- 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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View allI'm a bit concerned because my heart rate is around 60 to 55 when I'm lying down. Is this something I should worry about? I've been having mild pain on both sides of my chest, which feels like muscle pain, and it comes and goes. I had an ECG in May, and it was normal, and I just had a Chest CT scan, which also came back normal. Do you have any advice on what might be causing this, or should I look into it further?
It's good that your ECG and Chest CT scan results are normal. Your heart rate of 55-60 while lying down is within the normal range for adults. The mild chest pain you are experiencing could be musculoskeletal in nature. You can try taking over-the-counter pain relievers like Acetaminophen 500mg as needed for the chest pain. Additionally, you can apply a topical pain relief gel like Volini gel on the affected areas. Make sure to practice good posture and avoid activities that worsen the pain. If the pain persists or worsens, it's advisable to follow up with your healthcare provider for further evaluation.
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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.