[28M] Experiencing pressure-like chest pain

Patient Description

A 28-year-old male has been experiencing a pressure-like pain in the lower left section of his chest for approximately 4 hours, which worsens with certain movements such as sitting up, leaning back, or raising his arm. The pain is described as similar to a cramp and is rated 3 out of 10 in severity. Stretching seems to provide some relief, and the pain is reproducible with palpation. The patient has a past medical history of obesity and asthma, diagnosed in 2008, and is currently taking Albuterol for asthma management. No recent injuries, unusual physical activities, or additional symptoms were reported. The patient does not have any known drug allergies or other medications.

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Arora's Assessment

What might be happening

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

  • Musculoskeletal Pain: This is pain that affects the muscles, ligaments, tendons, and bones. The fact that your pain is affected by movement and touch suggests that it might be musculoskeletal in nature. This type of pain can often be managed with rest, over-the-counter pain relievers, and physical therapy.
  • Asthma: Asthma can sometimes cause chest tightness or pain. However, this is usually accompanied by other symptoms such as shortness of breath, wheezing, or coughing.
  • 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 and cause chest pain.

Please note that chest pain can also be a sign of serious heart conditions, such as angina or a heart attack. However, these conditions usually cause severe, crushing pain in the chest that is often accompanied by other symptoms such as shortness of breath, sweating, nausea, or pain radiating to the arm or jaw.

What you can do

Given your symptoms, it's important to get a proper diagnosis from a healthcare professional. They may want to perform tests to rule out more serious conditions. In the meantime, here are some things you can do:

  1. Rest and avoid any activities that make your pain worse.
  2. Over-the-counter pain relievers, such as ibuprofen, can help with musculoskeletal pain. However, always make sure to follow the instructions on the label and do not exceed the recommended dose.
  3. If your asthma symptoms are not well-controlled, make sure to use your albuterol inhaler as directed by your doctor.

What you should look out for

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

  • Severe chest pain
  • Chest pain accompanied by shortness of breath, sweating, nausea, or pain radiating to the arm or jaw
  • Chest pain that does not improve with rest or over-the-counter pain relievers

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.

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11 mo ago

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People Also Ask


What are common causes of chest pain that worsens with movement?

Common causes of chest pain that worsens with movement include musculoskeletal issues such as muscle strain or inflammation of the chest wall. These types of pain are often affected by physical activity and can be reproduced by pressing on the area.


Can asthma cause chest pain even if there are no other symptoms like wheezing or coughing?

Yes, asthma can cause chest pain or tightness even if other symptoms like wheezing or coughing are not present. However, it's less common and usually accompanied by other respiratory symptoms.


How can musculoskeletal chest pain be managed at home?

Musculoskeletal chest pain can often be managed at home with rest, avoiding activities that exacerbate the pain, and using over-the-counter pain relievers like ibuprofen. Gentle stretching and applying heat or cold packs may also provide relief.


When should someone with chest pain seek immediate medical attention?

Immediate medical attention should be sought if chest pain is severe, accompanied by shortness of breath, sweating, nausea, or pain radiating to the arm or jaw, or if it does not improve with rest or over-the-counter pain relievers.


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