[18F] Experiencing sharp, stabbing chest pain

Patient Description

An 18-year-old female reports a sharp, stabbing pain in the middle of the chest that has persisted throughout the day. The pain, rated as a 5 on a scale of 1-10, worsens with deep breathing but eases when the patient is relaxed. There are no other accompanying symptoms except for occasional shortness of breath on different days. The patient denies any recent cough, hemoptysis, chest injury, or known clotting disorders. The pain is localized and does not radiate.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Costochondritis: This is an inflammation of the cartilage in the rib cage. It usually occurs after heavy lifting or strenuous exercise, and can feel like a heart attack. The pain is often worse when taking a deep breath or coughing.

    • Treatment typically involves rest, heat or cold to the affected area, and over-the-counter pain relievers.
  • Pleurisy: This is inflammation of the tissues that line the lungs and chest cavity. It can cause sharp chest pain that worsens during breathing.

    • Treatment depends on the underlying cause. It can range from medication to, in severe cases, surgery.
  • Anxiety or Panic Attack: Sometimes, anxiety and panic attacks can cause chest pain and discomfort. This is often accompanied by rapid heart rate, shortness of breath, and a feeling of fear or dread.

    • Treatment typically involves psychological therapy and, in some cases, medication.

Remember, these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  • If the pain is severe or doesn't improve, seek immediate medical attention.
  • Try to rest and avoid activities that make your symptoms worse.
  • Over-the-counter pain relievers may help, but it's best to consult with a healthcare provider before starting any new medication.
  • If your symptoms are caused by anxiety or stress, relaxation techniques such as deep breathing, meditation, and yoga may help.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe chest pain
  • Chest pain that spreads to your jaw, left arm, or back
  • Chest pain that comes with shortness of breath, sweating, dizziness, or nausea
  • Fast or irregular pulse, or a feeling of heart racing
  • Confusion or faintness
  • Very low blood pressure or very high heart rate

Remember, I'm an AI and this advice is based on the information you've provided. It's always best to consult with a healthcare provider for an accurate diagnosis.

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10 mo ago

People Also Ask


What is costochondritis and how is it treated?

Costochondritis is an inflammation of the cartilage in the rib cage, often causing sharp chest pain that worsens with deep breathing or coughing. Treatment typically involves rest, applying heat or cold to the affected area, and taking over-the-counter pain relievers.


What are the symptoms and treatment options for pleurisy?

Pleurisy is an inflammation of the tissues lining the lungs and chest cavity, causing sharp chest pain that worsens during breathing. Treatment depends on the underlying cause and can range from medication to surgery in severe cases.


Can anxiety or panic attacks cause chest pain?

Yes, anxiety and panic attacks can cause chest pain and discomfort, often accompanied by a rapid heart rate, shortness of breath, and a feeling of fear or dread. Treatment usually involves psychological therapy and sometimes medication.


When should I seek immediate medical attention for chest pain?

Seek immediate medical attention if you experience severe chest pain, pain that spreads to your jaw, left arm, or back, chest pain with shortness of breath, sweating, dizziness, or nausea, a fast or irregular pulse, confusion, faintness, very low blood pressure, or a very high heart rate.


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