[21M] Experiencing intermittent sharp chest pain

Patient Description

A 21-year-old male reports experiencing intermittent sharp pain in the upper chest area, specifically under the left collarbone. The pain comes on suddenly, lasts anywhere from 30 minutes to all day, and is rated as a 5 out of 10 in severity. The patient describes the pain as not very intense but causing unease. The pain is exacerbated by taking deep breaths but does not seem to be associated with any specific activities or situations. The patient suspects stress might be a contributing factor. There is no shortness of breath reported. The patient has a history of tobacco and marijuana use but does not report any other symptoms or relief measures.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possible explanations:

  1. Musculoskeletal Pain: This type of pain can occur due to muscle strain or inflammation in the chest wall, often exacerbated by deep breathing or certain movements. It can be caused by physical activity, poor posture, or stress.

    • Treatment typically involves rest, over-the-counter pain relievers, and applying heat or cold to the affected area.
  2. Costochondritis: This is an inflammation of the cartilage that connects a rib to the breastbone, which can cause sharp chest pain that worsens with deep breaths or certain movements.

    • Treatment usually includes anti-inflammatory medications and rest.
  3. Pleurisy: This is an inflammation of the tissues that line the lungs and chest cavity, which can cause sharp pain that worsens with breathing.

    • Treatment depends on the underlying cause but may include anti-inflammatory medications.
  4. Anxiety or Stress-Related Pain: Stress and anxiety can manifest as physical symptoms, including chest pain. This type of pain is often accompanied by other symptoms of anxiety.

    • Treatment may involve stress management techniques, therapy, or medication.

It's important to note that while these are common causes of chest pain, it's crucial to rule out more serious conditions, especially if the pain persists or worsens.

What you can do

  1. Monitor Your Symptoms: Keep track of when the pain occurs, its intensity, and any potential triggers. This information can be helpful for your healthcare provider.

  2. Manage Stress: If you suspect stress is a factor, consider stress-reduction techniques such as deep breathing exercises, meditation, or yoga.

  3. Avoid Triggers: If you notice certain activities or positions worsen the pain, try to avoid them.

  4. Use MDandMe: You can use the MDandMe app to journal your symptoms, track your progress, and share your notes with your healthcare provider.

  5. Consult a Healthcare Provider: It's important to seek medical advice to rule out any serious conditions and to receive a proper diagnosis and treatment plan.

What you should look out for

Seek medical attention if you experience:

  • Severe or worsening chest pain
  • Pain that spreads to your arms, neck, jaw, or back
  • Shortness of breath, dizziness, or fainting
  • Any new or concerning symptoms

Remember, while this information can be helpful, it's not a substitute for professional medical advice. Please consult a healthcare provider for a thorough evaluation.

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2 mo ago

People Also Ask


What are common causes of sharp chest pain in young adults?

Common causes of sharp chest pain in young adults include musculoskeletal pain, costochondritis, pleurisy, and anxiety or stress-related pain. It's important to rule out more serious conditions with a healthcare provider.


How can stress contribute to chest pain?

Stress can lead to physical symptoms such as chest pain by causing muscle tension and increasing the perception of pain. Stress management techniques like deep breathing, meditation, or yoga can help alleviate these symptoms.


What are the symptoms of costochondritis and how is it treated?

Costochondritis is characterized by inflammation of the cartilage connecting the ribs to the breastbone, causing sharp chest pain that worsens with deep breaths or certain movements. Treatment typically involves anti-inflammatory medications and rest.


When should I seek medical attention for chest pain?

You should seek medical attention for chest pain if it is severe or worsening, spreads to your arms, neck, jaw, or back, or is accompanied by shortness of breath, dizziness, or fainting. Any new or concerning symptoms should also be evaluated by a healthcare provider.


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