[26F] Experiencing sharp chest pain when lying on back
Patient Description
A 26-year-old female reports a sharp pain located on the right side of the chest, below the breast but above the stomach. The pain is described as internal and worsens upon taking deep breaths. It is rated as 8/10 in severity and does not resolve unless the patient sits up or lies on her side. There are no accompanying symptoms such as shortness of breath, difficulty breathing, yellowing of the skin or eyes, nausea, or vomiting. The patient also experiences unrelated dull shoulder pain on the left side, which has been a recurring issue for the past 3-4 years, rated at a 6.5/10 in severity. There is no mention of any known injuries, and the patient has not provided any information on past medical history, pre-existing conditions, or chronic illnesses.
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Arora's Assessment
What might be happening
Based on the information provided, some possible conditions include:
- Costochondritis: This is an inflammation of the area where your ribs join with your breastbone, causing chest pain. The pain can worsen with deep breaths or physical activity. It's usually treated with rest, pain relievers, and sometimes heat or ice.
- Gallbladder disease: This includes conditions like gallstones or inflammation of the gallbladder. Pain is typically felt in the right upper or middle abdomen, but can also be felt in the right shoulder or between the shoulder blades. The pain can be sharp and may worsen after eating, especially fatty or greasy foods.
- Pleurisy: This is an inflammation of the lining of your lungs and chest (the pleura) that causes chest pain when you take a deep breath or cough. It's usually caused by a viral infection and often resolves on its own, but should be evaluated by a doctor.
- Pulmonary embolism: This is a blockage in one of the pulmonary arteries in your lungs, often due to a blood clot that traveled to your lungs from your legs. It can cause chest pain that worsens with deep breaths, as well as shortness of breath, rapid heart rate, and coughing up blood. This is a medical emergency and requires immediate attention.
What you can do
Given the severity of your pain and the potential seriousness of some of these conditions, you should seek immediate medical attention. While waiting for medical help, try to stay calm and breathe slowly and deeply. Avoid any physical activity that could worsen your pain.
What you should look out for
Seek immediate medical attention if you experience any of the following:
- Severe chest pain
- Chest pain that spreads to your jaw, left arm, or back
- Chest pain that gets worse with exertion
- Shortness of breath
- Sweating
- Nausea or vomiting
- Lightheadedness or fainting
- A rapid or irregular heartbeat
Remember, I'm an AI and this advice is based on the information you provided. Always consult with a healthcare professional for a proper diagnosis and treatment.
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1 yr ago
