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What Causes Chest Discomfort And Mild Pain In Arm?

Posted on Mon, 2 Jun 2014

Question: i am having chest discomfort and mild pain arm and shoulder from 1 1/2 month . i have taken all the cardioc tests

ecg(sometimes normal and sometimes changes), stress test(3 months back) n echo and CT coronary angiography is normal and calcium score zero (1 month back). i have also taken ct chest and endoscopy. Recently i am getting chest pain while walking .

Today also i had the mild pain in chest arm shoulder i am not sure whether to go to hospital or take rest

I want to know the reason why ecg sometimes normal and abnormal?

Why i am getting chest arm and back shoulder pain continously ?

Answered by Dr. Anshul Varshney (23 minutes later)

Brief Answer:
I need further details.

Detailed Answer:
Dear Friend.
Hi , I am Dr Anshul Varshney , I have read your query in detail , I understand your concern.
If your Echo And CT Angiography are normal, the ache may be related to:
1. Anginal pains
2. Anxiety
3. Palpitations due to any cause like Thyroid Disorder
4. Acid Peptic Disease or Gastro Esophageal Reflux Disease (GERD)

However, to give you a better answer, i need following details:

1. Since when are you suffering from this?
2. At what time do you have these episodes? Continuous? In night? In walking/exertional activity?
3. How is your sleep?
4. Any Palpitations? Anxiety? Stress?
5. Any history of Smoking or Alcohol consumption?
6. Are you overweight?
7. Any history of acidity?
8. Any history of sweating? Flushing?
9. Your Blood Pressure and Blood sugar levels?
10. Any family history of heart disease?
11. Any history of Thyroid disorder?
12. What is your Heart rate? You can check your pulse for 1 minute and then tell me.
13. Please mention if any medications you take for any problem?

This is my personal opinion based on details available here. If you still have any query you may please ask me and revert with the answers of the above questions for a better help.
Stay Healthy.
Dr Anshul Varshney , MD

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anshul Varshney (1 hour later)

1. Since when are you suffering from this?

Ans) 3 months

2. At what time do you have these episodes? Continuous? In night? In walking/exertional activity?
Ans) at all times i had
3. How is your sleep?
And) previously i have disturbed sleep wake up in middle nights wid palpitations and feeling like i may get heart attack. after going through panic disorder medications now i am hving proper sleep
4. Any Palpitations? Anxiety? Stress?
Ans)Yes i have palpitations and anxiety
Palpitations once i got frequently so had holter monitor test its normal
anxiety - going throucvh medication
5. Any history of Smoking or Alcohol consumption?
Ans)Yes daily 2-3 cig and drinking once in a month

6. Are you overweight?
Ans) yes little bit

7. Any history of acidity?
Ans)Yes i will get continuous burps and going through medication(ecomax tablet i think) and i have taken endoscopy test its normal
8. Any history of sweating? Flushing?
Ans) No
9. Your Blood Pressure and Blood sugar levels?
And)Normal
10. Any family history of heart disease?
Ans)No
11. Any history of Thyroid disorder?
Ans)No - have taken test its normal
12. What is your Heart rate? You can check your pulse for 1 minute and then tell me.

Ans) Early morning i am having after wake up it will be between 50-60 and nights it will be 70-80

13. Please mention if any medications you take for any problem?
Ans) for panic disorder and acidity

Answered by Dr. Anshul Varshney (5 hours later)

Brief Answer:
Doesn't seem to be cardiac pain

Detailed Answer:
Dear Mr XXXXXXX
Your history is suggestive of Anxiety disorder.
Chest pain related to cardiac issues is not continuous. It is intermittent, increases in exertion. Moreover your Cardiac Tests are normal.

So, i don't find any reason for you to worry.

I would advise you to quit smoking completely.

Get a lipid profile done, if you have not got it done.

I advise in such conditions following that you may discuss with your doctor:

1. To take SSRI group of drugs like Escitalopram
2. To take drugs for acidity like Pantoprazole
3. To take Etizolam twice daily.
4. To go for relaxation therapies.

If you have any further query please ask me.

Stay Healthy.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anshul Varshney (2 days later)

Yes, i had lipid test ..

Total - 155
LDL - 97
HDL - 38
TRIGLYCERIDES- 108

yeah i will try to quit smoking as soon as possible.

So as of now if i get chest pain in near future should i go to hospital every time or i can take it easy and move on .

Today also i had chest pain.but this is different from what i had previous chest pain.

Answered by Dr. Anshul Varshney (19 hours later)

Brief Answer:
Start On Medications

Detailed Answer:
Dear Friend.
Your Lipid Profile is also acceptable.
Start yourself on the medications i have advised you.
I expect a good relief.
In case you develop Chest Pain, you should get your ECG.
Do share your all ECG'S with me.

Good Luck.

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar