everything's coming back normal. My daily routine includes brisk walking for about 50 minutes and running for 15 minutes, and I don't feel any pain during these activities. The pain occasionally hits on either the left or right side and is pretty mild. Can you help me figure out what might be causing this chest pain?
Answered by 1 Apollo Doctors
Chronic chest pain lasting several months with normal cardiac tests such as ECG, 2D Echo, and TMT, along with normal lipid profile and thyroid tests, suggests that the pain might not be heart-related. Since you can perform activities like brisk walking and running without pain, its less likely to be ischemic heart disease. Possible causes of your chest pain could include musculoskeletal issues (like costochondritis or muscle strain), gastrointestinal problems (such as GERD or gastritis), or anxiety-related symptoms. Given the persistence of your symptoms, it might be beneficial to consult with a gastroenterologist or consider a musculoskeletal evaluation. Additionally, managing stress and anxiety with practices like mindfulness or therapy can also help. Please follow up with your healthcare provider to explore these potential causes further.
Dr. Anshul Suggests...
Consult a Cardiologist
Answered 04/07/2025
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Consider Musculoskeletal Causes
a. Evaluate for muscle strain or costochondritis, especially if pain is positional or related to movement. -
Gastrointestinal Evaluation
a. Assess for gastroesophageal reflux disease (GERD) or esophageal spasms, which can mimic cardiac pain. -
Anxiety or Stress Factors
a. Consider stress or anxiety as potential contributors, especially if pain is intermittent and non-exertional. -
Follow-Up Actions
a. Consult a primary care physician for a comprehensive review.
b. Consider a referral to a gastroenterologist or a pain specialist if symptoms persist.
Recommended next steps
Consult a Family Physician or Consult a Surgical Gastroenterologist
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.