Patient :I am 25 years old men , having all sort of pain like front neck left side pain , left shoulder pain , left arm pain , left arm wrist pain , but i went to all doctors , taken all test ecg , echo , stress all got normal , my blood also got normal . my pain vanished after i run 1 km . after along run i forget the pain and relaxed. but after some time my pain coming. it coming on morning , noon . i am very much worried that i have angina... please help me
Symptoms: Left arm pain , wrist pain , shoulder pain , front neck left side pain , its not like a pain but it is uncomfortable. chest discomfort
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Angina pain will increase with exercise and instead your pain is decreasing with exercise. The exercise causes the release of feel good hormones called endorphins and this reduce the anxiety. So if your pain is getting relieved with exercise then it is likely to be anxiety related. Such pains are called somatoform disorder. These pains get relieved with medicines such as mirtazapine or escitalopram etc. Also relaxation therapy provided by a clinical psychologist will also help in reducing discomfort.
Meanwhile for the temporary pain relief, you may use OTC acetaminophen 500mg as required but for permanent cure, do meet your doctor and discuss the above mentioned treatment options.
Hope I am able to answer your concerns.
Wish you good health!
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