[24F] Experiencing dull, tight chest pain with nausea

Patient Description

A 24-year-old female presents with gradually onset dull and tight chest pain, rated 4 out of 10 in severity, persisting for 5 days. The pain is located centrally in the chest and is not exacerbated or relieved by any known factors. The patient denies any shortness of breath, heartburn, acid reflux, tenderness upon palpation, palpitations, or irregular heartbeats. There is no history of smoking, exposure to secondhand smoke, or family history of heart disease. The patient is currently taking Ondansetron but reports no recent travel to high altitudes or areas with significant air pollution. No additional pre-existing conditions or chronic illnesses were reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've described—dull, tight chest pain in the center of your chest lasting for five days, along with nausea—there are a few possible explanations:

  1. Gastroesophageal Reflux Disease (GERD): Although you mentioned no heartburn, GERD can sometimes present with chest pain and nausea. It occurs when stomach acid flows back into the esophagus, causing irritation.

    • Treatment typically involves lifestyle changes such as avoiding certain foods, eating smaller meals, and possibly using over-the-counter antacids or medications prescribed by a doctor.

  2. Musculoskeletal Pain: This type of pain can occur due to strain or injury to the muscles or bones in the chest area. It can sometimes feel like a dull, tight pain.

    • Treatment often includes rest, over-the-counter pain relievers, and applying heat or cold to the affected area.

  3. Anxiety or Stress: Even if you haven't noticed stress, it can sometimes manifest physically as chest pain and nausea.

    • Treatment might involve stress management techniques, such as deep breathing exercises, meditation, or speaking with a mental health professional.

  4. Cardiac Issues: While less likely given your age and lack of family history, it's important to consider that heart-related issues can sometimes present with these symptoms.

    • If this is a concern, a healthcare provider might recommend tests like an EKG or stress test to rule out heart problems.

What you can do

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

  2. Lifestyle Adjustments: Try to avoid foods and drinks that might irritate your stomach, such as caffeine, alcohol, and spicy foods. Eating smaller, more frequent meals might also help.

  3. Stay Hydrated: Ensure you're drinking enough water, as dehydration can sometimes contribute to nausea.

  4. Relaxation Techniques: Consider trying relaxation techniques like deep breathing, yoga, or meditation to see if they help alleviate your symptoms.

What you should look out for

Seek medical attention if you experience any of the following:

  • 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, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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28 d ago

People Also Ask

What are the common causes of dull and tight chest pain in young adults?

Common causes of dull and tight chest pain in young adults include gastroesophageal reflux disease (GERD), musculoskeletal pain, anxiety or stress, and less commonly, cardiac issues. It's important to consult a healthcare provider for an accurate diagnosis.

Can anxiety or stress cause physical symptoms like chest pain?

Yes, anxiety or stress can manifest physically and cause symptoms such as chest pain, nausea, and palpitations. Stress management techniques like deep breathing, meditation, and speaking with a mental health professional can help alleviate these symptoms.

How can I differentiate between musculoskeletal chest pain and cardiac-related chest pain?

Musculoskeletal chest pain is often related to movement or palpation and may improve with rest or over-the-counter pain relievers. Cardiac-related chest pain may be accompanied by symptoms like shortness of breath, pain radiating to other areas, or dizziness. It's crucial to seek medical evaluation to rule out heart issues.

What lifestyle changes can help manage symptoms of GERD?

Lifestyle changes to manage GERD symptoms include avoiding trigger foods and drinks like caffeine, alcohol, and spicy foods, eating smaller meals, not lying down immediately after eating, and maintaining a healthy weight. Over-the-counter antacids or medications may also be recommended by a healthcare provider.

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