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Chest pain, palpitations - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2547 Questions
User :   i have had chest pain for about a month now right in center of chest. also having palpitations and feeling generally unwell. a few weeks back i went to hospital and had an ecg done with bloods and chest x ray and all were normal but im scared its my heart
i am 35 year old female

Doctor :   Hi
Doctor :  
Let me read it
Doctor :  
Doctor :  
Since you have got an ECG done
Doctor :  
I dont think that it is necessary for you to worry
User :   but why would i ahve this pain constantly
Doctor :   I shall explain you

Doctor :  
Pain could be due to muscle related
Doctor :  
or gastric one as well
User :   but what about the palpitations and feeling unwell...lightheaded and sick
Doctor :   so it need not be just heart related

Doctor :  
could be anxiety related as well
Doctor :   How about the variation of the pain with exercise?

User :   the pain is constant in middle of chest in between breasts and in left breast
Doctor :   Ok

User :   no cahnge with exercise
Doctor :  
With the ECGs being normal, and with the symptoms and no variation with exercise
Doctor :  
it favors more in terms of being anxiety related
Doctor :   Do you agree upon that?
User :   would the pain be constant with that and sometimes i feel as if my heart rate changes. goes realy slow for few seconds then speeds up etc
User :   does cardiac pain last for weeks and constant
Doctor :   It becomes more evident if you are free

Doctor :  
if you are engaged with certain activities, it becomes less evident
User :   the pain is just there 24 hors a day and is the same the whole time
Doctor :   What is the severity of the pain over a scale of 1 to 10?
User :   about a four
Doctor :  
Can you describe the pain, as squeezing / pricking / stabbing / burning?
User :   its just a dull constant pain cant really describe it as any of the above
Doctor :   My opinion is that it is less likely to be a cardiac related

User :   that is what everyone else thinks but i am still so worried because it wont go away
Doctor :   Ok

Doctor :  
I do understand your concern
User :   think everyone is missing something
Doctor :  
May I know your height and weight?
User :   12 stone and 5 ft 7
Doctor :  
Doctor :   Around 168 pounds?

User :   yes
Doctor :   Ok

Doctor :  
that does show that you are a bit overweight
Doctor :  
I am interested to know it because both gastric as well as anxiety symptoms are more evident in them
User :   ok
Doctor :   Do you want to go for further tests?

Doctor :  
the next one is an Echo and a TMT
User :   so i should try not to worry about this pain being you think i need to get more tests done? what is a tmt
Doctor :   Stress test or a Treadmill test

User :   oh i had one of them too a a few months back was normal
Doctor :   Fine
Doctor :  
that makes you more secure
User :   so i should just try and forget about it
Doctor :   True

Doctor :  
If you want a cardiologist opinion
Doctor :  
you can get it from our superspecialist
Doctor :   you can see a window beside your chat

User :   ok thankyou but in your opinion i shouldnt need to worry about it being my heart
Doctor :   Yes

Doctor :  
thats the summary we can draw
User :   thankyou
Doctor :   Is there any thing else I can help you with?

Doctor :   Are you with me?
User :   no thankyou
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.

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