I'm really worried about my health. I've been dealing with chest discomfort, gastric issues, and health anxiety for the last two years. Last year, I went through several tests like ECG, echo, TMT, blood tests, and even checked troponin levels twice, but everything came back normal. I also had deficiencies in vitamin D and B12, for which I took injections and tablets. Now, for the past two weeks, I've been feeling that high gastric indigestion and chest discomfort again. Yesterday, I did another ECG, and it showed a slight ST depression in V5, but I was really anxious at the time. Could this be just anxiety, or is there something serious going on? I'm really concerned about this.

Answered by 1 Apollo Doctors

Dr Ibrahim Salah

General Practitioner

MBBS
2+ Yrs

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It's good to know that your previous cardiac tests and blood work have come back normal. Based on the symptoms you have described and the slight ST Depression in V5 on your recent ECG, it is important to consider both physical and psychological factors. The chest discomfort and gastric indigestion could be related to your anxiety, but it is also important to rule out any potential cardiac issues. I would recommend starting with a medication like omeprazole 20mg once daily for your gastric issues. Additionally, for anxiety, you can try taking a medication like escitalopram 10mg once daily. However, it is crucial to follow up with a cardiologist for a thorough evaluation and to discuss the ECG findings. They may recommend further tests or adjustments to your treatment plan. It's also important to continue managing your anxiety through relaxation techniques, regular exercise, and counseling support. Please continue to monitor your symptoms and seek medical attention if they worsen or if you experience any new concerning symptoms

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Answered 04/07/2025

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