[18F] Experiencing severe chest and back pain with breathing difficulty

What might be happening

Based on the information you've provided, here are a few possibilities:

• Costochondritis: This is an inflammation of the cartilage in your rib cage, specifically where the upper ribs attach to the breastbone, or sternum. This condition often causes localized chest pain that you can reproduce by pushing on the cartilage in the front of your ribcage. Costochondritis is a common cause of chest pain in young adults.

  • Treatment typically involves over-the-counter pain relievers such as ibuprofen or naproxen. Rest and heat applied to the area may also help.

• Musculoskeletal pain: This is pain that affects the muscles, ligaments and tendons, and bones. The symptoms you describe may be due to a strain or inflammation in the muscles and ligaments of the chest, possibly due to overuse or minor injury.

  • Treatment usually involves rest, ice or heat, and over-the-counter pain relievers.

• Anxiety or panic attack: These can cause symptoms such as chest pain, shortness of breath, and a feeling of tightness or pressure in the chest.

  • Treatment involves psychological therapy and, if necessary, medications to manage anxiety.

It's important to note that chest pain can sometimes indicate serious conditions, such as heart disease. However, given your age and description of the pain, these are less likely.

What you can do

You should definitely consult a healthcare professional who can evaluate your symptoms more thoroughly. In the meantime, here are some things you can do:

1. Try taking over-the-counter pain medication, like ibuprofen, to see if it helps with your pain.
2. Rest and avoid physical activities that may worsen your pain.
3. Practice deep breathing and relaxation techniques, which may help if the pain is related to anxiety.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

• Severe chest pain
• Chest pain accompanied by shortness of breath, dizziness, and/or fainting
• Chest pain that spreads to your jaw, left arm, or back
• Chest pain that gets worse with exertion
• Chest pain accompanied by nausea, sweating, or a feeling of impending doom

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.