[25F] Experiencing intermittent chest pain and light-headedness

Patient Description

A 25-year-old female has been experiencing intermittent, constant chest pain described as a squeezing sensation on the inner side of the left chest since morning. The pain, rated a 4 out of 10 in severity, is present when breathing in and out and is sensitive to touch. Accompanying symptoms include light-headedness, described as a mild dizziness lasting for about 30 minutes, which is exacerbated by physical activity. The patient also reports feeling weak and experiencing nausea. There is no history of shortness of breath, pain radiating to the arm or jaw, sweating, palpitations, pre-existing conditions, allergies, or adverse reactions to medications, and the patient is not currently on any medications.

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Arora's Assessment

What might be happening

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

  • Angina: This is a type of chest pain caused by reduced blood flow to the heart. It's often described as squeezing, pressure, heaviness, tightness, or pain in your chest. It can be triggered by physical activity or emotional stress.

    • Treatment typically involves lifestyle changes, medications, and sometimes, procedures to improve blood flow.
  • Anxiety or Panic Attack: Anxiety can cause physical symptoms like chest pain, dizziness, and nausea. Panic attacks can cause similar symptoms and can come on suddenly.

    • Treatment typically involves cognitive behavioral therapy and sometimes medications.
  • Costochondritis: This is an inflammation of the junctions where the upper ribs join with the cartilage that holds them to the breastbone. This can cause chest pain that is often worsened by physical activity or deep breathing.

    • Treatment typically involves pain relievers and physical therapy.

Please note that chest pain can be a sign of serious heart conditions, such as a heart attack, especially if it's accompanied by other symptoms like shortness of breath, pain radiating to the arm or jaw, sweating, and nausea. It's important to seek immediate medical attention if you're experiencing chest pain.

What you can do

Given the nature of your symptoms, it's important that you seek immediate medical attention. Chest pain can be a sign of serious heart conditions and should not be ignored.

In the meantime, try to rest and avoid any physical activities that might worsen your chest pain. If you're feeling anxious, try to take slow, deep breaths to help calm yourself down.

What you should look out for

You should seek immediate medical attention if:

  • Your chest pain becomes severe or is not relieved by rest
  • You experience shortness of breath, pain radiating to your arm or jaw, sweating, or nausea
  • You feel lightheaded, faint, or lose consciousness
  • Your symptoms worsen or do not improve

Please remember that this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

People Also Ask


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

Common causes of chest pain in young adults include anxiety or panic attacks, costochondritis, muscle strain, and sometimes heart-related issues like angina. It's important to evaluate the nature of the pain and accompanying symptoms to determine the cause.


How can I differentiate between anxiety-related chest pain and a heart condition?

Anxiety-related chest pain often comes with symptoms like rapid heartbeat, sweating, and a feeling of impending doom, and may improve with relaxation techniques. Heart-related chest pain, such as angina, is often triggered by physical exertion and may be accompanied by symptoms like shortness of breath and pain radiating to the arm or jaw. A medical evaluation is necessary to differentiate between the two.


What is costochondritis and how is it treated?

Costochondritis is an inflammation of the cartilage that connects the ribs to the breastbone, causing chest pain that can be sharp and worsens with movement or deep breathing. Treatment typically involves pain relievers, rest, and sometimes physical therapy.


When should I seek immediate medical attention for chest pain?

You should seek immediate medical attention for chest pain if it becomes severe, is not relieved by rest, is accompanied by shortness of breath, pain radiating to the arm or jaw, sweating, nausea, or if you feel lightheaded or faint. These could be signs of a serious condition like a heart attack.


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