[27M] With chest tightness and faintness

Patient Description

A 27-year-old male has been experiencing left-sided chest tightness and pressure for the past three months. The tightness, rated as a 6 out of 10 in severity, worsens when lying on his back and occurs primarily in the afternoon and evening, lasting for hours. He also reports a tingling sensation in his left leg and feeling faint, described as an 'out of body' experience, which often accompanies the chest tightness. The symptoms have gradually worsened over time. The patient notes stress as a potential factor but has not identified specific triggers or found relief through any measures.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possibilities:

  • Anxiety or Panic Disorder: Stress can sometimes manifest physically, causing chest tightness, tingling, and feelings of faintness. These symptoms often occur together during anxiety episodes.

    • Treatment typically involves stress management techniques, therapy, and sometimes medication.
  • Musculoskeletal Issues: Chest tightness and tingling in the leg could be related to muscle tension or nerve compression, especially if worsened by certain positions.

    • Treatment may include physical therapy, exercises, or pain relief medications.
  • Cardiovascular Concerns: Although less likely given the duration, chest pressure and faintness can sometimes indicate heart-related issues.

    • It's important to rule this out with a healthcare provider, who may recommend tests like an ECG.

What you can do

  1. Consult a Healthcare Provider: It's important to get a formal assessment to rule out any serious conditions.
  2. Manage Stress: Practice relaxation techniques such as deep breathing, meditation, or yoga.
  3. Track Symptoms: Use MDandMe to journal your symptoms, track progress, and share insights with your provider.
  4. Stay Active: Gentle exercise can help reduce stress and improve overall well-being.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe or worsening chest pain
  • Shortness of breath
  • Sudden weakness or numbness
  • Any new or concerning symptoms

Remember, it's important to consult a healthcare professional for a proper diagnosis and treatment plan.

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3 mo ago

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People Also Ask


Can stress and anxiety cause physical symptoms like chest tightness and tingling?

Yes, stress and anxiety can manifest physically, leading to symptoms such as chest tightness, tingling sensations, and feelings of faintness. These are common during anxiety or panic episodes.


What are some common non-cardiac causes of chest tightness?

Non-cardiac causes of chest tightness can include anxiety or panic disorders, musculoskeletal issues like muscle tension or nerve compression, and gastrointestinal problems such as acid reflux.


How can I differentiate between anxiety-related symptoms and heart-related issues?

Anxiety-related symptoms often occur with stress and may include a rapid heartbeat, sweating, and a sense of impending doom, while heart-related issues might present with more severe chest pain, shortness of breath, and symptoms that worsen with physical activity. It's important to consult a healthcare provider for an accurate diagnosis.


What are effective ways to manage stress that might help alleviate these symptoms?

Effective stress management techniques include deep breathing exercises, meditation, yoga, regular physical activity, and cognitive-behavioral therapy. These methods can help reduce stress and potentially alleviate related physical symptoms.


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