[19F] Experiencing chest pain with tingling sensations

Patient Description

A 19-year-old female presents with a sharp, aching pain in the deep center of the chest, described as constant and with a severity of 3-4 on a 10-point scale. The pain has been present for a few hours and started gradually. Alongside the chest pain, the patient experiences a sensation of tightness without any specific activities or movements that exacerbate it. Additionally, the patient reports a 'flustered face' with a pins and needles sensation, sweating, and heat in the face, which has been occurring for a few hours. The patient also notes tingling sensations in the arms and neck but denies any shortness of breath, pain radiating to the arm, shoulder, neck, or jaw, and any significant past medical history. There is a slight feeling of dizziness but no lightheadedness or difficulty breathing.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Anxiety or Panic Disorder: These conditions can cause symptoms like chest pain, heart palpitations, tingling in the face and arms, and feeling flustered or hot. The pain from anxiety is often described as a sharp ache that can move around the chest.

    • Treatment typically involves cognitive-behavioral therapy and sometimes medication.
  • Costochondritis: This is an inflammation of the cartilage in the rib cage. It can cause chest pain that may be worsened by physical activity or deep breathing.

    • Treatment usually involves rest, physical therapy, and nonsteroidal anti-inflammatory drugs (NSAIDs).
  • Heart conditions: While less common in young people, certain heart conditions can cause chest pain, palpitations, and other symptoms. It's important to rule these out.

    • Treatment depends on the specific condition, but may involve medication, lifestyle changes, or sometimes surgery.

What you can do

Given your symptoms, it's important to seek medical attention. While your symptoms may be due to a non-life-threatening condition such as anxiety, it's important to rule out more serious conditions, especially because you're experiencing chest pain.

In the meantime, here are some things you can do:

  1. Try to stay calm. Deep, slow breathing can help reduce anxiety and may help with your symptoms.
  2. Avoid physical exertion until you've been evaluated by a healthcare professional.
  3. If your symptoms worsen or you start to experience severe chest pain, shortness of breath, or fainting, seek emergency medical attention immediately.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe chest pain
  • Shortness of breath
  • Fainting or severe dizziness
  • Pain that spreads to the arm, neck, jaw, or back
  • Nausea or vomiting
  • Sweating

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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10 mo ago

People Also Ask


What are the common symptoms of anxiety or panic disorder?

Common symptoms of anxiety or panic disorder include chest pain, heart palpitations, tingling sensations, sweating, dizziness, and a feeling of impending doom. These symptoms can vary in intensity and duration.


How is costochondritis diagnosed and treated?

Costochondritis is typically diagnosed through a physical examination and by ruling out other conditions. Treatment often involves rest, physical therapy, and NSAIDs to reduce inflammation and pain.


What heart conditions could cause chest pain in young adults?

Heart conditions that could cause chest pain in young adults include pericarditis, myocarditis, and less commonly, congenital heart defects or arrhythmias. It's important to have these conditions evaluated by a healthcare professional.


When should I seek emergency medical attention for chest pain?

You should seek emergency medical attention for chest pain if you experience severe pain, shortness of breath, fainting, pain spreading to the arm, neck, jaw, or back, nausea, or excessive sweating.


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