Hello,
Thank you for your query at DoctorSpring.com
Going through your history and with all the test for cardiac were found to be normal including angiography shows that your heart is normal. Sometimes muscular pains , acid peptic Disease or Panic attacks can simulate heart pain. So you need to be evaluated for the same.
Since all your reports are normal, there is no cardiac problem here.
In your case i feel it is more of panic attacks and you need counseling. Do have a positive attitude to life and do try some meditation which can make you feel better. You can talk to your psychiatrist about continuing with Xanax or switching over to some other drug.
Feel free to discuss further,
Regards
Dr Satish
Patient replied :
Thanks for your responce Dr Satish. The question is how can we dignose what it really is ? I have done full body check up to rule out any thing including all live and kidney tests . Is there a specific test you recomend further ? I use to be a smoker but i quit 4 months back. I have also lost 6 kgs in past few months.
I am a very positive person & love to travel. I have travelled around the world & love my Job & family however still I went to a phycatrist thinking it might be of any help but i have recived none.
your reply is very genric I would appreciate if I can get some clear guidaince
Thanks
Abhi
Dear Doctor, I appreciate that you are very positive person. Since you lost weight during few months, is it due to excessive exercise or due to lack of appetite and is it associated with any episodes of fever.
To rule out Acid Peptic Disease you may require Oral Endoscopy to confirm it. Since you had history of smoking there is a possibilty that you may have Acid Peptic Disease. To prevent Acid Peptic Disease avoid spicy food, eat at regular intervals and you will require proton pump inhibitors like omeprazole twice a day one hr before food.
In case of muscular pain, you will feel tenderness over the site of chest pain.
If the above are ruled out , then definitely you require counselling and if this still persists then definitely you will need a pshycatrist help.
Hoping for your earliest recovery .
Regards
Dr Satish
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Patient replied :
I appreciate that you are very positive person. Since you lost weight during few months, is it due to excessive exercise or due to lack of appetite and is it associated with any episodes of fever.
To rule out Acid Peptic Disease you may require Oral Endoscopy to confirm it. Since you had history of smoking there is a possibilty that you may have Acid Peptic Disease. To prevent Acid Peptic Disease avoid spicy food, eat at regular intervals and you will require proton pump inhibitors like omeprazole twice a day one hr before food.
In case of muscular pain, you will feel tenderness over the site of chest pain.
If the above are ruled out , then definitely you require counselling and if this still persists then definitely you will need a pshycatrist help.
Hoping for your earliest recovery .
Regards
Dr Satish
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Thank you for your query at DoctorSpring.com
I understand your concern.
I have reviewed your entire history as well as I have gone through all your reports.
I can safely rule out any cardiac problem here, based on your 2D ECHO, as well as the treadmill test.
Angiography is an extremely sensitive test, and since it shows 0 % blockage, I would in fact say, your heart is in a great shape..
However, we can't ignore the symptoms you mentioned.
I have had similar cases before where patients have presented with chest pain, palpitations, breathlessness and a variety of other symptoms, with absolutely normal reports. Then simiarly like you, they were referred to a psychiatrist because these are associated with panic attacks, just like in your case, and all of them seemed to recover after being put on medication for the same.
The dose you mentioned for Xanax, does not seem adequate, and I would request you to get a second psychiatric opinion, or you can also discuss the option of a few sessions of CBT which is helpful in reducing such panic attacks. My diagnosis is nothing related to cardiac or pulmonary issues here, however, these anxiety disorder needs to be addressed.
Please feel free to discuss further,
Thank You,