[18F] Experiencing throat and chest tightness

Patient Description

An 18-year-old female is reporting a sensation of tightness in the throat and chest, described as a knot in the chest, which began suddenly while at rest approximately 10 minutes ago. The patient also mentions feeling anxious without a clear cause. There has been no relief from the symptoms thus far. No additional context or triggers were identified prior to the onset of symptoms.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Panic Attack: This is a type of anxiety disorder characterized by episodes of intense fear or discomfort that peak within minutes. Symptoms can include a feeling of impending doom, shortness of breath, chest pain, and a feeling of choking or throat tightness.

    • Treatment typically involves cognitive behavioral therapy and, in some cases, medication.
  • Gastroesophageal Reflux Disease (GERD): This is a digestive disorder that occurs when acidic stomach juices, or food and fluids back up from the stomach into the esophagus. It can cause a burning sensation in your chest (heartburn), as well as a feeling of a lump in your throat.

    • Treatment typically involves lifestyle changes and over-the-counter medications.
  • Hyperventilation Syndrome: This is a condition in which you start to breathe very quickly. Symptoms can include lightheadedness, a feeling of tightness in the chest, and a feeling of suffocation or throat tightness.

    • Treatment typically involves learning to control your breathing.

Please note that these are possibilities based on the information you've provided and are not definitive diagnoses. You should seek care from a healthcare professional to receive a formal diagnosis and treatment.

What you can do

  1. Try to stay calm and take slow, deep breaths. This can help if you're experiencing a panic attack or hyperventilation.
  2. Avoid foods and drinks that can trigger heartburn, such as fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine. This can help if you're experiencing GERD.
  3. Over-the-counter antacids can help neutralize stomach acid and provide quick relief from GERD symptoms.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms persist or worsen
  • You experience severe chest pain or pressure
  • You have difficulty breathing
  • You feel faint, dizzy, or lightheaded
  • You have difficulty swallowing
  • You vomit blood or have bloody or black stools

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

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10 mo ago

People Also Ask


What are the common symptoms of a panic attack?

Common symptoms of a panic attack include a sudden feeling of intense fear or discomfort, heart palpitations, sweating, trembling, shortness of breath, a feeling of choking, chest pain, nausea, dizziness, and a fear of losing control or dying.


How can I differentiate between GERD and a panic attack?

GERD typically causes a burning sensation in the chest (heartburn) and a feeling of a lump in the throat, often related to eating or lying down. A panic attack, on the other hand, involves sudden intense fear, chest pain, and difficulty breathing, often without a clear trigger. Consulting a healthcare professional can help differentiate between the two.


What are some effective ways to manage hyperventilation syndrome?

Managing hyperventilation syndrome involves learning to control your breathing. Techniques include slow, deep breathing exercises, breathing into a paper bag, and practicing relaxation techniques such as meditation or yoga.


When should I seek medical attention for chest tightness?

You should seek medical attention for chest tightness if the symptoms persist or worsen, if you experience severe chest pain or pressure, difficulty breathing, faintness, dizziness, difficulty swallowing, or if you vomit blood or have bloody or black stools.


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