Anxiety, Stress and left hypochandrium pain - #23102
I have a history of stress and anxiety had 3 panic attacks from last 1 year and from 10 months I feel left hypochandrium pain that radiates to upper chest and same area back and pain near collarbone and it passes to left hand arm pain all these symptoms come and go and I don't know I feel nervous visited to cardiologist, neurologist, orthopedic, general medicine, and done all heart tests all are normal dont know why this happening to me and please show me any solution
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Doctors’ responses
Take Manasmitra gulikam 1-0-1 after food with water Mentat-DS syrup 2tsp twice daily after food with water Along with medicine you need to - learn Rajyoga meditation and practice daily - Do pranamyam daily lom -vilom bhastrika bhamri 5-10mins. Light massage on scalp twice weekly with Brahmi oil at bedtime. Nasya with Brahmi grith 2 drops in both nostril once daily Apply mahanarayan oil on upper body area before bath
Dear Nikhil
Thank you for sharing your health concern I truly understand how frustrating it can be when the body shows symptoms, but all medical reports come back normal
According to Ayurvedic point of view your symptoms suggest an imbalance in VATA DOSHA Especially Udana vata (nervous system, chest)and prana vata(mind, and emotions), This can create chest tightness, radiating pain, and anxiety like sensation
These are often psychosomatic symptoms were long-standing, anxiety, overthinking, and stress, emotional stress, manifest physically
Ayurvedic treatment
Dashamoola kwath + Medha kwath+
Mixed together, 1 teaspoon in 400 ML water boil until it remains hundred ML filter and drink twice daily on empty stomach Medha vati-1 tablet, twice after food with water Saraswathi aristha- 4 teaspoon with equal quantity of water twice daily after food Triphala churna- 1 teaspoon with warm water at night
Start slow, deep breathing daily for 10 minutes Avoid coffee, tea, excessive screen time, and late night Include warm nourishing foods and reduce cold and dry foods
You are not alone in this, and your body is simply asking for a reset, both mentally and physically with Patient and right support you can come out of this cycle naturally ….
HELLO V S NIKHIL BHARADWAJ,
likely ayurvedic diagnosis - -chittodvega(anxiety disorder) -vata pitta dushti -annavaha srotas vicar with vyana vata imbalance -mansagata vata or avaranjanya pain pattern-referred pain to chest/arms/shoulder
PROBABLE CAUSES -chronic stress and overthinking -improper digestion leading to gas/pressure -muscular strain-possibly aggravated by anxiety -pranavaha srotas vitiation-breath/nerve pathways blocked
MEDICINES
1)FOR ANXIETY, PANIC AND NERVE STABILITY -Manasamitra vatakam- AVN OR ARYA VAIDYA SALA BRAND- 1 tab twice daily with warm water -Sarpagandha vati(badiyanath)- 1 tab at night for calming vata and mind
2)FOR VATA-PIITA PAIN(left hypochondrium, chest, radiating) -DHANWANTARAM KASHAYA(kottakal)- 15 m with warm water before food twice a day -MAHASUDARSHAN GHANVATI(ZANDU)- if mild ferishor pitta spikes with pain- 1tab twice daily
3)FOR DIGESTION AND GAS INDUCED REFERRED PAIN -HINGWASTAKA CHURNA(baidyanath)- 1 tsp with ghee before meals -AVIPATTIKAR CHURNA(dootapapeshwar)- 1 tsp at night if acidity is present
LIFESTYLE -strict meal timings, light digestible food -avoid fermented, cold items -warm water sips, no cold drinks -daily 15 min bhramari+anulom vilom pranayam -avoid screen before bed and heavy mews/content
thank you
DR.HEMANSHU MEHTA
Take Alserex tab 1-0-1 Bramhi Vati 1-0-1 Avoid spicy food Practice bhramari pranayama and anulom vilom regularly
🍀 practice pranayama and breathing exercise
🍀 Practice meditation
🍀 Walking
🍀 Read good books
🍀 Hearing music
🌸 Avoid food which is spicy, masala, sour, junk foods, fast foods, oily
Treatments
🌸 Pada abhyanga ( mild oil massage)
🌸 Brahmi drakshadi kashayam - 15ml with boiled hot water morning and evening before food (empty stomach)
🌸 Kalyanakam ghritam - 10 ml with milk at bed time
🌸 Manasamithram gulika - 0 - 0 - 1 with milk after food
🌸 Siro abhyangam - ( head massage) - Brahmi tailam ( nagarjuna)
🌸 khirabala (101) 5ml with milk in morning after food
To reduce the stress and anxiety strat doing yoga start with simple Surya namaskar daily Do pranayama atleast 15 mins daily Start chanting your ishta devata mantra daily Take brahmi grita 1tsp with milk Manasamitra vati 1 bd after food Do head massage with himasagara tail on alternate days Do foot massage with mahanarayana taila daily before sleep If possible visit the nearby panchakarma centre and take one course shirodhara or shirobasti
HELLO V S NIKHIL BHARADWAJ,
based on your description, this seems like a classic case of Psychosomatic manifestation- where chronic stress and anxiety may be presenting as physical symptoms-like pain, tightness and radiating sensation particularly In the left hypochondriac, chest, shoulder and arm. All investigations being normal confirms no structural or cardiac cause, which further support diagnosis.
