I've been having this discomfort in my left arm and shoulder that doesn't get worse when I exercise, and resting doesn't seem to help either. Plus, I've been experiencing sudden breathing difficulties along with sweating every couple of evenings, and it's really exhausting, but strangely, no chest pain like a heart attack. These symptoms were there about a year ago but felt less frequent. Now, it's been more than a month and it's happening more often. A year back, my ECG, ECHO, TMT, and Holter tests came back normal, along with normal TSH, lipid profile, vitamin D levels, etc. The doctor thinks it might be panic attacks, but why do I still have this persistent arm pain? If it was a heart issue, shouldn't there have been complications by now? What do you think I should do?

Answered by 1 Apollo Doctors

Dr Dhankecha Dineshbhai

General Practitioner

MBBS
6+ Yrs

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Persistent discomfort in your left arm and shoulder, along with symptoms like sudden breathing difficulties, sweating, and exhaustion, can be concerning. While it's reassuring that your ECG, ECHO, TMT, and Holter tests were normal, and your doctor suggested panic attacks, persistent and worsening symptoms warrant further evaluation. It's important to follow up with your healthcare provider to reassess your condition and rule out other potential causes, such as musculoskeletal issues, nerve compression, or even conditions like GERD or anxiety disorders. Discuss your ongoing concerns with your doctor to ensure a comprehensive evaluation and appropriate management plan.

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Answered 04/07/2025

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I'm feeling some discomfort with a bit of pain and gas on my left side. I've attached my ECG report. Could you take a look at it and let me know if everything seems normal? Also, how can I tell the difference between gas issues and heart-related pain?

To distinguish between gas pain and heart pain, gas pain is often described as a sharp, jabbing pain that may move around and is usually accompanied by bloating or burping. Heart pain, on the other hand, is typically a dull, pressure-like discomfort that may radiate to the arm, neck, or jaw, and is often associated with other symptoms like shortness of breath or sweating. If you are experiencing persistent or severe chest pain, it is important to seek medical attention for further evaluation and management. In the meantime, you can try taking an over-the-counter antacid like Tums for gas relief.