[20M] Experiencing chest pain and palpitations without clear triggers
Patient Description
A 20-year-old male has been experiencing aching chest pain that spreads to the shoulders and back for about a year, rated 4-5 on a pain scale. The pain sometimes worsens with deep breaths but occurs randomly, often while resting. Heart palpitations are also present, though without accompanying fatigue or dizziness. The patient has a family history of type 2 diabetes and heart disease, with his father having had a heart attack at a similar age. Past medical history includes an appendectomy at age 7. Currently, the patient is taking Meloxicam (7.5 mg daily) for a couple of months, along with daily supplements of iron (60 mg), vitamin C (2000 mg), and vitamin D (2000 UI). There are no known drug allergies, and the patient denies the use of tobacco, alcohol, or recreational drugs. No recent illnesses or infections have been reported. The symptoms, including occasional difficulty breathing and frequent headaches, do not seem to be influenced by recent illnesses, substance use, or specific activities.
Show More
Arora's Assessment
What might be happening
Based on the information you've provided, possible diagnoses include:
- Costochondritis: This is an inflammation of the cartilage in your rib cage. The condition causes chest pain that can spread to your back or abdomen. It can be caused by heavy lifting, strenuous exercise, or upper respiratory illnesses. It's usually treated with rest, physical therapy, and nonsteroidal anti-inflammatory drugs (NSAIDs) like Meloxicam.
- Gastroesophageal Reflux Disease (GERD): This condition occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus and cause chest pain. Treatment usually involves lifestyle changes and over-the-counter medications.
- Anxiety: Chest pain is a common symptom of panic attacks and anxiety. Other symptoms can include heart palpitations, shortness of breath, and headaches. Treatment usually involves cognitive behavioral therapy and medication.
Please note that chest pain can also be a symptom of serious heart conditions, such as angina or a heart attack. However, these conditions are less common in people your age and usually cause more severe symptoms.
What you can do
- Continue taking Meloxicam as prescribed by your doctor. This medication can help reduce inflammation and relieve pain.
- Try to identify any triggers for your chest pain. This could include certain activities, foods, or stressors. Avoiding these triggers can help manage your symptoms.
- Practice good posture. Poor posture can sometimes contribute to chest and back pain.
- If your symptoms persist or worsen, seek medical attention. Your doctor may want to perform further tests to determine the cause of your chest pain.
What you should look out for
Seek immediate medical attention if you experience any of the following:
- Severe chest pain
- Chest pain accompanied by shortness of breath, dizziness, fainting, or nausea
- Chest pain that spreads to your jaw, left arm, or back
- Chest pain that gets worse with physical activity
- Chest pain that doesn't improve with rest or medication
Remember, I'm an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.
Show More
4
Hugs
10
Comments
Save
8 mo ago