Download FREE Practo app
Get ₹200 HealthCash
Pain in middle of the chest
I have pain in the center of chest that cames and go and sudden pain cames in center of chest and go after 2 to 1 mins ,feels pressure and heaviness in the chest ,feels like pins and neddle and palpitation sometimes pain in the left hand also i have done multi test and ecg echo tmt
CBC-11.37,TLC-7.57,SGPT-59,SGOT-25 GGT-42,CHolestrol-111,Triglyceride-64 Vitamind3-54,TSH-0.8,Creatinine-0.71,Uric acid-5,Urea-17.4 Blood sugar fasting-99 ,ESR-10,LDH-190
Plz suggest what i will do for relief and i am taking(petril beta)-10mg HS
Answers (25)
Get your queries answered instantly with Care AI FREE
20000+ health queries resolved in last month
Your symptoms need to be understood carefully because they are coming from two different systems the heart and the nervous system and distinguishing between them is the key to correct treatment.
You’ve mentioned:
Central chest pain lasting 1–2 minutes
Heaviness/pressure
Pins-and-needles sensation
Palpitations
Occasional pain radiating to left arm
Normal ECG / Echo / TMT
Almost normal blood tests
You are already on petril beta
This pattern is very important.
1. Your cardiac tests are normal that rules out major heart disease
Your ECG, Echo and TMT are the exact tests we use to detect:
Blockages
Heart pumping weakness
Rhythm issues
Exercise-induced ischemia
All have come normal, which means your heart is structurally and functionally fine.
If your pain were cardiac, the TMT alone would have shown it.
2. The symptoms you described point much more towards:
Anxiety-related chest pain
Stress-induced muscle spasm
Costochondritis
Nerve sensitivity
Hyperventilation episodes
Short-lasting chest pain with:
tingling
pins-and-needles
palpitations
normal cardiac workup
is almost always non-cardiac chest pain.
This is extremely common in young adults, especially with stress or sleep disturbances.
3. Why it still feels scary even when tests are normal
When the mind is hyper-alert due to stress, it can cause:
Tightness in chest muscles
Sudden sharp pains
Racing heartbeat
Tingling in arm or chest
Feeling of heaviness or pressure
Fear of something serious
These symptoms feel real but they do not come from the heart.
4. Your current medication (petril beta) tells me your doctor already suspects anxiety-driven symptoms
This medicine is generally used for:
Palpitations
Anxiety-related chest pain
Panic-type episodes
Nerve sensitivity
But whether this is the correct dose or whether something else is needed depends on your pattern of symptoms, lifestyle, sleep, and triggers.
5. What you need now is NOT more tests but a proper guided plan
You don’t need more blood tests or scans.
You need:
Trigger identification
Stress/anxiety assessment
Breathing pattern correction
Posture and muscle tension assessment
A personalised recovery plan
Review of your current medication (timing, dose, need for continuation)
These things cannot be given in a single-line answer on Practo.
If you want, I can help you sort this out completely
Once I understand:
When the pain comes
Your sleep pattern
Your stress/work routine
Exact nature of pain episodes
Your heart reports (ECG/TMT/Echo)
Your previous panic or anxiety symptoms
I can guide you step-by-step on how to reduce these symptoms permanently and decide whether your medication needs adjustment.
You can book a private consultation with me on whatsapp at Nine Three Two Six Zero Two Zero Five Three Six, and I’ll help you get complete clarity and the right treatment approach instead of living with repeated fear and uncertainty.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
+121
Take an ECC ,if normal
Gi for Pantop 40 mgm bd 5 days before food and Mucaine gel 2 tso thrice daily after food 5 days
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Consult on nine nine three four eight three one six zero six...as further history n investigation is required...nothing to worry...may be due to anxiety or acid reflux
..but we need to rule out cardiac causes...
