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Hi Yes, it’s common in anxiety to feel cramps, chest pain, throat tightness, nasal blockage, or palpitations even when all medical tests are normal. These happen due to muscle tension, shallow breathing, and adrenaline surges, not heart disease. The fact that your symptoms ease when you’re busy or asleep confirms it’s anxiety-driven. Try slow breathing, grounding, and relaxation daily they calm the body’s stress response. With therapy, these sensations can fully settle. Take therapy. You can connect with me on nine two six six seven two six zero six five.

Your symptoms are very typical of anxiety and panic-related body reactions, especially since all your medical tests—including ECG, troponin, and scans—are completely normal. Anxiety often triggers muscle tension, nerve hypersensitivity, and changes in breathing patterns, which can cause chest tightness, stabbing pains, throat constriction, and even nasal blockage. These sensations are real but are caused by overactivity of the body’s “fight-or-flight” system, not by heart disease. When you’re busy or sleeping, your mind is distracted, so the symptoms ease. When attention returns to the sensations, they feel stronger. This creates a feedback loop of fear and bodily tension that keeps the symptoms alive.

It is normal to have these symptoms during an episode, which require psychiatric intervention

It’s understandable that you’re feeling worried, especially when the symptoms are intense and recurring. The good thing is that you’ve already had a thorough medical check-up — with normal CBC, lipid profile, thyroid, sugar, ECG, and troponin — which strongly suggests that your heart is healthy and the symptoms are not due to a cardiac issue. What you’re describing — chest tightness, palpitations, throat pressure, body aches, and twitching that worsen with stress but ease when you’re busy or asleep — are quite common physical manifestations of anxiety and panic. Anxiety can activate the body’s “fight or flight” system, leading to muscle tension, increased heart rate, shallow breathing, and even sensations that mimic heart or breathing problems.