HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

What Causes Chest Discomfort And Mild Pain In Arm And Shoulder?

Posted on Sat, 10 May 2014

Question: hi, 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 . Now also i had the mild pain in chest arm shoulder i am not sure whether to go to hospital or take rest and also i am going through panic disorder. i feel more pain in chest when i gets burps 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. Anantharamakrishnan (7 hours later)

Brief Answer: Panic can explain all Detailed Answer: Dear friend, Welcome to Health Care Magic All these investigations have excluded heart as the cause of your symptoms The pain is from muscle spasm induced by tension… The features can be explained by Panic / Anxiety… You will benefit from Psychological assessment and assistance It is preferable to have an endoscopy to rule out issues of Oesophagus and stomach No biological event is or should be constant / ECG changes from beat to beat… influenced by several factors like position, breathing, heart rate, anxiety and so on. Hence there is a wide range for normal. And no investigation should be interpreted in isolation – it is read with reference to the total clinical picture. Take care Wishing all well God bless

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

Follow up: Dr. Anantharamakrishnan (1 hour later)

Hi, Thanks a lot for your answer I heard that panic/anxiety leads to heart attack my age is 29 i had cholestrol(HDL-41 LDL - 83 TRIGLYCERIDIED - 165) and weight of 98kgs and smoking(quits from last 2 months ) and no family heart disease and they make me tensed you have a high risk of heart attack and you can get at any time.so thats make me more worried .whenever i get chest pain at the same time i will get arm shoulder and neck pain i will be lot worried. sometimes i feel numbness in chest arms and shoulder i have gone through endoscopy also it was normal Thanks ®ards XXXXXXX XXXXXXX

Answered by Dr. Anantharamakrishnan (2 hours later)

Brief Answer: Fear not / enjoy life Detailed Answer: Dear Mr XXXXXXX Good to hear that endoscopy is normal – Great Very good that you stopped smoking – Strong motivation Panic rarely if ever leads to attack / and that in people with pre-existing problems… You are the most unlikely candidate Your lipids are normal You are very young… You do not need any treatment for heart The only treatment you need is for Panic – consult a Psychiatrist You need life style modification – diet and exercise – to reduce weight / Yoga, biofeedback and other relaxation techniques.. Reddi-garu – Emi bayam lEthu / Nothing to worry / Enjoy life Regards

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

Follow up: Dr. Anantharamakrishnan (11 hours later)

Thank you for your reply sir, now i am feeling better now i am going through psychological treatment for panic disorder 1) if i get any chest pain in near future i can stop worrying about it . If so for how many months. i am asking this question i am going to get married so tensed whether to marry or not in this situation 2)when i get chest pain i am taking easy but when arm and hands are like pulling so then i will get tense. 3)when i got up in the morning in chest region i feel like its week and shivering and palpitations (i undergone halter monitor also its normal) still i am having same sensations 4)while walking i get chest pain and shortness of breathing that also worrying me Regards XXXXXXX

Answered by Dr. Anantharamakrishnan (13 hours later)

Brief Answer: No worry of heart - for many years.. Detailed Answer: Hi XXXXXXX Not months – for several years to come – you need not worry about your heart Marriage has no direct relation to the problem Depending on your luck, your problems may be relieved, with a good supportive and understanding wife… At times, it is not It will be ideal to discuss with the girl - before marriage…your psychiatrist may advise better… All the symptoms are part of the Panic Your Psychiatrist will be able to modify the drugs or their dosage / as also counselling… You will improve very well indeed… Regards

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

Follow up: Dr. Anantharamakrishnan (3 days later)

Hi, Thank you very much sir . I am having frequent burps at that time i have chest pain and some times neck pain . they have tested with endoscopy its normal . so what treatment do i need to under go and how to reduce this burps

Answered by Dr. Anantharamakrishnan (14 minutes later)

Brief Answer: Both physical and psychological measures suggested Detailed Answer: Hello Burping too has a large functional aspect… Air is not produced in the stomach / what is burped is only swallowed air… Munching and swallowing with mouth closed helps to prevent swallowing of air.. Not lying down after eating helps Proton pump inhibitor like Omeprazole / pro-kinetic agent like Domperidone / Anxiolytics / will be useful Regards

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

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