Brief Answer:
Infectious cause should be looked for and treated

Detailed Answer:
Hello and Welcome

I appreciate your concern

Based on your description and taking into account your age, with no risk factors such as a family history of cardiac disease, diabetes, smoking or recreational drug use, a cardiac cause for these symptoms is unlikely. However, there is no harm in getting an EKG done in any sort of chest discomfort to rule out a cardiac cause as up to 5 percent of MI cases can present atypically with GI symptoms.

An infectious cause should be looked for via a stool routine exam also looking for any ova and parasites. If there is blood in stool , fever and associated high white cell count then antibiotics would be required for treatment.

If the stool is normal then isotonic fluid replacement, antispasmodics and PPIs (for bloating) would suffice as treatment. Anxiolytics like lorazepam are helpful in controlling panic attacks and anxiety bouts.


Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil

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