[29F] Experiencing chills, tingling, chest and back pain, and difficulty breathing

Patient Description

A 29-year-old female presents with a three-day history of intermittent chills and tingling sensations occurring four to five times daily, described as random and occurring without fever. The patient reports severe chest pain, described as a stabbing sensation with twisting, and difficulty breathing. Additionally, the patient experiences pain across the stomach and lower back, with legs that are shaky and a general feeling of body tremors. The symptoms are exacerbated by stress, arguing, or pain. There is no mention of pregnancy or any other pre-existing conditions.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Anxiety or Panic Disorder: This condition can cause symptoms like chest pain, difficulty breathing, shaking, and a tingling sensation all over the body. Stress can often trigger these symptoms.

    • Treatment often involves therapy, medication, and lifestyle changes.
  • Heart Conditions: Chest pain and difficulty breathing can be symptoms of heart conditions, such as angina or even a heart attack. However, these conditions are less common in young, healthy individuals.

    • Treatment depends on the specific condition, but may include medication, lifestyle changes, and in some cases, surgery.
  • Gastrointestinal Issues: Your stomach and lower back pain could be due to issues with your gastrointestinal tract, such as gastritis or gallstones.

    • Treatment can range from dietary changes to medication and, in some cases, surgery.
  • Musculoskeletal Issues: Lower back pain can often be due to problems with the muscles or other structures in the back.

    • Treatment often involves physical therapy, pain relievers, and sometimes surgery.

What you can do

  • For anxiety or panic disorder, try to identify and avoid triggers, practice stress management techniques like deep breathing or yoga, and consider seeking help from a mental health professional.
  • For heart conditions, seek immediate medical attention if your chest pain is severe, especially if it's accompanied by shortness of breath, pain spreading to your jaw or arm, or nausea and sweating.
  • For gastrointestinal issues, try to identify any food or drink triggers, eat smaller, more frequent meals, and avoid lying down or going to bed soon after eating.
  • For musculoskeletal issues, try gentle stretching and strengthening exercises, apply heat or cold to the affected area, and avoid heavy lifting and sudden movements that could strain your back.

What you should look out for

  • If your chest pain becomes severe or is accompanied by other symptoms like shortness of breath, pain spreading to your jaw or arm, or nausea and sweating, seek immediate medical attention.
  • If your stomach or back pain becomes severe or is accompanied by other symptoms like vomiting, fever, or unexplained weight loss, seek medical attention.
  • If your symptoms persist or worsen, or if you develop new symptoms, seek medical attention.

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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1 yr ago

Top picked over-the-counter products for Tingling or Cold Sensations at the Back of Your Head

People Also Ask


What could be causing my chest pain and difficulty breathing?

Chest pain and difficulty breathing can be caused by several conditions, including anxiety or panic disorders, heart conditions like angina, or even gastrointestinal issues. It's important to consult a healthcare provider for a proper diagnosis.


Are my symptoms of tingling and body tremors related to anxiety?

Yes, symptoms like tingling and body tremors can be related to anxiety or panic disorders. These symptoms are often triggered by stress and can be managed with therapy, medication, and lifestyle changes.


How can I manage stress to prevent exacerbating my symptoms?

Managing stress can involve practicing relaxation techniques such as deep breathing, yoga, or meditation. Identifying and avoiding stress triggers, maintaining a healthy lifestyle, and seeking support from a mental health professional can also be beneficial.


When should I seek immediate medical attention for my symptoms?

You should seek immediate medical attention if your chest pain is severe, especially if it's accompanied by shortness of breath, pain spreading to your jaw or arm, nausea, or sweating. Additionally, if your stomach or back pain becomes severe or is accompanied by symptoms like vomiting, fever, or unexplained weight loss, you should also seek medical care.


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