[20M] With chest burning sensation post-trauma

Patient Description

A 20-year-old male experienced a constant burning sensation in the center of his chest, located between the pectoral muscles, following a chest impact. The sensation developed gradually since the previous night and is rated as 3-4 in intensity. The patient reports mild shortness of breath but no previous similar injuries. The burning sensation does not worsen with physical activity or deep breathing, and no relief methods have been identified. The patient is concerned about the potential for worsening symptoms over time.

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Arora's Assessment

What might be happening

Based on the information you've provided, Jaden, here are some possible explanations for your symptoms:

  • Chest Wall Injury: The burning sensation and the feeling of a dip in your chest could be due to bruising or injury to the chest wall, including the muscles or ribs. This is common after a direct impact and can cause discomfort and a burning sensation.

    • Treatment typically involves rest, ice application, and over-the-counter pain relief. A healthcare provider may recommend imaging tests to rule out fractures.
  • Costochondritis: This is an inflammation of the cartilage that connects a rib to the breastbone (sternum). It can cause chest pain and a burning sensation, especially after trauma.

    • Treatment often includes anti-inflammatory medications and rest.
  • Muscle Strain: The impact could have strained the muscles in your chest, leading to a burning sensation. This is common with physical trauma and can cause discomfort.

    • Treatment involves rest, ice, and pain relief.

It's important to consult a healthcare professional to rule out any serious injuries and to receive appropriate care.

What you can do

While you wait to see a healthcare provider, here are some steps you can take:

  1. Rest: Avoid activities that may worsen the pain or discomfort.
  2. Ice Application: Apply ice packs to the affected area for 15-20 minutes every few hours to reduce swelling and pain.
  3. Pain Relief: Consider over-the-counter pain relievers like ibuprofen or acetaminophen to help manage the discomfort.
  4. Monitor Symptoms: Keep track of any changes in your symptoms using the MDandMe journal. This can help you provide detailed information to your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Worsening pain or discomfort
  • Difficulty breathing or shortness of breath
  • New or worsening symptoms, such as fever or chills
  • Any signs of a more serious injury, such as severe pain or visible deformity

Remember, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment. If you have any further questions or concerns, feel free to reach out.

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1 mo ago

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People Also Ask


What are the common causes of a burning sensation in the chest after an impact?

Common causes of a burning sensation in the chest after an impact include chest wall injury, costochondritis, and muscle strain. These conditions can result from bruising, inflammation, or strain due to trauma.


How can I differentiate between a chest wall injury and costochondritis?

A chest wall injury often involves bruising or injury to the muscles or ribs, while costochondritis is specifically the inflammation of the cartilage connecting the ribs to the sternum. Both can cause similar symptoms, but costochondritis may be more localized to the sternum area.


What are the recommended home treatments for a chest injury?

Home treatments for a chest injury include resting, applying ice packs to reduce swelling and pain, and taking over-the-counter pain relievers like ibuprofen or acetaminophen. It's important to avoid activities that may exacerbate the pain.


When should I seek medical attention for chest pain after an impact?

You should seek medical attention if you experience worsening pain, difficulty breathing, new symptoms like fever or chills, or any signs of a more serious injury such as severe pain or visible deformity.


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