Hi

Consult a cardiologist, if everything is okay, then consult a psychiatrist.

Hi, what you’re describing sounds very much like a health-anxiety/panic cycle—the racing heart, chest/arm sensations, fear of heart damage, repeated checking and Googling, and then increased panic and sleeplessness. Your normal ECG, BP, sugar, cholesterol and other tests are reassuring. Try to avoid Googling symptoms/side effects and repeatedly checking your body, as this keeps the anxiety cycle going. For the medication, don’t restart or stop it on your own—please discuss your concerns and side effects with the prescribing doctor. CBT can help you break this cycle and reduce the fear of bodily sensations. Take therapy. You can connect with me on nine two six six seven two six zero six five.

"Hi there, I understand that seeking help can feel overwhelming, but you’ve already taken the first brave step. I can guide you with a clear treatment plan tailored just for you, so you can feel better and regain control over your life. You can reach me directly on WhatsApp for quick support on seven zero eight two zero two two zero six two."

Thank you for sharing this. I know it isn't always easy to talk about personal struggles, so I'm glad you reached out. I would recommend a detailed psychiatric consultation to understand the underlying cause and discuss the best treatment plan for you. If you need further guidance or would like to discuss your concerns in detail, feel free to reach on https://topmate.io/drarchana_agarwal/ I'd be happy to help you.

Hello, Thankyou for sharing your concern here. Health anxiety and the related panic cycle that you are struggling with are understandable. The good part is that you can heal progressively with identifying the root cause and developing coping mechanisms along with medication. Psychotherapy sessions can be beneficial for you to navigate ahead with confidence and function in a balanced manner. It can enable you to understand the triggers, the thought pattern and the loop it creates. Mindfulness can replace your current loop with calming your nervous system through deep breathing, limit your input to address the overwhelm and journaling your thoughts. You can consult for further professional guidance. I wish you holistic wellness. Happy Healthy Living!

From what you’ve written, it sounds like you’ve become very scared of your physical symptoms, especially anything related to your heart. The more you notice a sensation, the more you worry about it, and that fear itself can bring on more symptoms. Your normal tests are reassuring, but I wouldn’t keep checking your heart every time you feel something. It may be more helpful to work on the fear around these sensations. The fact that you’re now getting panicked by small sounds, losing sleep and even stopping medication because you’re afraid of the side effects suggests that the anxiety is starting to control quite a lot of your life. I’d suggest talking to a psychologist about this, particularly around health anxiety.

Your symptoms are more suggestive of anxiety/panic attacks with health anxiety than a heart problem, especially given the 5-year recurrent pattern and previous normal ECG and investigations. Panic attacks can cause racing heartbeat, chest/arm discomfort, fear of heart attack, poor sleep and excessive checking/reassurance-seeking. However, chest pain with left-arm pain should not be automatically attributed to anxiety. If you develop severe/persistent chest pain, breathlessness, fainting, sweating, or pain that is new/severe, seek urgent medical evaluation. Regarding Capinol 20 LA, don’t stop or restart medicines based only on internet side-effect information. A psychiatrist can assess the diagnosis and choose an appropriate treatment; CBT is particularly useful for panic/health anxiety. For personalized guidance and treatment, you can directly consult me through WhatsApp: nine nine three one zero four five zero zero eight.

You may consult a psychotherapist it's better

Likely anxiety/panic disorder, given recurrent episodes for 5 years, excessive worry about the heart, and recent panic with insomnia. Normal ECG and blood tests are reassuring. However, new/severe chest pain with left-arm pain, breathlessness, sweating, or fainting requires urgent cardiac evaluation.