Hi, My age is 27, suddenly I felt like I have an shortness of breath and I don't know whether it is a shoulder pain or muscle pain immediately I went to an doctor they told It might be an acidity gastric, some time I felt suddenly pain in chest and it will go, so I met cardiologist and they suggested me to take ECG, TMT, Echo and I went to doctor and shown my results he told everything is normal and for you no treatment is required and he hadn't prescribed any medication but I feel like now palpitations Is high and feels like shortness of breath, I don't know whether it is due to gastric or anxiety, I am trying to reduce anxiety but I am not able to do that, please suggest me any medication for this and further whom to consult. I am scared of my life at this age.

Dr. Udaya Nath SahooGeneral Physician49yrs exp

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Hello, Thanks for your query on Lybrate "As" per your clinical history is concerned please follow like this - 1) Do a clinical examination by your Doctor[gastroenterologist]and to know exact cause do ENDOSCOPY 2) Regarding any prescription medication, you can discuss with your Doctor about pantoprazole and Baclofen. Do follow lifestyle modifications like this - 1) Maintain a healthy weight. Excess weights put pressure on your abdomen, pushing up your stomach and causing acid to back up into your esophagus. If your weight is healthy, work to maintain it. If you are overweight or obese, work to slowly lose weight no more than (0.5 to 1 kilogram) a week. Ask your doctor for help in devising a weight-loss strategy that will work for you. 2) Avoid tight-fitting clothing. Clothes that fit tightly around your waist put pressure on your abdomen and the lower esophageal sphincter. 3) Avoid foods and drinks that trigger heartburn. Everyone has specific triggers. Common triggers such as fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine etc. 4) Try to eat smaller meals. Avoid overeating by eating smaller meals. Don't lie down after a meal. Wait at least three hours after eating before lying down or going to bed. 5) Try to elevate the head of your bed. If you regularly experience chest pain at night or while trying to sleep, put gravity to work for you. Place wood or cement blocks under the feet of your bed so that the head end is raised by 6 to 9 inches. 6) Don't smoke. Smoking decreases the lower esophageal sphincter's ability to function properly. Hope that helps.  

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