I am 37 year old female and I have smoked

Patient

Q: I am 37 year old female and I have smoked marijuana almost consistently for the past 23 years (only quitting when I was pregnant with my children but started back up again not long after I had given birth). I decided to quit smoking and have not smoked marijuana for 9 days and now I'm having some extreme chest pains several times a day. If anyone can offer me any insight into why this is happening I would appreciate it greatly.

Symptoms:  Chest pains, loss of appetite
Doctor

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

Such chest pains can be due to withdrawal symptoms in case you have recently left marijuana smoking. 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

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