[19F] Experiencing chest pain and respiratory symptoms

Patient Description

A 19-year-old female presents with a 3-day history of constant, moderate chest pain described as a dull ache in the middle of the chest, which worsens with walking and is exacerbated by pressure on the area. She also reports a moderate dry cough and constant shortness of breath for the past 2 days, rated 5/10 in severity, which she has experienced before. The patient reports fatigue and lightheadedness but denies any relief from the chest pain or associated fever or chills. There is no mention of any pre-existing conditions, medications, or other symptoms.

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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:

  • Costochondritis: This is an inflammation of the cartilage in the rib cage. It usually occurs after heavy lifting or strenuous exercise, and can cause chest pain that worsens when you press on the affected area or when you take a deep breath or cough.

    • Treatment typically involves rest, avoiding activities that make your pain worse, and over-the-counter pain relievers.
  • Pneumonia: This is an infection that inflames the air sacs in one or both lungs. Symptoms can range from mild to severe and may include chest pain, cough, fatigue, and shortness of breath.

    • Treatment typically involves antibiotics, rest, and drinking plenty of fluids.
  • Anxiety: This is a mental health disorder characterized by feelings of worry, anxiety, or fear that are strong enough to interfere with one's daily activities. Symptoms include fatigue, experiencing trouble sleeping, and physical symptoms such as chest pain, rapid heart rate, rapid breathing, or increased sweating.

    • Treatment typically involves psychotherapy (talk therapy), medications, or both.

What you can do

You should seek immediate medical attention given your symptoms of chest pain and shortness of breath. These symptoms could indicate a serious condition such as heart disease, even though this is less common in people your age.

In the meantime, try to rest and avoid activities that make your symptoms worse. Over-the-counter pain relievers can help with the chest pain, but they are not a substitute for seeking medical attention.

What you should look out for

Seek immediate medical attention if your chest pain or shortness of breath becomes severe, if you start to feel lightheaded or faint, or if you develop other symptoms such as a fever, coughing up blood, or a bluish color in your lips or face.

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 appropriate examination, testing, and care recommendations.

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11 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 chest pain that worsens with pressure or movement. Treatment typically involves rest, avoiding activities that exacerbate the pain, and using over-the-counter pain relievers.


What are the common symptoms of pneumonia?

Common symptoms of pneumonia include chest pain, cough, fatigue, shortness of breath, fever, and chills. It is an infection that inflames the air sacs in the lungs.


Can anxiety cause physical symptoms like chest pain?

Yes, anxiety can cause physical symptoms such as chest pain, rapid heart rate, rapid breathing, and increased sweating. It is a mental health disorder that can significantly impact daily activities.


When should I seek medical attention for chest pain and shortness of breath?

You should seek immediate medical attention if your chest pain or shortness of breath becomes severe, if you feel lightheaded or faint, or if you develop symptoms like a fever, coughing up blood, or a bluish color in your lips or face.


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