[26F] Experiencing persistent, achy chest pain

Patient Description

A 26-year-old female has been experiencing an achy chest pain for 11 days, which sometimes changes with deep breathing or coughing. The pain is situated in the middle of the chest and is rated as a 3 out of 10 in terms of severity. The patient reports that the pain is not alleviated by any specific actions and there is no tenderness upon palpation. There are no accompanying symptoms such as fever, cough, or radiation of pain to other areas. The patient has no known allergies, adverse reactions to medications, or pre-existing conditions, and is not currently on any medications. There is uncertainty about whether the pain could be related to new or strenuous activities or chest trauma.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing one of the following conditions:

  • Costochondritis: This is inflammation of the cartilage in your rib cage. The condition usually causes localized chest pain that you can reproduce by pushing on the cartilage in the front of your ribcage. Costochondritis is a common cause of chest pain.

    • Treatment typically involves rest, heat or cold therapy, and nonsteroidal anti-inflammatory drugs (NSAIDs).
  • Musculoskeletal pain: This is pain that affects the muscles, ligaments and tendons, and bones. The pain can be localized in one area, or widespread. It could be due to an injury or overuse.

    • Treatment typically involves rest, heat or cold therapy, and over-the-counter pain relievers.
  • Pleurisy: This is inflammation of the tissues that line the lungs and chest cavity. The pain often worsens with the motion of your chest and deep breathing.

    • Treatment typically involves addressing the underlying cause, such as a viral infection.
  • Anxiety: Sometimes, high stress levels or anxiety can cause chest pain. Anxiety chest pain can be sharp, dull, in the middle, or to the left or right.

    • Treatment typically involves stress management techniques and, if necessary, medications to manage the anxiety.

Please note that these are possible explanations for your symptoms, but other more serious conditions could also be causing your chest pain. You should seek immediate medical attention if your chest pain becomes severe, if it's associated with shortness of breath, sweating, dizziness, or nausea, or if it feels like a heavy crushing pain or pressure in your chest.

What you can do

  • Rest and avoid any strenuous activities that may exacerbate your chest pain.
  • Try heat or cold therapy to the affected area.
  • Over-the-counter pain relievers may help, but always use these medications as directed on the package.
  • If your chest pain is severe or causing you concern, seek immediate medical attention.

What you should look out for

  • If your chest pain becomes severe
  • If your chest pain is associated with shortness of breath, sweating, dizziness, or nausea
  • If your chest pain feels like a heavy crushing pain or pressure in your chest
  • If your chest pain persists or worsens despite rest and home treatment

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

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11 mo ago

People Also Ask


What is costochondritis and how is it treated?

Costochondritis is inflammation of the cartilage in the rib cage, often causing localized chest pain. Treatment typically involves rest, heat or cold therapy, and nonsteroidal anti-inflammatory drugs (NSAIDs).


Can anxiety cause chest pain and how can it be managed?

Yes, anxiety can cause chest pain, which may be sharp, dull, or located in the middle or sides of the chest. Management includes stress management techniques and, if necessary, medications to manage anxiety.


What are the symptoms of pleurisy and how is it treated?

Pleurisy is inflammation of the tissues lining the lungs and chest cavity, often causing pain that worsens with chest motion and deep breathing. Treatment involves addressing the underlying cause, such as a viral infection.


When should I seek immediate medical attention for chest pain?

Seek immediate medical attention if chest pain becomes severe, is associated with shortness of breath, sweating, dizziness, or nausea, or feels like a heavy crushing pain or pressure in the chest.


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