Thank you for your query at Doctorspring.com.
I am sorry that you have been bothered by this discomfort for so long.
The pain that you describe doesn't seem to be angina pectoris. It doesn't seem to be of cardiac etiology.
The pain could be due to acidity or other gastrointestinal issues like hiatus hernia or reflux oesophagitis or gastritis. I am not an expert in gastroenterology but certain tests like endoscopy of the stomach and oespophagus and duodenum may be warranted. However there seems to be a significant psychological component to the pain.
I suggest instead of visiting physicians you could be more benefitted by visiting a gastroenterologist and also a psychiatrist. 4 years of pain and still nothing significant on investigations indicates a psychological component. Plus the difficulty in sleeping also suggests certain psychological element to the illness. As you said it could be very well be anxiety or stress or depression.
Dr Vivek Mahajan
Patient replied :
thanks for your advice.
anxiety is possible, can u advice me as Etizolam for night, If yes can I
discuss with doctor for adding a mild anxiolytic like Etizolam once a day in night time.
also I would give a family history
MY father is 74 years old with diabetes, 10 years ago bypass surgery is done & past paralysis attack 15 years ago, after that he is normal. daily routine of my father is normal.
other than all family is healthy, we are joint family.
Shouldn't smoking & drink, Blood pressure is normal, Blood sugar, before & After 82/83
If any Muscular pain then which type of pain ( chest Pain) ?
bcoz all are normal.
You could talk to your physician or psychiatrist for etizolam as you wont get it without a prescription. Muscular pain could be due to faulty posture ir recurrent muscular irritation and trauma or some costochondritis.
Your fathers history doesn't suggest that he had a young cad. So that isn't a risk factor for you
Dr Vivek Mahajan