[18F] Experiencing severe, sharp chest pain with difficulty breathing

Patient Description

An 18-year-old female is experiencing a severe, sharp, stabbing chest pain on the left side near the breast, which began while lying down in bed and has been present for approximately 10 minutes. The pain is rated 9 out of 10 in severity, does not radiate, and is not alleviated by any specific actions. The patient also reports difficulty breathing but no nausea, vomiting, or palpitations. She has no known pre-existing conditions or chronic illnesses, but she does have a history of vaping. The patient is currently on Depo-Provera and has no known drug allergies or adverse reactions to medications.

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Arora's Assessment

What might be happening

Given your symptoms of severe, sharp, and stabbing chest pain on the left side, along with difficulty breathing, there are several conditions that could be causing these symptoms:

  • Heart-related conditions: These could include angina, which is chest pain caused by reduced blood flow to the heart, or a heart attack, which occurs when blood flow to a part of your heart is blocked. The fact that you're experiencing severe chest pain and difficulty breathing is concerning and requires immediate medical attention.

  • Lung conditions: Given your history of severe asthma and current vaping habit, it's possible that your symptoms could be related to a lung condition such as an asthma attack, pneumonia, or a pneumothorax (collapsed lung).

  • Panic attack or anxiety: Sometimes, severe anxiety or a panic attack can cause symptoms similar to what you're experiencing. However, it's important to rule out more serious conditions first.

What you can do

Given the severity of your symptoms, it's important that you seek immediate medical attention. Please call 911 or go to the nearest emergency room right away. Do not attempt to drive yourself.

What you should look out for

If you experience any of the following symptoms, it's important that you seek immediate medical attention:

  • Increased difficulty breathing
  • Fainting or feeling like you're going to pass out
  • Increased chest pain
  • Sweating or feeling clammy
  • Nausea or vomiting

Please remember that while I strive to provide accurate information, I'm not a doctor. It's important that you seek care from a healthcare professional to receive a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are the potential causes of sharp, stabbing chest pain in young adults?

Sharp, stabbing chest pain in young adults can be caused by a variety of conditions, including heart-related issues like angina or a heart attack, lung conditions such as asthma attacks, pneumonia, or pneumothorax, and even anxiety or panic attacks. It's crucial to seek medical evaluation to determine the exact cause.


Can vaping contribute to lung-related issues that cause chest pain?

Yes, vaping can contribute to lung-related issues that may cause chest pain. Vaping has been associated with lung inflammation and other respiratory problems, which can lead to symptoms like chest pain and difficulty breathing.


How can one differentiate between a heart-related issue and a panic attack when experiencing chest pain?

Differentiating between a heart-related issue and a panic attack can be challenging, as both can present with chest pain and difficulty breathing. Heart-related issues often come with additional symptoms like sweating, nausea, or pain radiating to other areas, while panic attacks may include feelings of intense fear or anxiety. Medical evaluation is necessary to accurately diagnose the cause.


What immediate actions should be taken if someone experiences severe chest pain and difficulty breathing?

If someone experiences severe chest pain and difficulty breathing, they should seek immediate medical attention by calling emergency services or going to the nearest emergency room. It's important not to drive oneself and to get professional help as soon as possible to rule out life-threatening conditions.


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