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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest And Shoulder Pains With Tightness And Heart Palpitations?

Hi Dr. Narasi.. Im a 25 year old female and i have been having chest pains and shoulder pains. I think most of it comes from me panicking and i have been stressed lately. When i eat, drink, or sleep it calms down but when i wake up it starts hurting again. Its been like this for 3 days now. I took some antacid and it seems to be helping. My chest doesnt feel the same but it still has like this cold sensation and hurting right in the middle of my sternum. It kind of feels like i popped a bone in my chest right in the middle. Is this normal or should i seek medical attention. I went to ER in june and doctor stated that I was not having a heart attack but it sure feels like it and it is scary so i panick and my heart beats fast, i feel like i can breath, my shoulders and chest feel tight but then it goes away. Help me if you can.
Tue, 27 Jan 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
In my opinion you are having anxiety and related GERD (gastroesophageal reflux disease) mostly.
But better to rule out cardiac cause first for your symptoms.
So get done ECG to rule out cardiac cause.
If ECG is normal than your symptoms are mostly due to anxiety.
Anxiety can cause GERD which cause central chest pain with burning.
It can also cause palpitations (rapid heart rate).
So better to avoid stress and tension. Be relax and calm. Consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on it. You may require anxiolytic drugs to relieve anxiety. Don't worry you will be fine.
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What Causes Chest And Shoulder Pains With Tightness And Heart Palpitations?

Thanks for your question on HCM. In my opinion you are having anxiety and related GERD (gastroesophageal reflux disease) mostly. But better to rule out cardiac cause first for your symptoms. So get done ECG to rule out cardiac cause. If ECG is normal than your symptoms are mostly due to anxiety. Anxiety can cause GERD which cause central chest pain with burning. It can also cause palpitations (rapid heart rate). So better to avoid stress and tension. Be relax and calm. Consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on it. You may require anxiolytic drugs to relieve anxiety. Don t worry you will be fine.