instruction: hello doctor I have been to four different hospitals over within a year multiple times due to health anxiety and fear of heart failure heart attack etc I am dealing with a lot of muscle tension all my muscles are tight and I am always checking my heart rate constantly for some reason at times like standing walking or in the shower my heart feels like it is beating harder than normal and faster at times I am not sure if a tight chest makes heart beats feel more intense or if there is a problem I have had ekg chest rays and blood work to rule out serious heart conditions everything was fine except blood pressure I have been really stressed scared and constantly on edge so they think my blood pressure is due to stress as I was having a panic attack when it was taken and when I was relaxed it started going down I am extremely scared to do anything because my chest neck and back is so tight and when I feel my heart beat fast things get tighter spasm and lock up what is going on what is the remedy to this is this really anxiety can the muscle tension make my heartbeat feel stronger than normal
output: hello your symptoms seem to be due to anxiety if all your workup is normal there is nothing to worry about I advise you to eat healthily avoid fast foods alcohol etc do regular exercise flush all the worries out of your life there is nothing to worry about always chill you have your life and you have to make full of it always care for life as it is precious so you are too take part in healthy activities if these measures does not solve the problem pay a visit to the psychologist in my opinion you are fit and healthy and nothing to worry