What could cause chest pain and shortness of breath?

Question

Hello doctor,

For the past month, I have been suffering from chest pain, left arm pain, jaw pain, shortness of breath, sweating, and weakness. Each day, these symptoms are worsening, and my anxiety is increasing as well. I am 19 years old, have no bad habits, and maintain a healthy diet and BMI. I used to go to the gym, but due to these issues, I am unable to engage in my usual activities. Recently, I underwent an ECG, echocardiogram, stress test, and blood tests; all results were normal. However, after 15 minutes of the stress test, I experienced chest pain for five minutes and sweating for 20 minutes. My resting heart rate has also decreased. I had anxiety two years ago, but my ECG results at that time were better than they are now.

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I have noted your symptoms and reports (attachment removed to protect patient identity). Frankly, all of them are normal. I would like to suggest the following medications and recommend monitoring to see if the problem persists:

Take a capsule of Rabeprazole and Levosulpiride once daily before meals for one month.
Take a tablet of Clonazepam 0.25 mg once daily at bedtime.
Take a tablet of Nicorandil 5 mg twice daily at 8 AM and 8 PM.

Please consult your specialist doctor to discuss these recommendations and start taking the medications with their consent. Also, please inform me of your blood pressure.

Have a good day.