[18F] Experiencing upper back and rib pain with occasional sternum discomfort

What might be happening

Based on the information you have provided, possible diagnoses include:

• Musculoskeletal Strain: This is a common cause of back and rib pain, especially if the pain is worsened by certain movements or positions. It often resolves with rest, over-the-counter pain relievers, and gentle stretching exercises.

  • Treatment typically involves rest, over-the-counter pain relievers, and gentle stretching exercises.

• Costochondritis: This is inflammation of the cartilage that connects a rib to the breastbone (sternum) — a junction known as the costosternal joint. Pain caused by costochondritis might mimic that of a heart attack or other heart conditions.

  • Treatment typically involves rest, over-the-counter pain relievers, and heat or cold to the affected area.

• Gastroesophageal Reflux Disease (GERD): This is a chronic condition where 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 medications. In some cases, prescription medications or surgery might be needed.

• Anxiety: Anxiety can cause a variety of physical symptoms, including chest pain, rapid heart rate, and gastrointestinal symptoms. Given your history of anxiety, it is possible that some of your symptoms could be related to this.

  • Treatment typically involves a combination of therapy, lifestyle changes, and medication.

Please note that 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

1. Rest and avoid activities that make your pain worse.
2. Over-the-counter pain relievers such as ibuprofen or acetaminophen can help with pain.
3. Applying a warm compress or a heating pad to the affected area may also help.
4. If your symptoms are related to anxiety, practicing stress management techniques such as deep breathing, meditation, and yoga may be beneficial.
5. If you suspect GERD, try to avoid foods that trigger heartburn (like spicy or fatty foods), don't lie down immediately after eating, and consider trying over-the-counter antacids.

What you should look out for

Please seek immediate medical attention if you experience:

• Severe chest pain or pressure, especially if it radiates to your arm, jaw, or back
• Shortness of breath
• Sweating
• Nausea or vomiting
• Dizziness or fainting
• These could be signs of a serious condition, such as a heart attack.

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 accurate information.