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my chest pains that comes and goes
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General Health
Question #10224
333 days ago
486

my chest pains that comes and goes - #10224

jade

i get chest pains that comes and goes left and right arm pain chest tightness panic attacks - went to see a doctor they said my heart is fine but i get heart palpitations and sometimes my heart beats really fast

Age: 26
Chronic illnesses: n/a
Heart palpitations
300 INR (~3.53 USD)
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Doctors' responses

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
333 days ago
5

For anxiety/panic episodes:

Tab. Etizolam 0.25 mg – SOS (during acute panic attack, not regular use)

For palpitations:

Tab. Propranolol 10mg – 1 tab when palpitations occur (controls fast heart rate and physical anxiety)

For further evaluation take my individual consultation.

1972 answered questions
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Intermittent chest pain, accompanied by pain in both arms, chest tightness, and palpitations, even with a normal heart check-up, can be unsettling. It’s crucial to decipher the root cause. Since your doctor has ruled out immediate heart issues, other potential causes like anxiety, musculoskeletal problems, or acid reflux could be considered. Panic attacks often mimic cardiac symptoms, including heart palpitations and those fast heartbeats. Anxiety can intensify feelings of chest discomfort due to hyperventilation or muscle tension. It’s helpful to track when these symptoms occur—whether they relate to specific triggers like stress, caffeine, or certain activities. For anxiety or panic-related causes, cognitive-behavioral therapy, relaxation exercises, and lifestyle modifications (like reducing stimulants and ensuring regular sleep) can mitigate symptoms. If stress is a trigger, mindfulness techniques or regular exercises like walking or yoga might help. However, persistent or severe symptoms warrant another visit to a doctor. Sometimes a follow-up with a cardiologist or further tests (e.g., Holter monitor or stress test) are necessary to rule out other issues that weren’t apparent initially. Additionally, if the chest tightness accompanies symptoms like sweating, severe shortness of breath, or fainting, it’s important to get immediate medical help just in case it hints at an emerging heart condition.

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