Help diagnose episodic chest tightness & palpitations

22/y/o with sudden feeling of tightness in chest, sweating, feeling of palpitations and dizziness. This happens in episodic form and has happened thrice in past 2 months. No h/o systemic diseases All his recent investigations including ECG, Echocardiography, Trop T, chest X-ray and blood investigations was carried out but came out to be normal. His Primary physician has said there is no cardiovascular or pulmonary abnormality. On examination BP-116/80 mm of hg Pulse - 72 bpm P/A abdomen soft & non tender but mild hepatomegaly Chest examination- Normal On auscultation S1-S2 normal, no murmurs What to do in such case? How to reach diagnosis? Can this be a psychosomatic issue, how to be sure?

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Yes ..needs counselling calmness symphony music... introvert ... pomegranates kalijeeri green leafy vegetables boiled diet alkaline diet...no sugar no nonveg diet no eggs no mushrooms no fried foods, citrus fruit, cherries berries apricots ginger sunshine walk prayers...to be happy..what are parents doing...

Thanks and Welcome Doctor
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रोगी सम्भवतः मानसिक तनाव से ग्रस्त है। चिकित्सा संबंधी योग,,,, तगर 50 ग्राम जटामांसी 25 ग्राम लेकर दोनों का पाउडर बनाकर 5 ग्राम सुबह-शाम खाने से पहले दें। अश्वगनंधारिष्ट द्राक्षासव दोनों को मिलाकर 25 ग्राम सुबह-शाम खाने के बाद दें। निश्चित रूप से लाभ होगा। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

aapki. sabhi. chikitsa. bht. achhi. aur. authentic. hoti. h. ...sir...... hmko. bht. kuch. sikhne. ko. milti. h....
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In my humble opinion, enquiring the situations when these symptoms are experienced. If we are able to correlate any theme across all the three situations, that can be taken as possible cause and accordingly we can proceed further. May be patient is experiencing from nervous or gastric causes.

Thank you Dr. @Shukla Vikram ji, @Dr. Jai Sharma
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Psychosomatic disorder. Counselling. Yogasanas Pranayamas Meditation Under Guidance Of Yogacharya Brahmi Vati Jatamansyadi Kwath Shankha Pushpi Syrup Ashwagandharishta.

Yes I agree with the answer of dr.Twara this case is of GASTRIC FLATULENCY.

may. be. its. due. to. any psychological condition.....fear, stress. etc

Yes it is due to some psychosomatic cause counseling and medicine help

Dear Dr. Amrit Tanwar, Advice for the case. Tab.Prbhakar Vati 1 tds.

Thanks @Dr. Twara Aashish
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Yes it could be psychosomatic disorder. Needs counselling.

Thanks@Dr. Twara Aashish ma'am.
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It might be due to the gastric Disturbunces...

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