19 yr old female Chest/heart pain when upset/sad SEVERE and

Patient

Q: 19 yr old female. Chest/heart pain when upset/sad. SEVERE and lasts all night

Doctor

A:   Hello. Welcome to Ask The Doctor. I understand your concern.

Such chest pains during stress occurs because of Anxiety only and we label then Non specific Cardiac chest pains.
But we should always keep in consideration Cardiac Chest pain and Acid reflux.
It is important to differentiate between the all. However, the Cardiac chest pain is severe and crushing in nature. It increases on activity like walking, exercising. It also radiated to left arm.
In such scenario, you should get an ECG and Chest X-ray done, if they are normal, i would advise you to go for Treadmill test and ECHO. If they are also normal,then the pain is not due to Cardiac issues.
For acid reflux, i would advise you to take a combination of Pantoprazole and Domperidone once a day.
For anxiety, you would be treated with anti anxiety drugs like Etizolam.
If any abnormality is found, in Treadmill Test and ECHO, then an angiography should be performed.
Share my opinion with your doctor before acting upon it.

I hope it helps.
Stay Healthy

Related Q&A

Q: I was inner tubing down a steep hill and fell off onto a patch of ice. I hit my elbow directly. I am able to move my ...

Q: Hello, My mother had severe pain and numbness in legs around 2 months ago. She was not able to walk freely. Spine ...

Q: RN of 27 years lifted a patient falling out of a w/c. That was the 13th. Increasing abdominal, hip, thigh pain despit...

Q: Im a 43 year old male and about a day and a half ago I started experiencing a dull pain from my scrotum (or left test...

Q: I have had a sore throat and pain along the side of my tongue (left lateral side) for nearly a full year now. I have ...

 
DOCTOR ADVISORY BOARD
218

Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician
173

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician
138

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist
98

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon
CNN
BBC
MSNBC
CBS
abcNews
FoxNews