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Good day to you
I understand your concern and I am sure this must be distressing causing a hindrance in your day to day activities.It's good that you have provided a detailed account of your condition, it immensely helps us as physicians to get to the diagnosis efficiently . I shall try to the best of my abilities to consult you
Chest pain is very broad symptom which can be caused by Heart causes, Lungs, Muscular, Bone, Cartilage, Nervous system and many other systems
By your account, it seems to be an acute condition and does point to cardiac arrest as the most common and most severe event
Other possible causes are unstable angina, NSTEMI, prinzmetal angina.
I would like you to answer a few questions to rule out cardiac arrest
# Is the pain in chest like feeling like clutching your chest like it's something deep within?
# Are you experiencing sweating during this episode?
If these questions are yes, you should take
Nitroglycerin 2.6mg 1—1—1 for 3 days and get opinion of a cardiologist within those 3 days.
Next Steps
I kindly urge you to book a one to one consultation with your family physician or any physician you are comfortable with so that an extensive workup (history, investigations) can be done.
Health Tips
If you feel I can be of better service to you
Feel free to book a one to one consultation via practo app
Note: I am sorry for not providing WhatsApp contact henceforth due to issues pertaining to Medico legal protection of both client and the doctor
One time consultation fee = Rs 200
Follow up consultation= Rs 100
Hope this advice provides you the much needed insight
Wishing you a speedy recovery
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Can help but
Need more history
Kindly consult on 9three28010077 for appointment
Text/audio/ video consultation available
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
A new onset of chest pain should be investigated thoroughly by repeating the ECG, even if your previous ECG was normal.The causes could be gastroesophageal, muscular, heart or pleuratic.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
commonly occur due to anxiety, stress, gastric acidity, or muscular chest wall spasm.
U can try
Tab. Pantoprazole 40 mg once daily before breakfast for 5–7 days
Syp. Mucaine Gel 2 tsp when pain occurs
Warm compress to chest/upper back
Avoid tea, coffee, spicy food, and late meals
Deep breathing 10–15 mins daily
Next Steps
Just make sure ki pain aisa na ho ki kisi ne chest pe Bhari vajan rakha ho ya Jor se dabaya ho.
if happens this then Do ECG , and certain test like trop i
Health Tips
If anything else revert us
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Your reports look mostly normal, but your symptoms need attention — especially because they involve central chest pain, heaviness, pressure, pins-and-needles and radiation to the left arm + palpitations.
Even with normal ECG, Echo, and TMT, chest pain can still be cardiac or non-cardiac (anxiety, gastric issues, muscle-nerve causes), but we never ignore ongoing chest symptoms.
✅ First — I need to ask a few important questions:
Please answer these:
Does the chest pain come during walking / climbing / exertion?
Does the pain increase after eating, lying down, or with acidity/burping?
Do you feel breathless during pain?
Are you having stress/anxiety, poor sleep, or panic-like episodes?
How long have you been taking Petril Beta 10 mg?
📌 Your reports summary (based on what you shared)
Test
Finding
Meaning
ECG / Echo / TMT
Normal
Good sign (low chance of major heart blockage)
CBC
WNL except WBC slightly high previously
Not concerning
SGPT 59
Mildly elevated
Indicates mild liver irritation
Cholesterol 111, TG 64
Excellent
Vitamin D 54
Normal
Thyroid TSH 0.8
Normal
Creatinine 0.71
Normal
Sugar fasting 99
Normal
ESR 10
Normal
Overall, no major abnormality seen.
📌 Most likely causes of your symptoms
✔ 1. Gastric reflux / acidity–related chest pain
— Causes central chest pressure
— Comes and goes
— Radiates sometimes
— Feels like pins/needles
— Mimics heart pain
✔ 2. Anxiety + palpitations (you are already on Petril Beta)
Beta blocker reduces palpitations, but
Clonazepam part (Petril) can cause dependency and withdrawal sensations.
✔ 3. Musculoskeletal chest pain (costochondritis)
Worse with movement, pressing the chest, twisting.
