apollo
  • male
  • 45 Years
  • 22/01/2025

I'm really confused and a bit anxious about this chest tightness that happens whenever I lie down flat or stretch my left hand. It's been going on for about three months. I went to an orthopedic doctor who said it's probably due to poor posture and muscle spasm. Then I saw a cardiologist, had all the tests like ECG, echocardiogram, TMT, and even checked my cholesterol and BP. Everything was normal except for my cholesterol which was a bit high at 196, and LDL at 121.8. The cardiologist said I don't have heart issues and just need to change my lifestyle and lose some weight. But I wanted a second opinion, so I visited another cardiologist and even without any new tests, he said the same thing that everything's normal. Still, I feel this tightness at night and sometimes it makes me sweat and I get really scared thinking it might be a heart attack. When I went back to the cardiologist, he reassured me again. So, should I keep doing ECGs every time I feel this tightness or maybe see a pulmonologist? Why does this keep happening if everything's supposed to be normal?

Doctor 1

Answered by 1 Apollo Doctors

since your age is not too much i suggest reduce your anxiety related to heart attack. try doing some exercise

Dr. Anshul Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I've been struggling with this issue for about two years now, and I'm really hoping for some insight. I'm a 27-year-old I.T. professional and this all started with sudden bouts of dizziness and sweating. I've gone through all the usual tests, like MRI and blood work, and the only thing that came up was a low B12 level at 83. Over time, I've begun feeling detached, and my doctor mentioned it might be anxiety. The problem hasnt gone away though, and now I sometimes experience fluttering, dizziness, and vomiting. It feels like I might faint, but I never actually do. I've had TMT and ECG tests twice, and both were normal. I worry it could be some kind of arrhythmia, but during these episodes, my heart rate seems stable with no major changes. It's confusing because these episodes don't seem linked to stress and only last a few seconds. I'm really anxious about this and just looking for a professional perspective on what's happening.

It sounds like you are experiencing symptoms of panic attacks, which can be very distressing. The dizziness, sweating, fluttering sensation, vomiting, and feeling like you might pass out are all common symptoms of panic attacks. Since your heart rate remains normal during these episodes and your cardiac tests (TMT, ECG) have come back normal, it is less likely to be related to arrhythmia. One possible treatment option for your symptoms could be to take an anti-anxiety medication such as **Xanax (Alprazolam)**. The usual starting dose for adults is 0.25 mg to 0.5 mg taken three times a day. However, it is important to consult with a doctor before starting any medication. In addition to medication, therapy such as cognitive-behavioral therapy (CBT) can also be very effective in managing panic attacks. It can help you understand and cope with the triggers of your anxiety. It is important to follow up with your doctor regularly to monitor your symptoms and response to treatment. If you continue to experience these episodes despite treatment, further evaluation may be needed.

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I'm having some chest pain that comes and goes, sometimes on the right, other times on the left, and I've also been getting back pain, stomach pain, and occasionally it spreads to my arms and neck. It's got me a bit worried. Could it be something serious? What could be causing all this?

Tab aceclofenac 100mg ,orally ,twice daily ,tab pan d orally,once daily and volini gel for 7 days is advised to the patient.

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I'm a 13-year-old boy with a hole in my heart, and my parents didn't go for the surgery. What kind of problems could this cause for me now and later in life? Will it get worse as I grow older?

A heart defect can cause breathlessness, fatigue, or infections later in life. Get an echocardiogram. If large, surgery may be needed before adulthood.

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