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Chest pain
I have pain in the center of chest that cames and go and feels pressure and heaviness in the chest ,feels like pins and neddle and palpitation sometimes pain in the left hand and one of the forehead nerve is visible sometime also i have done multi test and ecg echo tmt
CBC-11.37,TLC-7.57,SGPT-59,SGOT-25 GGT-42,CHolestrol-111,Triglyceride-64 Vitamind3-54,TSH-0.8,Creatinine-0.71,Uric acid-5,Urea-17.4 Blood sugar fasting-99 ,ESR-10,LDH-190
Plz suggest what i will do for relief and i am taking(petril beta)-10mg HS Today when i wake up early morning about 5.30AM and i am going to urinate when i urinate i feel whole body is too cold and some cold sweats cames on forehead and i also feels from many time when i bend my neck using phone or write something i feel cold from the back of neck and from 3 to 3 seconds feels hot
What is thing i feels in today morning plz guide me so that i dont take stress or tension about this that happen in morning with me
Answers (16)
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As your ECG, TMT and echo results are normal,the symptoms you are experiencing are unlikely related to heart issues, rather anxiety related,neck muscles and nerve related.You can avoid standing while urinating
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It seems you have much anxiety. Learn to relax via meditation and deep breathing. Read some good literature in your leisure time.
Avoid standing abruptly.
For the abnormal sensation, take tab neurobion forte one daily for a month.
Get thyroid function tests done and share results.
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Need few more history. For further evaluation and management kindly consult me on practo
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Continue propronolol 10 mg and get cardiac evaluation ecg and echo please consult
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Vaso vagal sock.
When u urinate standin after night, bp falls n u feel cold n calm. So first micturition to be sit.
As u r a known case of anxiety.
Petrol beta 10 is good.
Continue it.
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Based on the details you have shared, your heart-related tests (ECG, ECHO, TMT) are normal and your blood reports are largely within normal limits. This makes a serious heart problem very unlikely.
Your symptoms—on-and-off central chest pressure, palpitations, pins-and-needles sensation, cold sweats in early morning, urge to urinate, hot–cold sensations on neck movement, and anxiety on waking—are most consistent with panic/anxiety episodes with autonomic nervous system activation, along with possible cervical muscle/nerve irritation and mild acid reflux.
The early-morning symptoms happen due to a natural rise in stress hormones (adrenaline/cortisol), which can cause palpitations, cold sweats, tremulousness, and strange temperature sensations. Neck bending triggering symptoms supports a cervical or muscular cause, not a cardiac one.
Your mildly raised SGPT (59) is not dangerous and is commonly seen with stress, fatty liver, or medication use. TSH, sugar, cholesterol, kidney function, and vitamin D are normal.
Next Steps
• Continue Petril-Beta as prescribed; do not stop suddenly
• Practice slow deep breathing twice daily
• Improve neck posture, avoid prolonged mobile use with bent neck
• Avoid caffeine, smoking, alcohol, and late heavy meals
• Maintain regular sleep and hydration
• Repeat liver function test after 6–8 weeks
• If symptoms persist, consult a physician for anxiety management support
Health Tips
• These symptoms are not life-threatening and not due to heart disease
• Stress and fear can worsen symptoms, so reassurance is important
• Seek urgent care only if there is continuous severe chest pain, fainting, or breathlessness at rest
Conclusion:
Your condition appears functional and stress-related, and with reassurance, lifestyle correction, and anxiety control, symptoms should improve.
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly consult
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Start meditation
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be evaluated
Do consult
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Have physical activity and lifestyle modification
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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Dr. Dinesh Mehta
General Physician
3 yrs exp
Jaipur
Your heart is SAFE ,Tests are REASSURING , Symptoms are REAL but not dangerous , Stress/anxiety + nerves + posture are the cause .This condition is treatable and reversible.
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