Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.

If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion

Normal angiography Nothing to warry

Could be due to spasm of arteries Kindly consult a cardiologist

It can be due to muscle spasms, arterial spasms or gastritis. So we have to rule out these first and also at the same time not neglect the heart too. Regular checkups with cardiologist is suggested

Start flavidom mr teice daily for next 10 days Advice blood test cbc lft kft esr

With zero blockage of the coronary arteries,the pain you are experiencing could be due to either muscular, gastric issues or rarely coronary artery vasospsm ,a condition you may discuss with your cardiologist as a rare possibility

Need blood reports Lipid profile Hba1c and more The details of family and personal history

Consult psychiatrist once

DO TMT LIPID PROFILE TFT AND CONNECT ONLINE

Normal reports Tab.pan 40mg (1-0-1) before food for 5 days for symptoms Stay hydrated Avoid stress Walking of 30 mins after having meal Sleep should be adequate 6-8 hrs Do not go to bed immediately after dinner

Considering your age and previous normal angio report, most probably angina like chest pain is due to gastritis. But before coming into such a conclusion, do an ecg and do a tmt test ( to know exercise tolerance) and consult a cardiologist.if everything is normal you can treat this as severe gastritis.for further doubts do online consultation

Repeat ecg, TMT.  Also do blood sugar and lipid profile done.Share results. For now, take tab paracetamol 500mg one sos, when pain occurs,  tab pantaprazole 40mg one daily before breakfast for 7 days. Avoid heavy, fatty,  spicy meals.

As per the reports provided their seems no problem with the heart...it seems gastrointestinal or muscular problem. Kindly connect for management.

Try to have a pulse oximeter.. measure the heart rate and  Measure BP at the symptoms occuring.. consult sos at practo

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Avoid fried and spicy food Water intake more Do connect and consult

Heart is perfectly fine. Dnt worry. Go with symptomatic treatment. Kindly consult with me on 94 two six 86 seven eight 96.

As these or normal,  It could be gastrointestinal issues Get trop I test, and consult cardiologist And gastroenterologist opinion for your relief

Gas, acidity,  gastritis???? Muscular pain?? Most probable cause. Change life style n diet plan drastically first. Tab nexpro RD40 ONE IN EMPTY STOMACH FOR 7 days. Mucain gel 10ml without water nothing by mouth till 30min can be taken 3to4 times. Flexon Mr two  times a day after food for 3to5 days.

Hello, I can understand the worry you are going through. But the gastrointestinal issues can also causes same symptoms. So to be sure we do ECG and 2D Echo, since they are normal, please consult for the gastro symptoms to be verified. Thank you

You can consult me directly on Practo, or reach out via WhatsApp: Eight Seven Six Two Seven Four Nine Nine Seven Four I’ll guide you step-by-step with easy-to-follow treatment plans. Early consultation helps avoid complications — feel free to connect. Only whatsapp message no calls

Since your stress echo turns out to be normal and also cardiologist had said you that it's non- cardiac pain I have few more questions 1) Do you have regurgitation ( it can also be gastric or duodenal ulcer) 2) R u an alcoholic ( Check your serum amylase and lipase levels) 3) Does your pain decrease with rest I would also recommend you to take an MRI Cspine with whole spine screening to rule out cervical spondylosis which also presents with similar symptoms So for more explanation and if any doubt consult with me on practo

Consult a cardiologist for further evaluation

Please consult

Yes

It might be due to some nerve compression or b12 or d deficiency

What’s your occupation are there any stressors? Any particular time you get them? Any family history of cardiac diseases ?

Could be health anxiety .. Consult psychiatrist .. Symptoms could be treated

As per your history and test reports it seems its mostly gastritis problem, heart seems fine. Take pantop , monitor the symptoms. Get ECG and TMT done after few days if symptoms persist. For more you can connect.

Normal Pls don’t worry

Hello, I can completely understand how frightening and frustrating it must be to experience these symptoms, especially when you're so worried about your heart. Your feelings are valid, as the symptoms mimic heart-related pain. Let me answer your most important question first: "Should I be concerned about my heart?" The tests you had (Coronary Angiogram and Stress Echo) are the gold standard for ruling out heart artery blockages. Having a normal angiogram at age 26 is the most powerful and definitive reassurance you can get. It definitively means your symptoms, while real and uncomfortable, are not being caused by a blocked artery and you are not at risk of a heart attack from coronary artery disease. So, what are the possible causes? You are experiencing what we call Non-Cardiac Chest Pain (NCCP). This is very common. Based on your description (pain at rest and during activity), the most likely causes are: Musculoskeletal Pain: This is the #1 cause. Inflammation of the rib cartilage (Costochondritis), a pulled pectoral muscle, or even a pinched nerve in your neck (Cervical Radiculopathy) can send pain to the chest, arm, and jaw. Gastrointestinal Issues: Severe acid reflux (GERD) or esophageal spasms can feel exactly like a heart attack, including the jaw and arm pain. Anxiety/Panic: This is not 'in your head.' High anxiety and panic can cause very real, physical symptoms like chest tightness, muscle tension (in your arm/jaw), and a feeling of heaviness. The worry about the symptom then creates a feedback loop, making the symptom worse.

Kindly take a repeat ecg ..have a tab pantop. Need more details kindly connect directly on practo

No worries

You should take cardiologist opinion and do your latest ECG

Take cardiologist opnion