[20F] Experiencing sharp, throbbing chest pain

Patient Description

A 20-year-old female is reporting a sharp, throbbing pain in the center of the chest that occurs when taking deep breaths and when leaning over. The pain is described as severe, with an intensity of 7 out of 10, and has been present for 2 days. The patient notes no relief from the pain. No additional symptoms were reported. The patient denies being pregnant.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your symptoms include:

  • Costochondritis: This is an inflammation of the cartilage in your rib cage. It might cause a sharp, localized chest pain that worsens with deep breaths or coughing. The pain can also radiate to your back or abdomen and increase with physical activity.

    • Treatment typically involves rest, avoiding strenuous activities, and over-the-counter pain relievers.
  • Pleurisy: This is an inflammation of the lining of the lungs and chest (the pleura) that leads to chest pain when you take a breath or cough.

    • Treatment usually involves addressing the underlying cause, such as a viral or bacterial infection.
  • Pericarditis: This is an inflammation of the pericardium, the sac-like structure around the heart. It can cause sharp, central chest pain that often worsens when lying flat or inhaling deeply.

    • Treatment usually involves medication to reduce inflammation and pain.
  • Anxiety or Panic Attack: These can cause symptoms like chest pain, rapid heartbeat, and shortness of breath. However, these are usually accompanied by feelings of intense fear or worry.

    • Treatment involves cognitive-behavioral therapy, medications, and lifestyle changes.

Please note that chest pain can also be a sign of serious heart conditions, such as a heart attack, but this is less common in people of your age and sex.

What you can do

Given the severity and duration of your symptoms, it is important that you seek immediate medical attention. Chest pain can be a sign of serious conditions and should not be ignored.

What you should look out for

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

  • Severe chest pain
  • Chest pain that spreads to your jaw, left arm, or back
  • Chest pain with shortness of breath, dizziness, sweating, or nausea
  • Rapid or irregular pulse or heart rate
  • Fainting or feeling faint

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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9 mo ago


People Also Ask


What is costochondritis and how is it treated?

Costochondritis is an inflammation of the cartilage that connects a rib to the breastbone. It can cause sharp, localized chest pain that worsens with deep breaths or physical activity. Treatment typically involves rest, avoiding strenuous activities, and taking over-the-counter pain relievers.


What are the symptoms and treatment options for pleurisy?

Pleurisy is an inflammation of the pleura, the lining of the lungs and chest, causing sharp chest pain that worsens with breathing or coughing. Treatment focuses on addressing the underlying cause, such as a viral or bacterial infection, and may include anti-inflammatory medications.


How does pericarditis differ from other causes of chest pain?

Pericarditis is an inflammation of the pericardium, the sac surrounding the heart, causing sharp, central chest pain that often worsens when lying flat or inhaling deeply. It differs from other causes of chest pain by its specific location and the way it changes with body position. Treatment usually involves medication to reduce inflammation and pain.


Can anxiety or panic attacks cause chest pain similar to heart conditions?

Yes, anxiety or panic attacks can cause chest pain that mimics heart conditions, often accompanied by rapid heartbeat, shortness of breath, and feelings of intense fear or worry. Treatment involves cognitive-behavioral therapy, medications, and lifestyle changes to manage anxiety.


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