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Sudden pain in chest and left arm often.Suggestions?

My wife has had chest, and left ARM pain. She says het ARM feels heavy. She is treated for anxiety. This seems to happen almost every day. Between 12 and 5pm. Never exact same time but between those times. She feels fine when she wakes up. Today we were watching a movie and bam it just comes from nowhere. Been to er several times in past and they never find anything. We don't know what to do.we have no ins and is getting expensive.
Asked On : Thu, 18 Apr 2013
Answers:  1 Views:  34
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Psychiatrist 's  Response
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Chest pain and pain in left arm is very common symptoms of anxiety. but before putting diagnosis of anxiety, you need to rule out physical causes like heart, thyroid dysfunction or Vitamin B12 Deficiency.
as it occurs daily and fixed time period, it is more likely to be due to anxiety.
You should consult psychiatrist for detail evaluation and treatment. He may be benefited by duloxetine or desvenlafaxine like anti depressants having anti anxiety properties as well.
Meanwhile she can do stress management like yoga, meditation and self relaxation.
Answered: Thu, 18 Apr 2013
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