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?

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Dr Dhankecha Dineshbhai

General Practitioner

MBBS
6+ Yrs

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Answered 04/07/2025

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I've been experiencing a pricking pain on the top left side of my chest and some slight breathing difficulties, especially when I talk. Plus, I've noticed an extra heartbeat occasionally. My GP suggested an ECG, and I'm wondering if there's anything serious going on here. About three months ago, I had a similar issue but my tests like an echo came back normal. Should I be concerned or take any further action?

It sounds like you may be experiencing palpitations and some chest discomfort. Since your ECG, VOLT, and echo results are normal, it is good news that there are no major underlying issues. To help manage your symptoms, you can try taking Metoprolol (brand name: Lopressor) 25mg twice daily to help regulate your heart rate and reduce palpitations. Additionally, you can take Ibuprofen (brand name: Advil) 400mg as needed for any chest discomfort. Make sure to follow up with your GP for further evaluation and management.

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