[27M] Experiencing intermittent chest discomfort and dry mouth

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

• Gastroesophageal Reflux Disease (GERD): This is a condition where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus, causing discomfort or a feeling of a lump in the chest. Your previous diagnosis of GERD could explain your symptoms.

  • Treatment typically involves lifestyle changes and over-the-counter medications. In some cases, prescription medications or even surgery might be necessary.

• Anxiety: Anxiety can cause physical symptoms such as chest pain, rapid heart rate, and shortness of breath. You mentioned feeling anxious, especially when thinking about your symptoms. This could be contributing to your chest discomfort.

  • Treatment for anxiety often involves a combination of psychotherapy (counseling) and medication.

• Costochondritis: This is an inflammation of the cartilage that connects a rib to the breastbone (sternum). It causes chest pain that can be reproduced by pushing on the chest wall. It's usually harmless and often goes away without treatment.

  • Treatment typically involves pain relievers and rest.

Please note that these are possible explanations and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

Here are some steps you can take to manage your symptoms:

1. For GERD, try to avoid foods and drinks that trigger your heartburn (common triggers are fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine). Also, try to eat smaller meals and avoid eating 2-3 hours before bedtime.
2. For anxiety, consider relaxation techniques such as deep breathing, meditation, yoga, or tai chi. Regular physical activity and a healthy diet can also help manage anxiety. If your anxiety continues or worsens, consider seeking help from a mental health professional.
3. For costochondritis, over-the-counter pain relievers such as ibuprofen (Advil, Motrin IB, others) or naproxen (Aleve) might help. Rest and avoiding strenuous activities that make your symptoms worse are also recommended.

What you should look out for

Please seek immediate medical attention if you experience:

• Chest pain that spreads to your jaw, left arm, or back
• Sudden sharp chest pain with shortness of breath, especially after a long period of inactivity
• Chest pain associated with dizziness, fainting, sweating, nausea, or shortness of breath
• Rapid or irregular heartbeat or sudden severe shortness of breath or coughing up blood

Remember, 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.