[24F] With chest pain and shortness of breath

Patient Description

A 24-year-old female presents with chest pain and shortness of breath persisting for a few days. The chest pain developed gradually, is rated 5 out of 10 in severity, and worsens with deep breathing. There is no relief from any measures. The patient reports pounding palpitations but denies dizziness, lightheadedness, fever, chills, or cough. She has a history of anxiety and depression diagnosed in 2019 and uses a vape. The patient is not currently taking any medications and has no known allergies. She reports difficulty sleeping due to shortness of breath. There is no family history of heart disease.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possibilities:

  • Anxiety or Panic Attacks: Anxiety can cause chest pain, shortness of breath, and palpitations. These symptoms can be distressing and may worsen with deep breathing.

    • Treatment often involves therapy, relaxation techniques, and sometimes medication.
  • Costochondritis: This is inflammation of the cartilage in the rib cage, which can cause chest pain that worsens with deep breathing.

    • Treatment typically includes rest, anti-inflammatory medications, and heat application.
  • Respiratory Issues: Conditions like asthma or bronchitis can cause shortness of breath and chest discomfort.

    • Treatment may involve inhalers or other medications to open the airways.

It's important to consult a healthcare professional for a proper diagnosis and treatment plan.

What you can do

  1. Practice Relaxation Techniques: Deep breathing exercises, meditation, or yoga can help manage anxiety-related symptoms.
  2. Avoid Triggers: If vaping worsens your symptoms, consider reducing or stopping its use.
  3. Stay Active: Gentle exercise can improve lung function and reduce anxiety.
  4. Use MDandMe: Track your symptoms, note any patterns, and share this information with your healthcare provider.

What you should look out for

Seek medical attention if you experience:

  • Severe or worsening chest pain
  • Difficulty breathing that doesn't improve
  • New or worsening symptoms

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

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3 mo ago

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People Also Ask


Can anxiety cause physical symptoms like chest pain and shortness of breath?

Yes, anxiety can cause physical symptoms such as chest pain, shortness of breath, and palpitations. These symptoms can be distressing and may worsen with deep breathing.


What is costochondritis and how is it treated?

Costochondritis is an inflammation of the cartilage in the rib cage, which can cause chest pain that worsens with deep breathing. Treatment typically includes rest, anti-inflammatory medications, and heat application.


How can vaping affect respiratory health?

Vaping can affect respiratory health by irritating the airways and potentially leading to symptoms like shortness of breath and chest discomfort. Reducing or stopping vaping may help alleviate these symptoms.


What are some effective relaxation techniques for managing anxiety symptoms?

Effective relaxation techniques for managing anxiety symptoms include deep breathing exercises, meditation, yoga, and progressive muscle relaxation. These practices can help reduce stress and improve overall well-being.


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