Brief Answer: it is a non-cardiac chest pain Detailed Answer: Hello XXXXXXX I have read your query with diligence. You are 32yrs old male, with recent onset chest pain. Going by your evaluation studies, your blood pressure was normal throughout. ECG was normal too. So, were the stress test and 2D echo. Total cholesterol at 202 is normal. I agree with your doctor on this. I am glad all your tests are normal. However, I do not understand as to why you are anxious about a heart disease after all the tests being normal. Grossly, I would conclude that you have low risk or minimal risk for heart attack. To be more specific, let me know the answers to the below queries. - Do you smoke? if yes, how often and how many? - Do you consume alcohol? if yes, how often and how man drinks per time? - Are you overweight? What is your current weight, height and BMI, if you know? - Is there a family history of heart diseases in your father, uncles, etc? Other queries related to lifestyle - - Are you on treatment for acidity problem? What medicines do you take? - Do you regularly consume food from outside? Do you take fruits and vegetables routinely in your diet? - Is your sleep adequate? Do you sleep for 8 hours every 24 hrs? - Are you mostly anxious and worried for normal things? Do you stay mentally calm? Are you in stress about other personal and professional matters? - Do you practice relaxation techniques like yoga and meditation? Let me know the answers to these to suggest you specifically. In my view, your heart is perfectly normal. You should not worry unnecessarily about things that do not exist. Eventually every man dies of an heart attack. But, that does not mean you think about it daily and spoil the happiness of today. Enjoy your current health and be happy and thankful in life. In my view, you have nothing to be worried about as of now. Wish you good health.

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Brief Answer: the pain/discomfort is due to gastritis Detailed Answer: Hello XXXXXXX Thank you for the details. They are clear to me now. I see that your pain/discomfort is mainly due to gastritis or acidity problem. Gastritis can present this way with pain radiating to back and at times to the left side. It can also radiate to the arm. Please relax, this is not something serious. This is more of a common medical condition that is routinely seen. Your height and weight are normal. I am glad you do not smoke, and also that you have quit taking beer now. The problem with you is the problem of your food or diet pattern. You have already made the relevant changes in your diet. You MUST avoid eating food from outside. Please consume freshly prepared home made food with lot of vegetables. Continue to eat oranges. You can also add other fruits like Apples, grapes, etc. to your daily routine. Avoid using more spice and oil in your food. Most important, you must continue on this healthy diet almost daily for a healthy life and to prevent any heart attacks. In case, this pain is occurring frequently, you can also take a course of antacids like capsule omeprazole on empty stomach daily for 3 weeks period. This is a prescription drug. You can also use digene gel or syrup for instant relief in acute pain. Overall, this is not related to heart. Be rest assured about it. When you make the dietary changes, you would feel that your symptoms are vanishing. Again, I wish you good health. Take care!

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