apollo
  • male
  • 50 Years
  • 29/01/2025

Ive been noticing some pain in my chest that moves to my left arm and its paired with shortness of breath. It usually happens after Ive had an emotional setback and tends to go away on its own after a while. What could be causing this? Is it something I should be worried about?

Doctor 1

Answered by 1 Apollo Doctors

Based on your symptoms, it sounds like you may be experiencing episodes of angina. Angina is chest pain or discomfort that occurs when the heart muscle doesn't get enough oxygen-rich blood. In your case, the pain may be triggered by emotional stress. I recommend you to take Nitroglycerin sublingual tablets as needed for chest pain. The usual dose is 0.3 to 0.6 mg every 5 minutes as necessary, up to 3 doses. If the pain persists after taking the medication, please seek immediate medical attention.

Dr. Dr Khaleel 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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Doctor 1Doctor 2

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I'm having chest pain that's really concerning me. When I press the center of my chest with my finger, it hurts, and sometimes I feel pain on the left and right sides too, but other times there's no pain at all. Even when I cough, it's like the pain flares up in my chest. Lately, I've also been experiencing some back pain. I have had diabetes for the past 10 years and have been on Novamix 30 insulin. Could you suggest any medication or remedies for relief?

do chest xray

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I'm 31 and a smoker, and I've noticed my heart starts racing after I eat a big meal, when I'm in tense situations, climbing stairs, or smoking. Does this mean I might have a heart problem? What should I do about it?

smoking cesation is advised to the patient.

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