[18F] Experiencing dull chest pain associated with vaping

Patient Description

An 18-year-old female reports experiencing a dull chest pain located between the breasts for the past two weeks. The pain is rated as a 2 on a scale of 1-10 and is described as intermittent, sometimes lasting the entire day or coming and going. It is exacerbated by walking and possibly by sitting, as it sometimes radiates to the back. The pain occurs after using a vaping device without eating and is accompanied by shortness of breath. There is no localized tenderness upon palpation. The patient does not report any other associated symptoms such as cough, dizziness, or palpitations (heartbeats that suddenly become more noticeable). No other medical history or symptoms were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possible explanations for your symptoms:

  • Gastritis: This is inflammation of the stomach lining, which can cause a dull chest pain. It can be triggered by smoking or vaping, especially on an empty stomach.

    • Treatment typically involves lifestyle changes, such as eating smaller, more frequent meals, avoiding irritating substances (like nicotine), and taking over-the-counter antacids.

  • Gastroesophageal Reflux Disease (GERD): This condition occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus and cause chest pain.

    • Treatment typically involves lifestyle changes and over-the-counter medication. If these don't help, a doctor may prescribe stronger medication or recommend surgery.

  • Vaping-Associated Lung Injury: This is a condition associated with the use of e-cigarette, or vaping, products. It can cause chest pain and shortness of breath.

    • Treatment involves stopping the use of vaping products and seeking medical attention.

Please remember that these are just possibilities and not a definitive diagnosis. You should consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Stop vaping: Given that your symptoms seem to be associated with vaping, especially on an empty stomach, it would be beneficial to stop this habit. Vaping can cause a variety of health problems.

  2. Over-the-counter medication: If your pain is related to gastritis or GERD, over-the-counter antacids or acid reducers may help.

  3. Lifestyle changes: Eating smaller, more frequent meals and avoiding food and drinks that can trigger reflux (such as fatty foods, alcohol, and caffeine) can help manage symptoms of GERD.

What you should look out for

If your symptoms worsen or if you experience any of the following, seek medical attention immediately:

  • Severe chest pain or pressure, especially if it radiates to your jaw, neck or arm
  • Shortness of breath or difficulty breathing
  • Symptoms of shock, such as cold and sweaty skin, irregular heart rate, and rapid breathing
  • Vomiting blood or having black, tarry bowel movements

Remember, it's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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11 mo ago

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People Also Ask

What are the common symptoms of gastritis and how can it be treated?

Common symptoms of gastritis include a burning or gnawing feeling in the stomach, nausea, vomiting, and a feeling of fullness in the upper abdomen after eating. Treatment often involves lifestyle changes, such as avoiding irritating substances like nicotine, eating smaller meals, and using over-the-counter antacids.

How does GERD cause chest pain and what are the treatment options?

GERD causes chest pain due to acid reflux, where stomach acid irritates the esophagus. Treatment options include lifestyle changes, such as avoiding trigger foods and eating smaller meals, as well as over-the-counter medications like antacids. In severe cases, prescription medications or surgery may be necessary.

What is vaping-associated lung injury and what symptoms should I watch for?

Vaping-associated lung injury is a condition linked to the use of e-cigarettes or vaping products. Symptoms include chest pain, shortness of breath, and coughing. If you experience these symptoms, especially if they worsen, it's important to stop vaping and seek medical attention.

What lifestyle changes can help manage symptoms of GERD or gastritis?

To manage symptoms of GERD or gastritis, consider eating smaller, more frequent meals, avoiding foods and drinks that trigger reflux (such as fatty foods, alcohol, and caffeine), and quitting smoking or vaping. Maintaining a healthy weight and avoiding lying down immediately after eating can also help.

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