What could cause chest discomfort, nausea, and pain in the arm, back, and jaws in a 31-year-old?

Question

Hello doctor,

I am 31 years old. My issue is that sometimes after meals when I lie down for sleeping (for a nap in the afternoon) after some time when I start to feel sleepy, I get chest discomfort (not heartburn), nausea type feeling, pain in my left arm and back and also pain in jaws (I feel as blood is not reaching these areas). This is causing serious concern for me as to why this is happening. It often prevents me from sleeping due to fear of any heart condition and causes anxiety. This condition disappears when I usually do some physical activity like walking. As far as my history is concerned, I had gone through ETT (exercise stress test), echo, ECG, and CT angio two years ago and all came clear. I also had my blood tests which all were clear except for some high uric acid and low B12. I have had hypertension for the last four years and started taking medicine one year ago (5 mg Byscard in the morning and 8 mg Advant in the night). Furthermore, the doctor told me that I have anxiety. I also have gastric issues like, heartburn, bloating which may be a cause of chest discomfort after meals but the pain in the left arm, back, and jaws which come while going to sleep and go away during physical activity is a cause of concern. Please suggest.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I have gone through your query and can understand your health concerns. Your symptoms could be due to anxiety as your cardiac investigations are normal and symptoms disappear on physical activity. I suggest you do exercise regularly, yoga, and brisk walk for at least thirty minutes daily. Meditation can also help. Daily work out can help. Do mind relaxation exercises. Try to avoid stress. Avoid alcohol and smoking. Avoid tea and coffee, spicy oily food as you have gastric problems. Drink a lot of water. If your symptoms are troubling you too much you can take antianxiety drugs but only under the guidance of a physician. Think positive. Try to avoid negative thoughts. I hope this will help you.

Thank you.