[24F] With chronic sharp chest pain

What might be happening

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

• Costochondritis: This is an inflammation of the cartilage that connects a rib to the breastbone. It can cause sharp pain in the chest that may radiate to the underarm. The pain can be random and severe.

  • Treatment: Typically involves rest, anti-inflammatory medications, and sometimes physical therapy.

• Muscle Strain: Strain or injury to the muscles in the chest wall can cause sharp, radiating pain. This can happen even without a clear injury and can be exacerbated by certain movements.

  • Treatment: Rest, ice, and over-the-counter pain relievers can help.

• Breast Conditions: Conditions such as fibrocystic breast changes or mastitis can cause pain in the breast that may radiate to the underarm.

  • Treatment: Depending on the condition, treatments may include warm compresses, antibiotics (for infections), or other medications.

• Nerve Pain: Conditions like intercostal neuralgia, where the nerves running between the ribs are affected, can cause sharp, radiating pain.

  • Treatment: May include medications for nerve pain, physical therapy, or other interventions.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

1. Rest and Avoid Strain: Try to avoid activities that may exacerbate the pain.
2. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce pain and inflammation.
3. Apply Heat or Cold: Using a heating pad or ice pack on the affected area may provide some relief.
4. Track Your Symptoms: Use MDandMe to journal your symptoms, track progress, and get insights. This information can be very helpful for your healthcare provider.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

• Severe or Worsening Pain: If the pain becomes unbearable or significantly worse.
• Shortness of Breath: Difficulty breathing or feeling like you can't catch your breath.
• Chest Tightness or Pressure: Especially if it feels like a heavy weight on your chest.
• Other Concerning Symptoms: Such as dizziness, fainting, or sweating.

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