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What causes chest discomfort and neck pain?

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Posted on Fri, 15 May 2015
Question: hi my name is XXXXXXX and age is 23. I had an typhoid last august i.e august 2014. After that i had an mental depression consulted many doctors and finally went phycatrist it is becasue i had a great fear that if i have head pain i thought it was tumour and chest pain means heart attack. Finally all tests were negative i had no problems other that sinus. Phycatrist suggested me medicine for three months and i was fine till last feb after that i stopped the medicine and i was fine. But i have gastritis for past six months because of that typhoid and i was advised not take spicy and junk foods. But even though i avoid these i have neck pain often and frequent discomfort in chest i.e chest tightening feel and i go to gym and i m not able to do my classes properly mainly chest classes. the chest discomfort is affecting my life to a great extent. The discomfort may below the chest or below the neck or exactly at the centre there will be some pain. I took ecg twice is past six months it was normal. my doubt is that y i m having chest discomfort? is it because of gastritis. I m having a doubt that I may have mutiple sclereosis because i had twitching tingling earlier when i diagonised with anxiety. I had a ct scan and it was clear. Please suggest me a best solution to live peace fully.
doctor
Answered by Dr. Shubham Mehta (6 hours later)
Brief Answer:
possibly due to anxiety.

Detailed Answer:
Hello Mr. XXXXXXX
Welcome to HealthcareMagic.

I have read your query and understand your concerns.

You are mainly worried about the chest discomfort and tingling/twitching.

First about chest discomfort,
I feel the cause for this symptom in your case may be either gastritis or stress and anxiety.
The cardiac causes are ruled out because you have had normal ECG twice.
Anxiety can cause any kind of symptoms and is more a diagnosis of exclusion.
Gastritis can cause chest discomfort. You can take antacids like omeprazole and observe whether your symptoms disappear or not.

Regarding tingling,
Multiple sclerosis has multiple symptoms like bladder problems, lack of coordination and concentration, vision problems apart from tingling.

As I have mentioned earlier, anxiety can cause number of symptoms, tingling is one of those.

So, I would suggest you to not worry much. The more you will think about these symptoms, the more they will increase.

Practice relaxation exercises like deep breathing and meditation.

Consult your psychiatrist for management of anxiety.
You will be fine.

Hope this helps.

Feel free to discuss further.

Kindly close the discussion if you have no more queries and give your valuable feedback.

Take care.
Thanks.

Dr. Shubham Mehta, Md (Psychiatry)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Shubham Mehta (16 hours later)
hello doctor. i m already taking pantocid dsr for past six months. is it good for health people say thay it is having side effects. the chest discomfort is very bad. the discomfort start below the neck and all over the chest. tightening feel or prick kind of feel near the chest. some times neck pain also there and prick kind of feeling in head. y all these symptoms does it denotes some disorder. ecg clear but i m having these symptoms do i have take tmt or echo for heart and mri for scan regarding multiple sclerosis. i studied all these things in net and got stuck in my mind. concentration problem means what ? can you explain regarding ms and since you are a phycatrist i m asking frankly and do i have any disorder and some times i feel totally down and feel like crying. Please provide me a solution. do i need to go to my phycatrist again. Ms and heart issues are my major fear. i m just 22 feared about all these things. will i be normal. how much time it will take. suddenly in the nights i feel sharp pain in my back and chest also.
doctor
Answered by Dr. Shubham Mehta (16 hours later)
Brief Answer:
Probably anxiety disorder; antianxiety medications.

Detailed Answer:
Hello again.

Sorry for the delayed response.

Pantocid DSR is a good drug with negligible side effects.

Chest discomfort and related symptoms are most probably due to anxiety. As I told you earlier that anxiety can cause any symptoms related to any system of body.
Your ECG came out to be normal. So the chances of heart disease are very less.
I think you should trust your doctor. Please Do not confuse yourself by reading things on net.

Multiple sclerosis consists of group of symptoms involving nervous, visual, speech, musculoskeletal, urinary and sensory systems. It is diagnosed based on clinical criteria.
Only tingling can not be a determining factor for MS.
You can read more about MS on http://en.wikipedia.org/wiki/Multiple_sclerosis.
I would also suggest you to consult a neurologist for detailed clinical examination and if he feels you need an MRI, then you can proceed further.
Neurologist would be a better person to discuss about MS.

By concentration problem I mean that there are cognitive impairments in MS which can lead to impaired focus and concentration on a particular task.

In my opinion, you are getting apprehensive about your symptoms and this is worsening the symptoms. It is most likely an anxiety disorder.
You need some anti-anxiety medications like clonazepam from your psychiatrist. This will help you and you will be fine in few days.

Hope this lessens your anxiety and you find my response re-assuring.

I wish you well.

Take care.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shubham Mehta

Psychiatrist

Practicing since :2008

Answered : 2109 Questions

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What causes chest discomfort and neck pain?

Brief Answer: possibly due to anxiety. Detailed Answer: Hello Mr. XXXXXXX Welcome to HealthcareMagic. I have read your query and understand your concerns. You are mainly worried about the chest discomfort and tingling/twitching. First about chest discomfort, I feel the cause for this symptom in your case may be either gastritis or stress and anxiety. The cardiac causes are ruled out because you have had normal ECG twice. Anxiety can cause any kind of symptoms and is more a diagnosis of exclusion. Gastritis can cause chest discomfort. You can take antacids like omeprazole and observe whether your symptoms disappear or not. Regarding tingling, Multiple sclerosis has multiple symptoms like bladder problems, lack of coordination and concentration, vision problems apart from tingling. As I have mentioned earlier, anxiety can cause number of symptoms, tingling is one of those. So, I would suggest you to not worry much. The more you will think about these symptoms, the more they will increase. Practice relaxation exercises like deep breathing and meditation. Consult your psychiatrist for management of anxiety. You will be fine. Hope this helps. Feel free to discuss further. Kindly close the discussion if you have no more queries and give your valuable feedback. Take care. Thanks. Dr. Shubham Mehta, Md (Psychiatry)