[28M] Experiencing chest pain, palpitations, and shortness of breath

What might be happening

Based on the information you've provided, possible diagnoses include:

• Pleurisy: This is an inflammation of the lining of the lungs and chest (the pleura) that leads to chest pain (usually sharp) when you take a breath or cough. It can be caused by a viral infection, pneumonia, or an autoimmune condition.

  • Treatment typically involves addressing the underlying cause and managing the symptoms. Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) can help relieve the pain.

• Costochondritis: This is an inflammation of the cartilage in the rib cage. It usually occurs in the cartilage where the upper ribs attach to the breastbone (sternum), an area known as the costosternal joint. Costochondritis causes chest pain that can mimic a heart attack.

  • Treatment usually involves pain relievers such as ibuprofen or other nonsteroidal anti-inflammatory drugs. Heat or ice to the affected area can also help.

• Anxiety: Stress and anxiety can also cause physical symptoms like chest pain and palpitations. If you've noticed that your symptoms often occur during periods of stress, this could be a possibility.

  • Treatment for anxiety can involve a combination of therapy, lifestyle changes, and medication if necessary.

• Heart conditions: Given your symptoms of chest pain, palpitations, and shortness of breath, it's important to rule out conditions like heart disease or arrhythmias. These are less common in someone your age, but they can still occur.

  • Treatment would depend on the specific condition, but could involve medication, lifestyle changes, or in some cases, surgery.

Please note that these are just possibilities, and the only way to get a definitive diagnosis is to see a healthcare provider.

What you can do

You should definitely make an appointment to see your doctor as soon as possible, given the severity and duration of your symptoms. In the meantime, here are some things you can do:

1. Try to rest and avoid activities that make your symptoms worse.
2. Over-the-counter pain relievers like ibuprofen can help with chest pain. However, do not take these if you have been advised by a doctor not to.
3. If stress or anxiety seems to be a trigger, try relaxation techniques like deep breathing, meditation, or yoga.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

• Severe chest pain or pressure, especially if it radiates to your arm, jaw, or back
• Difficulty breathing or extreme shortness of breath
• Fainting or feeling like you're going to faint
• A fast or irregular heartbeat, especially if accompanied by chest pain, shortness of breath, or feeling faint or lightheaded

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's really important to consult with a healthcare provider who can evaluate your condition and medical history.