I'm experiencing some pinching and squeezing chest pains, and my heart rate seems to jump between 80 and 120 with some palpitations. The pain tends to be worse in the afternoons after I eat, but it also happens in the evenings, especially when I start thinking about stuff, even small thoughts make my heart rate go up but it does slow down after I get myself to calm down. I've done multiple ECGs, TM tests, and echoes, and they've all been normal so far. There is sinus tachycardia, though. I don't smoke or drink, but I'm dealing with a lot of anxiety and worry. My cholesterol is at 240 and my blood pressure is around 13090. My sugar levels are almost normal and I weigh 70 kgs with a 5.5 height. I follow a light veg South rice diet and don't eat meat. What's causing this chest pain and geyser-like hot sensation? It's really unsettling and causing me some social anxiety. I'm not married and I don't really have much of a social life. What should I do?

Answered by 1 Apollo Doctors

Dr Dhankecha Dineshbhai

General Practitioner

MBBS
6+ Yrs

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patient needs a psychiatric opinion

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Answered 04/07/2025

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I've been feeling strange sensations in my heart, especially when I get home after work, and at first I thought it was from drinking too much coffee. I've cut down on coffee but the feeling is still there. I do drink 2 coffees and 4 cups of tea every day. I also exercise regularly, like doing push-ups and lifting weights. Should I be worried about these symptoms? Could it be linked to my caffeine intake, or might there be something else going on?

stop taking excess tea and coffee

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I'm really concerned about my husband's heart; his heartbeat is always too fast. He says it's been like this since he was a child. Should I be worried about this?

Hi, if your husband's heart rate is consistently fast, it is important to have him evaluated by a doctor to determine the underlying cause. One common condition that can cause a fast heart rate is supraventricular tachycardia (SVT). Medications like Metoprolol (25-100mg) can be prescribed to help control the heart rate. However, a proper diagnosis is necessary to determine the most appropriate treatment plan.

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I'm on Metolar XR 25 for my blood pressure and it's been stable for 15 years now. Do you think it's still okay to keep taking it, or should I be worried about any long-term side effects?

treatment as advised.

Answered by 1 Apollo Doctors

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.