[23F] Experiencing sudden chest heaviness and shortness of breath

Patient Description

A 23-year-old female reports a sudden onset of chest heaviness and difficulty taking deep breaths, describing the sensation as if someone is sitting on her chest. The symptoms began gradually about 5 minutes prior to reporting and are rated as a 3 out of 10 in severity. Deep breathing exercises provided some relief. The patient has no known history of similar symptoms, no associated symptoms such as sharp chest pain, lightheadedness, dizziness, cough, or wheezing, and no family history of heart or blood clotting disorders. The patient has used tobacco, cannabis, or other substances recently but has no known drug allergies, no current medications, and no pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you've provided, it's possible that you may be experiencing one of the following:

  • Anxiety or Panic Attack: These can cause symptoms such as a feeling of heaviness in the chest and shortness of breath. These symptoms can come on suddenly and may be accompanied by feelings of fear or worry.

    • Treatment typically involves cognitive behavioral therapy and, in some cases, medication.
  • Asthma: This is a condition that causes your airways to become inflamed and narrow, which can make it hard to breathe. It can also cause a feeling of tightness or heaviness in the chest.

    • Treatment typically involves the use of inhalers to help open the airways and reduce inflammation.
  • Heart Conditions: Although less likely given your age and lack of other symptoms, conditions such as heart disease or heart failure can cause shortness of breath and a heavy feeling in the chest.

    • Treatment typically involves lifestyle changes, medication, and in some cases, surgery.

Please note that this is not an exhaustive list and other conditions could also be causing your symptoms.

What you can do

  • If your symptoms persist or worsen, please seek immediate medical attention.
  • Try to stay calm and take slow, deep breaths. This can sometimes help to alleviate feelings of shortness of breath.
  • If you smoke or use other substances, try to cut back or quit. These can exacerbate respiratory symptoms.
  • Maintain a healthy lifestyle. Regular exercise and a balanced diet can help to improve overall health and potentially alleviate some symptoms.

What you should look out for

  • If you start to experience additional symptoms such as sharp chest pain, pain radiating to your arm or jaw, severe shortness of breath, or fainting, seek immediate medical attention. These could be signs of a serious condition such as a heart attack.
  • If your symptoms persist or worsen, seek medical attention.

Please remember that while I strive to provide accurate and helpful information, I am not a doctor. You should seek care from a real health professional to receive a formal diagnosis and treatment if appropriate.

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10 mo ago

People Also Ask


What are the common symptoms of an anxiety or panic attack?

Common symptoms of an anxiety or panic attack include a sudden feeling of intense fear or discomfort, chest heaviness, shortness of breath, palpitations, sweating, trembling, and a feeling of losing control or impending doom.


How can asthma cause chest heaviness and difficulty breathing?

Asthma can cause chest heaviness and difficulty breathing because it leads to inflammation and narrowing of the airways, making it harder for air to move in and out of the lungs. This can result in a feeling of tightness or heaviness in the chest.


What lifestyle changes can help improve respiratory symptoms?

Lifestyle changes that can help improve respiratory symptoms include quitting smoking, avoiding exposure to pollutants or allergens, maintaining a healthy weight, exercising regularly, and managing stress through relaxation techniques or therapy.


When should I seek immediate medical attention for chest heaviness?

You should seek immediate medical attention if you experience additional symptoms such as sharp chest pain, pain radiating to your arm or jaw, severe shortness of breath, or fainting, as these could be signs of a serious condition like a heart attack.


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