[61F] Experiencing anxiety with chest pain

What might be happening

Based on the information you've provided, the following conditions might be contributing to your symptoms:

• Anxiety Disorder: Long-term anxiety can lead to physical symptoms, such as the chest, jaw, armpit, and breast pain you described. It can also exacerbate symptoms of GERD, as you've noticed.

  • Treatment typically involves a combination of medication and therapy. You're already taking Alprazolam, which is a type of medication called a benzodiazepine that can help reduce anxiety. However, if your symptoms have worsened recently, it may be worth discussing with your doctor whether a change in medication or dosage might be beneficial. Cognitive-behavioral therapy (CBT) can also be very effective in managing anxiety and panic attacks.

• Gastroesophageal Reflux Disease (GERD): This is a chronic condition where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus and cause symptoms like chest pain.

  • Treatment typically involves lifestyle changes and over-the-counter medications. You're already taking Propanthrazole, which is a proton pump inhibitor that reduces the production of stomach acid. If your symptoms have worsened recently, it may be worth discussing with your doctor whether a change in medication or dosage might be beneficial.

• Musculoskeletal Pain: This is pain that affects the muscles, ligaments and tendons, and bones. The pain can be localized in one area, or widespread. It can be acute or chronic, and may be constant or intermittent. It can be provoked or unprovoked.

  • Treatment typically involves physical therapy, pain relievers, and sometimes surgery.

What you can do

1. Consult with your doctor: Given the recent increase in your anxiety and pain, it would be a good idea to consult with your doctor. They may want to adjust your medication or suggest other treatments.

2. Practice self-care: Regular exercise, a healthy diet, and adequate sleep can all help reduce anxiety and improve your overall well-being.

3. Seek support: Consider reaching out to a mental health professional who can provide strategies to manage anxiety. This could be a psychologist or a psychiatrist. Cognitive-behavioral therapy (CBT) has been shown to be very effective in managing anxiety.

4. Mindfulness and relaxation techniques: Techniques such as deep breathing, meditation, and yoga can help to reduce anxiety.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

• Severe chest pain or pressure, especially if it radiates to your arm, jaw, or back
• Shortness of breath
• Sudden, severe headache
• Fainting or loss of consciousness
• Sudden numbness or weakness on one side of your body

Remember, I'm an AI and this advice is based on the information you've provided. It's always a good idea to consult with a healthcare professional for an accurate diagnosis and treatment.