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?
patient needs a psychiatric opinion