MODERN VIEW- these are signs of health anxiety and somatisation, where stress affects the nervous system and manifests as real physical discomfort (not imagined). panic attacks also reinforce body vigilance.
AYURVEDIC VIEW- imbalance in vata(prana+udana subtypes) leads to anxiety, chest tightness, palpitations, and shooting pain. -vyana vata imbalance can lead to pain radiating to limbs and areas like the collarbone. -sadhakpitta aggravation - related to emotional processing in the heart and samana vata- in the left hypochondrium may also be involved
1)MEDICINAL SUPPORT -SARASWARISTA+ASHWAGANDHARISTA- 10 ml each with 45 ml water after lunch and dinner= calms anxiety, regulates vata
-MANASITRA VATAKAM- 1 tab at bedtime with warm milk/water= for panic, and sleep
-BRAHMI VATI(GOLD OR PLAIN)- 1 tab morning empty stomach improves memory, clarity, and reduces nervousness
-MAHATVAT VIDHWANSAK RAS- 125 mg twice a day with honey= vata shaman, radiating pain
#DIET RECOMMENDATIONS -warm, easily digestible food -moongdal khichdi, ghee, cooked vegetables AVOID- cold fppd, spicy items, tea/coffee, junk food, late dinners -use ajwain+rock salt in warm water post meals-1 pinch to reduce gut gas
#LIFESTYLE AND YOGA
DAILY MORNING ROUTINE -oil massage with warm sesame oil before bath -nasya- instil 2 drops of Anutaila in each nostril early morning
YOGA/PRANAYAM-30 MIN DAILY -bhramari- for anxiety -anulom vilom - to balance vata -shavasana- after yoga to reset the nervous system
MENTAL AND EMOTIONAL HEALING -counseling and mindfulness based therapy- if available talk therapy helps resolve subconscious fears and body anxiety -JAPA OR CHANTING- daily mantra chanting like om namah shivay or Gayatri mantra - calms the mind and stabilised vata.
HOPE THIS MIGHT BE HELPFULL
DO FOLLOW
THANK YOU
DR. MAITRI ACHARYA
Understanding the symptoms you’ve described, it seems like they might be related to an imbalance in your Vata dosha, which governs movement and activity in Ayurvedic principles. Anxiety and stress often aggravate Vata, leading to physical manifestations like pain. But before anything else, it’s reassuring that you’ve gone through an array of tests with specialists, ruling out immediate serious conditions.
To tackle the root of this with Ayurveda, we ought to focus on calming Vata and balancing your overall system. Here are some steps you might consider:
Daily routine, or dinacharya, is essential. Try waking up early, ideally before 6 AM. Establish a calm morning ritual with meditation or deep breathing. Even just 10-15 minutes it can help set a peaceful tone for the day.
Your diet can play a crucial role in managing symptoms. Lean towards warm, moist, and grounding foods—think cooked vegetables, rice, and soups. Avoid caffeine, cold items, and overly spicy foods as these can aggravate Vata. Incorporating herbs like Ashwagandha might provide a boost too, as it’s known for its grounding and nourishing properties.
Don’t underestimate the power of Abhyanga, or self-oil massage. Using warm sesame oil before your bath can be soothing for your nervous system. Massage gently over your whole body, paying attention to areas of tension.
Yoga could be another useful approach. Focus on gentle poses like forward bends and twists that help to calm the mind and ease tension in the body. Practice Savasana for relaxation, and consider adding Pranayama like Nadi Shodhana (alternate nostril breathing) to balance energies.
Lastly, ensure you get adequate rest. Sleep is the body’s natural way of calming Vata, so aim for 7-8 hours of quality rest each night.
If symptoms persist or escalate, it’s important to consult with a healthcare professional once more; though Ayurveda offers great support, it’s not a substitute for necessary medical intervention.

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