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Health anxiety, cardiofobia, GAD, fear
Hi all I am 31 years, and i have had a kind of panic attack 3 years back and i was able to manage my stress and all , but 5 months back i had a panic attack again. And this time i started to relate that to my heart as if i have some issue in my heart , i under went with ECG, 2-D echo and TMT too, everything is normal but still sometimes I get pain in the center of my chest and goes away after a while. Even i stress more or fear more pain comes and get goes with in less than 5mins.
Now i started taking nexito 5 after talking to psychiatrist.
I visited 5 to 6 cardiologists and all send nothing to worry about heart
Do you think should I still go to cardiologist
Answers (8)
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Hi,
What you are describing- sudden chest pain lasting a few minutes, triggered by stress or fear, with normal ECG, 2-D Echo, and TMT- fits more with panic/anxiety-related chest pain than with a heart problem. Multiple cardiologists have already ruled out heart disease, which is very reassuring.
Your psychiatrist has started Nexito (escitalopram), which is commonly prescribed for panic attacks and health anxiety. With regular use and some therapy/relaxation practices, these symptoms usually improve.
Next Steps
a. You don’t need repeated cardiology check-ups if tests are normal, unless your pain changes in nature (longer, continuous, related to exertion).
b. Focus on psychiatric follow-up, relaxation techniques, and lifestyle changes (exercise, healthy sleep, avoiding excess caffeine).
c. Panic attacks are distressing but not dangerous once the heart has been checked and cleared.
Health Tips
Do not keep doctor-hopping for the same tests- it can increase your health anxiety. Stick with one treating psychiatrist for continuity of care.
For more queries, Reach out for an online or in-person consultation:
📞 NEURONAL FIX CLINIC, RAMPRASTHA COLONY, Ghaziabad (near Shreshtha Vihar, Delhi) - +91-74XX52XX97XX67XX61
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Your reports (ECG, 2D Echo, TMT) being normal and symptoms appearing mainly with stress and fear strongly suggest anxiety-related chest discomfort rather than a heart problem. Panic attacks and anxiety can often mimic heart pain, which explains your experience.
Next Steps
Continue your prescribed medication (Nexito 5) and stay in touch with your psychiatrist for regular follow-up. If chest pain becomes persistent, severe, or different from your usual pattern, then consult a cardiologist again. Otherwise, repeated cardiac tests are not necessary.
Health Tips
Practice relaxation techniques like slow breathing, meditation, or journaling to reduce anxiety. Regular exercise, proper sleep, and limiting caffeine can also help. Reassure yourself that your heart tests were normal- this will reduce the health-related worry that fuels anxiety.
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Hi,
The best way ahead would be a detailed clinical interview to understand the symptoms and your comprehensive history.
For a personalized plan, find me by searching "Dr Abhinav Tewari Neuropsychiatrist Lucknow" on Google Maps — my details are listed there.
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MBBS (A.I.I.M.S., New Delhi)
MD (Psychiatry) (A.I.I.M.S., New Delhi)
DNB (NBEMS)
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"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."
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No no
Big no
What you’ve described is very typical of panic disorder with health anxiety the sudden chest pain, rapid fear of heart disease, repeated doctor visits, and the relief only lasting until the next symptom shows up. You’ve already done all the right medical checks (ECG, 2-D echo, TMT, multiple cardiologists) and the fact that everything came normal strongly suggests that the pain is anxiety-driven, not heart disease. Anxiety can cause chest tightness, burning, or sharp pains that come and go within minutes because your body is going into a stress response, not because your heart is failing.
Since you’ve started Nexito with a psychiatrist, that’s a good step forward. Now the main work is psychological: learning to stop interpreting every chest pain as heart trouble and instead seeing it as a signal of stress. Therapy can help you break the cycle of checking, reassurance-seeking, and panic. Unless new symptoms appear (like constant pain, pain on exertion that doesn’t go away, or fainting), repeated cardiology visits will only fuel the anxiety loop. What you need now is calm, grounding, and therapy not more tests.
Take therapy. You can connect with me on nine two six six seven two six zero six five.
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Ho.. you have health anxiety and panic attacks.. you need to take anti anxiety medicines and therapy. Consult online for dose adjustment
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You are having psychosomatic symptoms due to underlying stress. Did you take psychotherapy before? If not, you can start that. Physical symptoms will go away by its own once the root cause is addressed.
Next Steps
Visit any psychologist or therapist nearby or online.
Health Tips
During panic attack or pain, do breathing exercise. It's helpful in panic attack also.
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Dr. Soumya Ande
Psychiatrist
6 yrs exp
Hyderabad
No. You need therapy along with medication
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