[22M] Experiencing minor, transient chest pain with heartburn

Patient Description

A 22-year-old male reports minor chest pain, described as a deep, dull ache, sometimes on the left and occasionally on the right side, with a severity rated at 4 out of 10. The pain is transient and does not seem to be exacerbated by activities, nor does it change with different positions or upon palpation. The patient also experiences heartburn, for which he drinks water with lemon, and unrelated night sweats. No difficulty swallowing, palpitations, or unusual sweating associated with the chest pain has been noted. The patient has no pre-existing conditions or chronic illnesses, vapes, and is allergic to penicillin. He is not on any prescribed medications but takes fish oil supplements. No other over-the-counter medications or supplements are being taken.

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Arora's Assessment

What might be happening

Based on the information provided, here are a few possibilities:

  • Gastroesophageal Reflux Disease (GERD): This is a digestive disorder that affects the ring of muscle between your esophagus and your stomach. This could explain your heartburn and chest pain. However, it's less likely since you mentioned that your chest pain doesn't seem to be related to eating or lying down.

    • Treatment typically includes lifestyle modifications (like avoiding certain foods), over-the-counter antacids, and prescription medications.
  • Costochondritis: This is an inflammation of the cartilage in your rib cage. It often results in chest pain which may be more noticeable in some positions or when you take a deep breath or cough.

    • Treatment typically includes pain relievers such as ibuprofen or other non-steroidal anti-inflammatory drugs (NSAIDs). Rest and heat may also help.
  • Anxiety or Panic Disorder: Sometimes, anxiety or panic attacks can cause chest pain and other physical symptoms. If you've been feeling particularly stressed or anxious, this could be a possibility.

    • Treatment typically includes cognitive-behavioral therapy (CBT), medications, and lifestyle modifications.

Remember, these are just possibilities and not a definitive diagnosis.

What you can do

Here are some general suggestions:

  1. If you smoke or vape, consider quitting. Both can cause or worsen heartburn and chest pain.
  2. Monitor your symptoms and take note of anything that makes them better or worse. This could help your healthcare provider diagnose your condition.
  3. Try to avoid foods and drinks that trigger your heartburn.
  4. Over-the-counter antacids or H-2-receptor blockers can help with heartburn. However, you should consult with a healthcare provider before starting any new medication.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe chest pain or pressure, especially if it radiates to your arm, jaw, or back
  • Shortness of breath
  • Sweating
  • Nausea or vomiting
  • Lightheadedness or fainting
  • These could be signs of a heart attack, which is a medical emergency.

Remember, I'm an AI and this advice is not a substitute for professional medical advice. Please consult with a healthcare provider for an accurate diagnosis.

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1 yr ago

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People Also Ask


What are the common symptoms of Gastroesophageal Reflux Disease (GERD)?

Common symptoms of GERD include heartburn, regurgitation of food or sour liquid, difficulty swallowing, and chest pain, especially after eating or when lying down.


How can costochondritis be distinguished from other causes of chest pain?

Costochondritis typically causes sharp, aching, or pressure-like pain in the chest, which may worsen with certain movements, deep breaths, or coughing. It is often localized to a specific area and can be reproduced by pressing on the chest.


Can anxiety or panic attacks cause physical symptoms like chest pain?

Yes, anxiety or panic attacks can cause physical symptoms such as chest pain, palpitations, shortness of breath, dizziness, and sweating. These symptoms can mimic those of a heart attack, which is why it's important to seek medical evaluation.


What lifestyle changes can help reduce heartburn symptoms?

Lifestyle changes to reduce heartburn include avoiding trigger foods and drinks (like spicy foods, alcohol, and caffeine), eating smaller meals, not lying down immediately after eating, maintaining a healthy weight, and quitting smoking or vaping.


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