[21F] With chest and shoulder blade pain post-cleaning

Patient Description

A 21-year-old female reports a dull ache in her chest near the sternum for a few hours. The pain worsens with bending over or stretching the chest but does not hurt when breathing. Laying down helps slightly, but there is still a dull ache when lying down or sitting. Additionally, she has had shoulder blade pain in her back that moved to her chest, which also started a few hours ago and is described as dull. The patient did not lift any heavy objects or perform any strenuous activities that might have caused this pain, and has not experienced any trauma or injury to the chest or shoulder area recently. The pain gets a little worse with deep breaths or coughing, but it is tolerable. She has not tried applying ice or heat to the affected area. The patient has not experienced any fever, chills, shortness of breath, nausea, vomiting, or upper respiratory symptoms like a cough or sore throat. She mentioned a loss of appetite due to her medication, Vyvanse (70mg daily), which she takes for ADHD and binge eating. She also takes birth control (Norgestimate and Ethinyl Estradiol Tablets, 0.25 mg/0.035 mg) every morning and occasionally takes Tylenol for cramps during her period. The patient does not use tobacco products, alcohol, or recreational drugs, and has not engaged in any new or unusual physical activities or traveled recently.

Show More

Arora's Assessment

What might be happening

Based on the information you have provided, a possible diagnosis is:

  • Costochondritis: This is an inflammation of the cartilage that connects a rib to the breastbone (sternum). It can cause sharp or dull pain, which may worsen with certain movements, such as bending over or stretching. It is often caused by physical strain or minor trauma, even from activities like scrubbing the shower.

    • Treatment: Costochondritis typically improves with rest, avoiding activities that worsen the pain, and over-the-counter pain relievers like ibuprofen or acetaminophen. Applying heat or ice to the affected area can also help reduce pain and inflammation.
  • Muscle Strain: Given that you were cleaning and scrubbing, it's possible that you strained a muscle in your chest or back. Muscle strains can cause dull, aching pain that worsens with movement.

    • Treatment: Rest, avoiding activities that exacerbate the pain, and over-the-counter pain relievers can help. Gentle stretching and applying heat or ice may also provide relief.

What you can do

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

  1. Rest: Avoid activities that worsen your pain, such as bending over or stretching your chest.
  2. Pain Relief: Consider taking over-the-counter pain relievers like ibuprofen (Advil) or acetaminophen (Tylenol) to help manage the pain.
  3. Apply Heat or Ice: Applying a heating pad or ice pack to the affected area for 15-20 minutes several times a day can help reduce pain and inflammation.
  4. Gentle Stretching: If the pain is due to muscle strain, gentle stretching exercises may help. Be sure to avoid any movements that cause pain.
  5. Monitor Your Symptoms: Keep track of your symptoms using the MDandMe journal. This can help you identify any patterns or triggers and provide useful information to your healthcare provider.

What you should look out for

Reasons to see a doctor more urgently include:

  • If the pain becomes severe or is not relieved by over-the-counter pain medications.
  • If you experience shortness of breath, dizziness, or fainting.
  • If you notice swelling, redness, or warmth in the chest area.
  • If you develop a fever (temperature over 100.4°F) or chills.

Remember, while these suggestions can help manage your symptoms, it's important to seek care from a real health professional to receive a formal diagnosis and appropriate treatment. If you have any additional questions or concerns, please don't hesitate to reach out to a healthcare provider.

Show More

1
 Hugs
0
 Comments

Save

2 mo ago


People Also Ask


What is costochondritis and what causes it?

Costochondritis is an inflammation of the cartilage that connects a rib to the breastbone (sternum). It can cause sharp or dull pain, often worsened by certain movements. It is typically caused by physical strain, minor trauma, or repetitive activities.


How can I differentiate between costochondritis and a heart-related issue?

Costochondritis pain is usually sharp or dull and worsens with movement, while heart-related pain may be more of a pressure or squeezing sensation and can be accompanied by symptoms like shortness of breath, nausea, or sweating. If in doubt, seek medical attention.


What are some effective home remedies for managing costochondritis pain?

Home remedies for costochondritis include rest, avoiding activities that worsen the pain, taking over-the-counter pain relievers like ibuprofen or acetaminophen, and applying heat or ice to the affected area for 15-20 minutes several times a day.


When should I seek medical attention for chest pain?

You should seek medical attention if the chest pain becomes severe, is not relieved by over-the-counter medications, is accompanied by shortness of breath, dizziness, or fainting, or if you notice swelling, redness, warmth, or develop a fever.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories


Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback