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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes sinking feeling in chest?

Answered by
Dr. Anantharamakrishnan


Practicing since :1966

Answered : 4505 Questions

Posted on Tue, 5 May 2015 in Hypertension and Heart Disease
Question: I am having this wierd feeling. Its difficult to explain. Its like a sinking feeling in my chest, though there is no pain. My ecg was normal. Could this be due to strees ?
Answered by Dr. Anantharamakrishnan 11 hours later
Brief Answer:
YES / likely stress

Detailed Answer:
Hi friend
Welcome to Health Care Magic

You are very young and the possibility of Coronary Artery Disease is rather remote.
A normal ECG is reassuring
As you rightly point out, stress is the most likely cause.

Appropriate treatment demands accurate diagnosis
And that demands examination; probably investigation too

It is wiser to look and see rather than wait and guess
The treating doctor could conclude better based on total clinical picture…
A few other investigations (like routine blood tests, X-ray chest or lung function) may be done – mostly to exclude rather than entertain a physical problem / and will help to reassure both the patient and the physician….
Prognosis is generally excellent in such situations     

Good luck
God bless you
Above answer was peer-reviewed by : Dr. Raju A.T
Follow up: Dr. Anantharamakrishnan 4 hours later
Thank you doctor for the informative reply. I got these tests done 2 montha back. I am attaching the reports. Would be glad if you can have a look and advice. I am bit worried. Thank you .
Answered by Dr. Anantharamakrishnan 2 hours later
Brief Answer:
Nothing to worry

Detailed Answer:

ECG - Normal variant (S1 S2 S3) / Heart rate a bit on the lower side / Normal limits
X-ray – normal
Lab –
MCV – borderline / repeat after a month or 2 / along with serum Iron and Ferritin
ALT a bit higher / Needs further investigation only if the value is 3 or more times the upper limit. At present, nothing to do except to repeat after 1 month or 2 / Avoid alcohol and any drug (including Paracetamol), unless prescribed by doctor

Above answer was peer-reviewed by : Dr. Pradeep Vitta

The User accepted the expert's answer

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