apollo
  • Female
  • 31 Years
  • 29/01/2025

I'm a bit confused about the difference between normal chest pain and angina pain. Is angina pain similar to what happens during a heart attack, but it goes away in like 3 or 4 minutes? And should I be worried if I feel pins and needles in my chest that only last for less than a minute?

Doctor 1

Answered by 1 Apollo Doctors

Chest pain can have various causes, including musculoskeletal issues, gastrointestinal problems, or cardiac conditions like angina. Angina pain is typically described as a pressure, squeezing, or tightness in the chest that may radiate to the arms, neck, jaw, or back. It is often triggered by physical exertion or emotional stress and usually subsides with rest or medication like Nitroglycerin. Angina pain is not usually as severe or prolonged as a heart attack, which typically lasts longer than 3 to 4 minutes and may be associated with other symptoms like shortness of breath, sweating, nausea, or lightheadedness. Pins and needles sensation lasting under 1 minute is usually not a cause for concern and can be due to temporary nerve compression or poor circulation. However, if you experience persistent or recurrent pins and needles, especially associated with other symptoms like weakness, numbness, or difficulty speaking, it is important to seek medical evaluation to rule out more serious conditions like a transient ischemic attack (TIA) or peripheral neuropathy.

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Consult a Cardiologist

Answered 04/07/2025

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I've been experiencing some discomfort and I'm really concerned. I'm a 23-year-old male and since January, I've had some pain in my right and left chest, as well as below my ribs. I tried taking medication for acidity at first. I noticed my heart rate is around 65 bpm while sitting but jumps to 90-100 bpm when I stand. This got me worried so I went to the hospital where my BP was 11090. The ECG came back normal, but the doctor suggested a 2D echo test. I've attached the results. I was on esomacD 40mg and etizola beta 0.25mg until the end of February, which seemed to help reduce the chest pain and occasional racing heartbeats. Today though, while resting, I felt a brief pain for about 3 seconds in the middle of my ribs on the left bottom side. My pulse was normal then. Could this be a sign of a heart attack or is there any risk involved?

Based on the information provided, it is unlikely that the symptoms you are experiencing are indicative of a heart attack. The normal ECG results and the improvement in chest pains and heart rate with the medications you were prescribed suggest that your symptoms may be related to other factors such as acid reflux or anxiety. Since you have already undergone medical evaluation including an ECG and 2D echo test, it is important to continue following up with your healthcare provider for further assessment and management. To address the occasional racing heart rate, you can consider taking Metoprolol 25mg once daily as prescribed by your doctor. Additionally, for acid reflux symptoms, you can continue using Esomac-D 40mg once daily before breakfast. If you experience any new or worsening symptoms, especially chest pain that radiates to your arm, jaw, or back, along with shortness of breath, dizziness, or nausea, seek immediate medical attention. Regular follow-up with your healthcare provider is essential to monitor your condition and adjust your treatment plan as needed.

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I think I might have angina because I'm experiencing chest pains. I also have high blood pressure and was born with a slight blockage. I'm just 18 and I'm not sure how to talk to my parents about this. Honestly, I'm scared to go to a hospital. If I manage to lower my blood pressure, do you think it'll help with these symptoms? This has been happening for the past two days and I'm pretty worried. Could you give me some advice on what to do?

It sounds like you may be experiencing symptoms of angina, especially given your history of high blood pressure and a slight blockage. Lowering your blood pressure may help alleviate some symptoms, but it is important to seek medical attention for a proper diagnosis and treatment plan. In the meantime, you can take aspirin to help with chest pain. Please take one low-dose aspirin (81mg) and chew it to help reduce the risk of a heart attack. Make sure to inform your parents about your symptoms and seek medical help as soon as possible.

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