[22M] With random chest pain and left arm aching

Patient Description

A 22-year-old male has been experiencing random aching chest pain for approximately two weeks. The pain is rated as a 5 out of 10 in severity, lasts for about 5 to 10 minutes, and occurs once a day or every two days. The patient reports that the pain is not associated with any specific activities but is relieved by sleep. In addition to chest pain, the patient occasionally experiences an aching pain in the left arm and a strange feeling in the upper right abdomen. There is no shortness of breath or family history of heart disease. The chest pain developed gradually over time. The patient recently stopped using alcohol and marijuana two weeks ago and has not experienced any withdrawal symptoms. The patient eats about twice a day and has not noticed any changes in weight. There are no known allergies, no current medications, and no pre-existing medical conditions.

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Arora's Assessment

What might be happening

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

  • Musculoskeletal Pain: This type of pain can occur due to muscle strain or poor posture, especially if you mentioned hunching over. It can cause chest pain and discomfort in the arm.

    • Treatment typically involves rest, over-the-counter pain relievers, and exercises to improve posture.
  • Anxiety or Stress-Related Symptoms: Stress and anxiety can manifest physically, causing chest pain and other symptoms. Since you mentioned that the pain often occurs when you're alone, this could be a contributing factor.

    • Treatment may include stress management techniques, such as deep breathing exercises, meditation, or speaking with a mental health professional.
  • Gastrointestinal Issues: The strange feeling in your upper right abdomen could be related to digestive issues, which can sometimes cause referred pain to the chest.

    • Treatment might involve dietary changes, antacids, or other medications to manage symptoms.

It's important to note that while these are common causes, chest pain can sometimes be a sign of a more serious condition.

What you can do

  1. Monitor Your Symptoms: Keep track of when your symptoms occur, their severity, and any potential triggers. You can use MDandMe to journal your symptoms, track progress, and share this information with your healthcare provider.

  2. Practice Good Posture: If you suspect poor posture might be contributing to your pain, try to maintain a straight back and avoid hunching over.

  3. Manage Stress: Incorporate stress-reducing activities into your routine, such as exercise, meditation, or hobbies you enjoy.

  4. Stay Active: Regular physical activity can help reduce stress and improve overall health.

  5. Consult a Healthcare Professional: It's important to seek medical advice to rule out any serious conditions and receive a formal diagnosis.

What you should look out for

Seek medical attention if you experience any of the following:

  • Sudden, severe chest pain
  • Pain that radiates to your jaw, neck, or back
  • Shortness of breath, dizziness, or fainting
  • Any new or worsening symptoms

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a proper diagnosis and treatment plan.

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3 mo ago

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People Also Ask


What are common causes of chest pain in young adults?

Common causes of chest pain in young adults include musculoskeletal issues, stress or anxiety, gastrointestinal problems, and sometimes respiratory conditions. It's important to evaluate the context and associated symptoms to determine the cause.


Can stress or anxiety cause physical symptoms like chest pain?

Yes, stress and anxiety can manifest physically and cause symptoms such as chest pain, palpitations, and muscle tension. These symptoms often occur when a person is feeling stressed or anxious and can be managed with stress-reduction techniques.


How can poor posture lead to musculoskeletal pain?

Poor posture, such as hunching over, can strain the muscles and ligaments in the chest and back, leading to musculoskeletal pain. This type of pain can be alleviated by improving posture, stretching, and strengthening exercises.


What are some signs that chest pain might be serious and require immediate medical attention?

Chest pain that is sudden and severe, radiates to the jaw, neck, or back, or is accompanied by shortness of breath, dizziness, or fainting may indicate a serious condition and requires immediate medical attention.


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