[18M] With chest pains, palpitations, and shortness of breath post-vaping cessation

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

• Nicotine Withdrawal: Quitting vaping can lead to nicotine withdrawal, which can cause a variety of symptoms, including anxiety, irritability, difficulty concentrating, and physical symptoms like palpitations and chest discomfort.

  • Treatment: Nicotine replacement therapy (such as patches or gum) can help ease withdrawal symptoms. Over-the-counter medications for anxiety and stress management techniques, such as deep breathing exercises, can also be beneficial.

• Anxiety: The stress and anxiety from quitting vaping and worrying about your heart can manifest physically as palpitations, chest pain, and shortness of breath.

  • Treatment: Techniques such as mindfulness, meditation, and regular physical activity can help manage anxiety. In some cases, a healthcare provider may recommend therapy or medications.

• Heart-Related Issues: Given your family history of heart disease and past heart murmur, it is important to rule out any cardiac conditions. While your symptoms could be related to withdrawal or anxiety, they could also be indicative of an underlying heart issue.

  • Treatment: A healthcare provider may recommend an ECG (electrocardiogram), stress test, or other cardiac evaluations to rule out any serious conditions.

What you can do

1. Consult a Healthcare Provider: It's important to see a doctor to get a formal assessment and rule out any serious conditions. They can provide a proper diagnosis and recommend appropriate treatment.
2. Manage Stress and Anxiety: Practice stress-relieving techniques such as deep breathing exercises, meditation, and regular physical activity. Consider talking to a mental health professional if anxiety is significantly affecting your daily life.
3. Stay Hydrated and Eat Well: Maintain a balanced diet and stay hydrated to support your overall health.
4. Monitor Your Symptoms: Keep a diary of your symptoms, noting when they occur, their duration, and any potential triggers. This information can be helpful for your healthcare provider.

What you should look out for

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

• Severe or worsening chest pain
• Difficulty breathing or shortness of breath that doesn't improve with rest
• Fainting or near-fainting episodes
• Swelling in your legs or severe pain in your calves
• Any new or worsening symptoms

Remember, while I can provide information based on your symptoms, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment.