[19M] With dull chest pain for 2 weeks

Patient Description

A 19-year-old male has been experiencing dull chest pain for the past two weeks. The pain is mild, rated 1-2 out of 10, and occurs somewhat frequently, lasting from 20 seconds to a few minutes. The pain started suddenly and is not worsened by deep breaths, pressing on the chest, or physical activities like playing rugby. Advil provides some relief. The patient has not experienced any shortness of breath, dizziness, palpitations, irregular heartbeats, or tenderness in the chest area. There have been no recent injuries, infections, or illnesses. The patient consumes alcohol on the weekends, averaging about 6 beers, and has noted a worsening diet since starting college, with more processed and fast foods. There is a family history of diabetes among the patient's grandparents. The patient does not have any pre-existing conditions or chronic illnesses and is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your chest pain:

  • Muscle Strain or Injury: Given that you recently started playing rugby, it's possible that your chest pain is due to muscle strain or a minor injury. This is common in contact sports and can cause dull, intermittent pain.

    • Treatment: Rest, over-the-counter pain relievers like Advil, and applying ice to the affected area can help. If the pain persists, a doctor might recommend physical therapy.
  • Costochondritis: This is an inflammation of the cartilage that connects a rib to the breastbone. It can cause chest pain that might be mistaken for a heart-related issue.

    • Treatment: Anti-inflammatory medications, rest, and avoiding activities that worsen the pain can help. A doctor might also recommend physical therapy.
  • Gastroesophageal Reflux Disease (GERD): Sometimes, chest pain can be related to acid reflux, especially if your diet has changed to include more processed and fast foods.

    • Treatment: Dietary changes, avoiding trigger foods, and over-the-counter antacids can help. A doctor might prescribe stronger medications if needed.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis, here are some steps you can take to manage your symptoms:

  1. Rest and Recovery: Give your body time to heal, especially if the pain is due to muscle strain or injury from rugby.
  2. Over-the-Counter Pain Relief: Continue using Advil or other over-the-counter pain relievers as needed, following the recommended dosage.
  3. Dietary Adjustments: Try to improve your diet by reducing processed and fast foods. Incorporate more fruits, vegetables, and whole grains.
  4. Hydration: Stay well-hydrated, especially if you're active in sports.
  5. Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or Worsening Pain: If your chest pain becomes severe or doesn't improve with rest and over-the-counter medications.
  • Shortness of Breath or Dizziness: If you start experiencing shortness of breath, dizziness, or fainting.
  • Palpitations or Irregular Heartbeats: If you notice any irregular heartbeats or palpitations.
  • Other Concerning Symptoms: If you develop new symptoms such as fever, chills, or unexplained weight loss.

Remember, while this advice can help you manage your symptoms, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.

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3 mo ago


People Also Ask


What are common causes of dull chest pain in young adults?

Common causes of dull chest pain in young adults include muscle strain, costochondritis, and gastroesophageal reflux disease (GERD). These conditions are often related to physical activity, inflammation, or dietary habits.


How can I differentiate between muscle strain and more serious chest conditions?

Muscle strain typically presents as pain that worsens with movement or pressure on the affected area, while more serious conditions might be accompanied by symptoms like shortness of breath, dizziness, or palpitations. If in doubt, consult a healthcare professional.


Can dietary changes really affect chest pain or related symptoms?

Yes, dietary changes can significantly impact chest pain, especially if the pain is related to GERD. Reducing processed and fast foods and incorporating more fruits, vegetables, and whole grains can help alleviate symptoms.


When should I seek medical attention for chest pain?

You should seek medical attention if your chest pain becomes severe, does not improve with rest and over-the-counter medications, or if you experience additional symptoms like shortness of breath, dizziness, palpitations, or irregular heartbeats.


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