Can anxiety or reflux disease cause chest pain?

Question

Hello doctor,

I had an echocardiogram after I started experiencing uncomfortable chest pain, shortness of breath, and slight dizziness when I exert myself while talking. However, I do not get very tired, even when I am working out. Could these symptoms be related to anxiety? The doctor mentioned that my heart was fine after the echocardiogram, and nothing was abnormal except for a section labeled Doppler. It indicates mild tricuspid regurgitation, which he did not mention, and I have no idea what it means. However, I read that in my test results. Is that something to be concerned about? Sometimes, I experience high blood pressure.

Please advise.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

It is a mild leakage across the valve, and there is no need to worry about it, as it can sometimes be found. Have you had a chest X-ray? If not, please get one done. This pain may be due to anxiety or reflux disease. Do you also experience upper abdominal pain, nausea, bloating, burping, increased pain when eating, a sour taste in your throat, or chest burning? These are additional symptoms of reflux disease and may be associated with your condition.

You should avoid a fatty, oily, and spicy diet. Take a walk after eating instead of resting. Have multiple small meals instead of heavy ones, and maintain regular sleep habits while avoiding stress. Eat plenty of green leafy vegetables and fruits, and avoid smoking and alcohol, if applicable. You can be prescribed Pantoprazole and Domperidone or Esomeprazole to take before breakfast once a day for two weeks. For anxiety, consider using relaxation techniques like yoga, meditation, and deep breathing. If these do not help, you can consult your doctor about anti-anxiety medications such as Escitalopram or Clonazepam.

I hope this helps.

Thank you.