[21M] Experiencing anxiety with chest tightness and palpitations

Patient Description

A 21-year-old male is experiencing anxiety attacks characterized by heart palpitations, difficulty breathing, chest tightness, and joint pain. The chest tightness, described as squeezing, has been present for about 3 weeks and can become severe, especially at night or during periods of anxiety. The symptoms began suddenly after waking up in the middle of the night following the use of melatonin. The patient has since stopped taking melatonin, but the symptoms persist. No recent stressors or life changes have been identified as contributing factors. The patient reports no relief from these symptoms.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possibilities:

  • Anxiety or Panic Attack: Anxiety can cause heart palpitations, chest tightness, and shortness of breath. These symptoms can feel severe, especially at night.

    • Treatment often involves therapy, relaxation techniques, and sometimes medication prescribed by a doctor.

  • Acid Reflux or GERD: This can cause chest tightness, especially when lying down.

    • Treatment includes dietary changes, avoiding late meals, and possibly antacids or medications.

  • Musculoskeletal Issues: Joint pain and chest tightness could be related to muscle tension or strain.

    • Treatment might involve rest, physical therapy, or pain relief medications.

What you can do

  1. Relaxation Techniques: Practice deep breathing, meditation, or yoga to help manage anxiety.
  2. Lifestyle Changes: Avoid caffeine and alcohol, especially before bed, as they can worsen anxiety and reflux.
  3. Symptom Tracking: Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.

What you should look out for

  • Seek Immediate Care: If you experience severe chest pain, difficulty breathing, or feel faint, seek emergency medical attention.
  • Consult a Doctor: If symptoms persist or worsen, it's important to see a healthcare professional for a proper diagnosis and treatment plan.

Remember, this information is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and treatment.

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2 mo ago

People Also Ask

Can anxiety attacks cause physical symptoms like chest tightness and joint pain?

Yes, anxiety attacks can cause a range of physical symptoms, including chest tightness, heart palpitations, and joint pain. These symptoms can be quite distressing and may mimic other conditions.

Is it possible for melatonin to trigger anxiety or panic attacks?

While melatonin is generally considered safe, it can cause side effects in some individuals, including vivid dreams or feelings of anxiety. If symptoms began after starting melatonin, it might be worth discussing with a healthcare provider.

What are some effective relaxation techniques to manage anxiety symptoms?

Effective relaxation techniques for managing anxiety include deep breathing exercises, meditation, yoga, and progressive muscle relaxation. These practices can help reduce stress and alleviate symptoms.

When should I seek medical attention for chest tightness and difficulty breathing?

You should seek immediate medical attention if you experience severe chest pain, difficulty breathing, or feel faint, as these could be signs of a more serious condition. Persistent or worsening symptoms should also be evaluated by a healthcare professional.

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