I'm experiencing arm pain that started in my left arm, but now it's also in my right arm. I've got this weird center chest pain too. I did an ECG, echo, and some blood tests, including a thyroid test about four days ago, and everything came back normal. The doctor mentioned it might be anxiety because my heart rate was really highlike 130 bpm during the ECG and my blood pressure was 15080. I've had this fear of heart issues for months, and now the symptoms seem to have gotten worse. They gave me Betanol TR 40 to try and help. Sometimes the arm pain gets really bad, but then it goes away and comes back. It feels like pins and needles, maybe like cramps. What could this be?

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Dr Ibrahim Salah

General Practitioner

MBBS
2+ Yrs

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It sounds like you are experiencing symptoms of anxiety and cardiophobia, which can manifest as arm pain and chest discomfort. The medication prescribed to you, Betanol TR 40, is a brand name for Propranolol. This medication can help with managing symptoms of anxiety and can also help with reducing heart rate and blood pressure. The usual dosage for Propranolol in anxiety is 20-40mg taken 2-3 times a day. It is important to follow your doctor's instructions regarding the dosage and frequency of taking the medication. If you experience worsening symptoms or have any concerns, it is important to follow up with your doctor for further evaluation and management.

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Answered 04/07/2025

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I've been feeling my pulse really strongly all over, like in my head and fingers, for about a year now. I went to see a doctor and he did an ECG, but it came back normal. He said it's not a disease and might just be stress. I'm really curious if there's anything I can do to make this go away. Any suggestions would be helpful.

Having a strong pulse that can be felt in various parts of the body can indeed be related to stress. To help reverse this, you can try relaxation techniques such as deep breathing exercises, yoga, or meditation to help reduce stress levels. Additionally, you can consider taking a beta-blocker medication such as Metoprolol (25-50mg once daily) to help lower your heart rate and reduce the sensation of a strong pulse. It's important to continue following up with your doctor for further evaluation and management.

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How do I know if my chest pain is serious?

Any chest pain needs physical examination by a doctor and tests to know the cause. On a general note; sudden feeling of pressure,squeezing,tightness,or crushing under your breastbone and chest pain that spread to your jaw,left arm or back and sudden sharp chest pain with shortness of breath may indicate a serious cardiac problem.

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