[18M] Experiencing chest discomfort and palpitations

Patient Description

An 18-year-old male reports continuous pain in the lower left pectoral region and left armpit, described as muscle soreness, persisting for approximately two weeks with a pain severity of 3 out of 10. Additionally, the patient experiences a weird feeling around the heart area of the chest, palpitations, and chest pressure or tightness. The pain is mainly localized to one area and does not change with movement or pressure. There are no other associated symptoms, no recent injuries, and no history of similar episodes. The patient has no known allergies or adverse reactions to medications and no pre-existing conditions or chronic illnesses. The only medication currently being taken is Adderall. No dizziness or fainting has been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Musculoskeletal Pain: This is pain that affects the muscles, ligaments and tendons, and bones. The pain can be localized in one area, and can sometimes feel like a deep ache or a sharp pain. It can be caused by an injury, overuse, or strain.

    • Treatment often involves rest, ice, compression, and elevation (RICE). Over-the-counter pain relievers may also help.
  • Anxiety or Panic Disorder: Anxiety can cause physical symptoms like pain, a pounding heart or palpitations, and a feeling of tightness or pressure in the chest. The fact that you're taking Adderall, which can sometimes cause or worsen anxiety, makes this a possibility.

    • Treatment often involves a combination of therapy, lifestyle changes, and medication.
  • Heart Conditions: Although less likely in someone of your age and reported health, symptoms such as chest pain and palpitations should not be ignored as they can sometimes indicate a heart condition.

    • Treatment depends on the specific condition, but may involve medication, lifestyle changes, or in more serious cases, surgery.

Please note that while these are possible conditions that match your symptoms, only a healthcare professional can provide a definitive diagnosis.

What you can do

  1. Try rest, ice, compression, and elevation (RICE) to see if this helps with your pain.
  2. Monitor your symptoms closely. If they worsen or you develop new symptoms, seek medical attention immediately.
  3. Avoid caffeine and other stimulants, as these can sometimes worsen symptoms like palpitations.
  4. Practice stress management techniques, such as deep breathing, meditation, and yoga, to see if these help with your symptoms.

What you should look out for

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

  • Severe chest pain
  • Trouble breathing
  • Fainting
  • Severe palpitations or a racing heart
  • Symptoms that are not relieved with rest or over-the-counter pain relievers

Remember, I'm an AI and this advice is not a substitute for professional medical advice. You should reach out to a healthcare provider for a definitive diagnosis and treatment.

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11 mo ago

People Also Ask


What are common causes of chest pain in young adults?

Common causes of chest pain in young adults include musculoskeletal pain, anxiety or panic disorders, and less commonly, heart conditions. Musculoskeletal pain can result from strain or overuse, while anxiety can cause symptoms like palpitations and chest tightness.


Can Adderall cause chest pain or palpitations?

Yes, Adderall can cause side effects such as increased heart rate, palpitations, and sometimes chest pain. It can also exacerbate anxiety, which may contribute to these symptoms.


How can anxiety manifest as physical symptoms like chest tightness?

Anxiety can cause physical symptoms due to the body's 'fight or flight' response, which can lead to increased heart rate, palpitations, and a feeling of tightness or pressure in the chest. These symptoms are often mistaken for heart-related issues.


When should I seek medical attention for chest pain?

You should seek medical attention for chest pain if it is severe, accompanied by trouble breathing, fainting, severe palpitations, or if it does not improve with rest or over-the-counter pain relievers. Immediate attention is crucial if these symptoms occur.


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