Brief Answer: Heartburn secondary to Stress/Anxiety Detailed Answer: Hello, Thanks for your query. Chest pain can be caused by various reasons, including minor problem such as indigestion or stress, to serious medical emergencies such as a heart attack. In your post you have not mentioned about any history of Hypertension, Diabetes, Thyroid disorders, etc. Under such circumstances, the symptoms as mentioned in your post can be attributed to Heartburn secondary to Stress/Anxiety. Symptomatic relief can be obtained by intake of antacids like Pantoprazole (to be taken half an hour before food) & anti spasmodics like Dicyclomine preparation (to be taken after food). Mild sedative/ anxiolytic like Alprazolam 0.25mg can be taken (only under strict guidance of your Physician) to relieve Stress/ Anxiety. It is also needed that you take certain precautions regarding your diet & lifestyle, such as: 1. Take soft, plain, non-spicy foods 2. Drink lots of water to maintain adequate hydration 3. Avoid fast foods & gas producing food products like cabbage, etc. 4. Avoid smoking & alcohol. 5. Keep away stress, think positive. 6. Exercise regularly & practice meditation. If symptoms still persist, it will be better to consult a Gastroenterologist & get a proper clinical examination. Investigations like Endoscopy of upper gastrointestinal tract & Ultrasound scan of abdomen will be helpful in detecting any pathological cause for the symptoms. A fresh estimation of blood pressure level & Electrocardiogram will also be needed to rule out any pathology in Cardiovascular system. There is no need to worry, you will be fine. Please let me know if I can clarify further. Wishing a good health. Take care.

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