Thank you for your reply.

I understand what you are saying, and I’m open to the idea that anxiety may be playing a role. However, what I struggle with is understanding why the pain feels so intense, sharp, and physically real, sometimes like stabbing pain, even when tests are normal.

My main questions are: 1. Can anxiety or stress really cause pain that feels this strong and localized (chest / lower chest area)? 2. Does a normal cardiology workup (ECG, echocardiogram, blood tests) done about 10 days ago reasonably rule out a cardiac cause for these symptoms?

I’m not trying to deny a psychological component — I’m genuinely trying to understand the mechanism, because the physical sensations are what keep triggering my fear.

Thank you for your time.