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I think I got anxiety like I got this tense feeling in my chest or heart when I think some things
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Mental & Emotional Health
Question #20016
97 days ago
220

I think I got anxiety like I got this tense feeling in my chest or heart when I think some things - #20016

Boikakho

I tend to get scared my heart pumps fast when I think about going out in public I feel fear and get this tense feeling in my heart until it feels like aching like it's pain but not really pain it's just triggered by my own thoughts

Age: 17
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
97 days ago
5

Hello dear See even for some minor excercise heart pumps faster Except arrhythmias like av fistula or ventricular function, It is physiologically ok However for exact clarification please get following tests done and share result with cardiologist for better clarity Serum troponin Serum LDH Serum cpk CRP Esr Echo Regards

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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.
97 days ago
5

What you are experiencing is most consistent with anxiety or panic-related symptoms, not a heart disease.

The key points that support this:

Your heart races only when you think about going out in public

The sensation is triggered by thoughts, not physical exertion

The feeling is tightness/aching rather than true chest pain

You are young (17) with no mention of heart symptoms at rest or during exercise

This pattern is typical of anticipatory anxiety or panic response, where fear activates the body’s “fight-or-flight” system, causing rapid heartbeat, chest tightness, and discomfort.

You don’t require any test for this.

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
97 days ago
5

Hello,

Anxiety is treatable, especially when addressed early.

This strongly suggest anxiety / panic-type symptoms, commonly linked to social anxiety.

🛑This is usually not heart disease, but a stress response causing muscle tightness and fast pulse.

Practice slow breathing and grounding exercises. Sleep well, reduce caffeine/energy drinks. Talk to a trusted adult; counseling/CBT is very effective.

You’re going to be okay. What you’re feeling is very common with anxiety, especially at your age. Those chest-tight/fast-heartbeat feelings are usually your body’s stress response, not your heart failing or something dangerous. They feel scary, but they can’t harm you, and they usually settle down with calm breathing and practice.

See a Clinical Psychologist / mental-health professional for proper help.

I trust this helps Thank you

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What you’re describing does have some common characteristics of anxiety, which can manifest as physical sensations like a racing heart, chest tension, or discomfort, especially in situations that you find stressful or fearful such as going out in public. It’s important to consider other factors that could also contribute to these symptoms. A few steps could help in distinguishing anxiety from other potential issues. First, evaluating lifestyle factors such as caffeine intake, missed meals, or high stress could be useful – these tend to exacerbate anxiety symptoms. If these sensations are recurrent and affecting your daily life, discussing with a healthcare provider is the next wise step. They might assess for potential underlying issues, and consider whether physical conditions like arrhythmia or others could be ruled out. In the meantime, simple measures such as practicing deep breathing exercises could help alleviate the symptoms momentarily. When experiencing these sensations, try inhaling slowly through your nose, holding the breath briefly, then exhaling slowly through your mouth can help to slow your heart rate. Also, practicing mindfulness or meditation might gradually reduce overall anxiety levels. For some individuals, professional interventions like cognitive behavioral therapy (CBT) or medication can be useful, but these should be discussed with and prescribed by a mental health or medical provider. It’s always good not to ignore new or worsening symptoms, especially if the chest pain becomes more intense or is associated with other symptoms like dizziness or shortness of breath, as these could indicate something non-anxious at play and warrant immediate evaluation.

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