[18F] Experiencing chest discomfort and left arm pain

Patient Description

An 18-year-old female has been experiencing a squeezing pressure-like discomfort in the left hand near the chest region for about a week, with a severity of 5 out of 10. The pain worsens with certain movements and is relieved by rest. Shortness of breath is present to a small extent, and the pain radiates to the left arm. There is no associated nausea or sweating. The patient has a family history of heart disease but no personal history of chronic illnesses or pre-existing conditions. She is currently taking a B complex supplement and has no known drug allergies or adverse reactions to medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, potential causes for your symptoms could include:

  • Musculoskeletal Pain: This is pain that affects the muscles, ligaments and tendons, and bones. The discomfort in your left hand and chest region could be due to overuse, strain, or minor injury.

    • Treatment typically involves rest, ice, compression, and elevation (RICE). Over-the-counter pain relievers might be helpful.
  • Angina: This is chest pain or discomfort caused when your heart muscle doesn't get enough oxygen-rich blood. It often feels like pressure or squeezing in your chest. Angina can also cause discomfort in your shoulders, arms, neck, jaw, or back.

    • Treatment involves medication, lifestyle changes, and sometimes, surgery.
  • Heart Attack: Some of your symptoms like chest discomfort, shortness of breath, and discomfort radiating to your left arm are concerning for a heart attack. However, heart attacks are extremely rare in people your age, especially without risk factors.

    • Treatment involves immediate emergency medical care.
  • Anxiety: Sometimes, anxiety can cause physical symptoms like chest pain and shortness of breath.

    • Treatment involves psychological therapy, medication, and lifestyle changes.

What you can do

Given the potential seriousness of some of these conditions, it's important that you seek medical attention immediately. While waiting for medical help:

  1. Try to stay calm. Sit down and rest.
  2. If the pain is severe or doesn't go away with rest, call your local emergency number.
  3. If you have been prescribed nitroglycerin for angina, take it as directed by your doctor.

What you should look out for

Seek immediate medical help if:

  • Your chest pain becomes severe or lasts more than a few minutes.
  • You have shortness of breath, nausea, or lightheadedness.
  • You have a sudden cold sweat or feel faint.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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1 yr ago

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People Also Ask


What are the common causes of chest pain in young adults?

Common causes of chest pain in young adults include musculoskeletal issues, anxiety, gastrointestinal problems, and, less commonly, heart-related issues like angina or heart attack.


How can I differentiate between musculoskeletal pain and heart-related pain?

Musculoskeletal pain often worsens with movement and improves with rest, while heart-related pain may be accompanied by symptoms like shortness of breath, nausea, or pain radiating to other areas. However, it's important to consult a healthcare provider for an accurate diagnosis.


What lifestyle changes can help reduce the risk of heart disease?

Lifestyle changes to reduce the risk of heart disease include maintaining a healthy diet, regular exercise, avoiding smoking, managing stress, and keeping blood pressure and cholesterol levels in check.


When should I seek emergency medical attention for chest pain?

Seek emergency medical attention if chest pain is severe, lasts more than a few minutes, is accompanied by shortness of breath, nausea, lightheadedness, or a cold sweat, or if you feel faint.


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