How reduce chest and biceps pain?

Your symptoms are worth looking into more thoroughly, even if gastritis has been mentioned. Intermittent chest pain with associated symptoms like palpitations, breathing difficulty, and tachycardia could indeed have multiple causes. Although mild sinus tachycardia (like a rate of 104 beats/min) can be related to anxiety or physical exertion, it’s important to ensure there’s no underlying cardiac condition. The experiences you describe, like palpitations and tiredness, combined with chest pain, are reasons to consider a more detailed cardiac evaluation. Potential differential diagnoses might include arrhythmias, but it’s critical to rule out ischemic heart disease especially if there are risk factors like smoking, high blood pressure, high cholesterol, or family history.

For your next steps, if it hasn’t been done already, consider asking your doctor about a Holter monitor test. This device records your heart’s rhythms over 24 to 48 hours and could capture any irregularities during your symptomatic episodes. An echocardiogram may also be helpful to assess the structure and function of your heart. Since you mention gastritis as a consistent diagnosis, addressing any gastroesophageal reflux or dietary issues can also help; try using proton pump inhibitors or H2 blockers temporarily as per your doctor’s advice. Monitoring and adjusting diet to avoid trigger foods such as caffeine, spicy foods, and alcohol can make a difference. Make sure to also maintain hydration and regular exercise, albeit with caution and under guidance to avoid exacerbating symptoms. Ultimately, close follow up with a healthcare provider for a comprehensive evaluation is crucial to ensure any significant causes are excluded, and appropriate management is provided.