2 months before, After a sleepless night due to feeling of chest tightness I had sudden increase in heart beats in morning. Doctor given restyl tablet & its got controlled. ECG, Echo, stress test are normal. cholesterol was 132. Now again same thing happened & got controlled by starpress XL & chlorofit. Again ECG is normal. In between I am always having feeling of tightness of left chest, left arm, left shoulder, left upper back, chest rib pain, fullness of stomach & mild pain chest muscle. I have started exercise but still this tightness feeling comes & go all the day & night time. I was very healthy person & rarely fell sick in a year. Please suggest me permanent solution to treat this condition as I feel worry if again same thing will happen.

Dr. Jagtap T NGeneral Physician38yrs exp

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All your complaints are due to worry, stress and anxiety. Dealing with Stress Stress may be broadly defined as comprising of 3 components, namely a ?known situation, interpretation of a situation and the physical and mental reaction to that interpretation of the situation?. Stress is a situation: There cannot be a stress without a situation. One cannot be stressed about some event occurring in USA without knowing the person or the situation. The situation requires familiarity with the particular sensory object (known situation). Stress is an interpretation of a situation: Without interpretation, stress is not possible. The same situation can be interpreted differently by different people. A stimulus may be stressful to one but not to another. Stress is a physical and mental response to the interpretation of the situation: Stress manifests because of a chemical imbalance resulting due to sympathetic overactivity, which manifests as mental and or physical symptoms. Stress, therefore, is the body?s physical and mental response to the interpretation of a situation. Management of stress, therefore, involves either changing the situation, changing the interpretation of the situation or making the body resistant to physical and mental changes in the situation. Practicing Patanjali?s eight limbs of yoga via living a yogic lifestyle, adhering to the various Dos and Do not?s in life as taught in various religious teachings, and learning to meditate help our body to resist these sympathetic?activating changes and handle the stressful situation. These involve proper diet, exercise, meditation and relaxation exercises. Changing the interpretation of a situation involves counseling. Cognitive behavior therapy used in counseling is one such example. Change in interpretation requires deeper understanding of the problem and removal of the obstacles.  

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