✔ 4. Heart cause is unlikely
Because of normal ECG, Echo, TMT and your young age, but not impossible if symptoms are new/worsening.
🩺 What you should do now (Safe and practical plan)
⭐ 1. Try an acidity treatment for 5–7 days
Because gastric pain is extremely common.
Take:
Pantoprazole 40 mg – once daily, empty stomach (morning)
Syrup Mucaine gel – 10 ml when pain occurs
If your chest heaviness reduces with this, the cause is gastric.
⭐ 2. For chest muscle pain
If pressing the chest increases pain → likely muscular.
Take:
Hot fomentation (warm cloth) 10–15 min twice daily
Tab. Paracetamol 500 mg if needed
⭐ 3. For anxiety / palpitations
You are on Petril Beta 10 mg at night, but:
🔴 This medicine should not be continued long-term without doctor supervision
🔴 Stopping it suddenly can cause more palpitations and chest discomfort
If you wish, I can help you discuss slowly tapering it later.
Practice:
Slow deep breathing (4-7-8 technique)
Avoid caffeine and mobile before sleep
Regular walking
🚨 Red-flag symptoms (go to ER immediately if any happen):
Chest pain lasting >10 minutes continuously
Pain increases with walking
Sweating with pain
Shortness of breath
Pain radiating strongly to jaw or left arm
Fainting sensation
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Don't ignore this .it may be myocardial infarction.
Consult now or rush to hospital ASAP
Answered
Flag this answer
1/2 people found this helpful
Was this answer helpful?
YES
NO
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
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
A proper medical history will be needed for evaluation connect with me.
gpay on upid: zeeshanmohd493-3@okhdfcbank
then message on watsapp 99561878twothree
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Please share details of your symptoms, do you take alcohol? Get ecg, cardiac echo, abdominal ultrasound and thyroid profile done and share results. Then I can guide you further.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Any family history of cardiac problems??
You did not tell about stress echo or ecg reports
Most probably this appears to be gastric related
Avoid spicy and oily food
Outside food also avoid
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Avoid fried and spicy food
Water intake more
Do connect and consult
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Gastritis
Avoid spicy food
Avoid coffee and tea in empty stomach
Use more of curd and butter milk
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Hello,
For consultation
1. Pay ( ₹ 500 only, 50 % off ) and consult by practo.
2. Or pay ( ₹ 500 only, 50 % off ) and send message by GPay. My mobile number is +91959508739nine.
3. If required call to +91959508739nine.
Take a glass of milk daily.
Time 08 : 00 to 14 : 00 .
Thanks.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dnt be empty stomach, take Fibre rich diet, dnt take spicy food, tea, coffee. Adequate hydration,
Cap rabeprazole+levosulpride BD x 7 days, mucain gel 10ml once a day
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
It could be due heart or esophagous but from your history it looks like it is cardiac in origin.
However at your age less chance of heart disorder.
Report could be normal in heart disorder.
Next Steps
Consult with me for further advice
Answered
Flag this answer
1/2 people found this helpful
Was this answer helpful?
YES
NO
Gas, acidity, gastritis.
Tab nexpro RD40 ONE IN EMPTY STOMACH FOR ten days. Mucain gel10 ml without water nothing by mouth till 30min can be taken 3to4 times.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Reports are normal
If ecg & 2d echo & tmt is normal then might be gaseous pain.
Add antacid tablet.
Pain will be relieved.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
U need some counseling and medication. Kindly consult with me on 94 two six 86 seven eight 96.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Consult online will guide you
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Shaikh Huzaif
General Physician
18 yrs exp
Aurangabad
Please consult
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly provide detailed history for proper diagnosis and further management
Answered
Flag this answer
2/2 people found this helpful
Was this answer helpful?
YES
NO
Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
Answered
Flag this answer
2/2 people found this helpful
Was this answer helpful?
YES
NO
Articles you may like
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.