[30F] Experiencing chest pain and dizziness

Patient Description

A 30-year-old female has been experiencing pressure-like chest pain in the middle of the chest, radiating to the arms and shoulders, for approximately 2 months. The pain, rated a 7 out of 10 in severity, is exacerbated by running, lifting objects, and sometimes laughing, but is alleviated by rest. Additionally, the patient reports a taste of blood and episodes of dizziness, but no fainting, shortness of breath, or sweating. There is no redness or swelling over the area of pain. The patient frequently uses arecanut but does not use tobacco or recreational drugs. She has no known chronic diseases, allergies, or adverse reactions to medications, and is not currently on any medication.

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Arora's Assessment

What might be happening

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

  • Costochondritis: This is an inflammation of the cartilage in the rib cage. It usually causes chest pain that can be severe and can be mistaken for a heart attack. The pain can also radiate to your arms and shoulders. It usually gets worse with activity or movement, and gets better with rest, which aligns with your symptoms.

    • Treatment typically involves rest, avoiding activities that make the pain worse, and over-the-counter pain relievers.
  • Angina: This is chest pain or discomfort caused when your heart muscle doesn't get enough oxygen-rich blood. It can feel like pressure or squeezing in your chest, and the discomfort can also occur in your shoulders, arms, neck, jaw, or back. However, angina is usually triggered by physical exertion and relieved by rest within a few minutes, which doesn't completely align with your symptoms.

    • Treatment typically involves lifestyle changes, medications, and sometimes, surgery.
  • Anxiety or panic disorder: These conditions can cause physical symptoms like chest pain, dizziness, and a metallic taste in the mouth. However, these symptoms usually occur in episodes rather than continuously.

    • Treatment typically involves psychotherapy, medications, and lifestyle changes.

Please remember that this is not an exhaustive list and other conditions could also explain your symptoms.

What you can do

You should seek immediate medical attention given the nature of your symptoms. Chest pain can sometimes indicate serious conditions, including heart problems. Even though you're young and don't have a known history of heart disease, it's important to rule out these conditions.

In the meantime, try to rest and avoid activities that make your symptoms worse. Over-the-counter pain relievers may help with your chest pain, but you should still seek medical attention.

What you should look out for

Seek immediate medical attention if:

  • Your chest pain becomes severe or is accompanied by other symptoms such as shortness of breath, nausea, or fainting.
  • Your chest pain is not relieved by rest or over-the-counter pain relievers.
  • You experience any new or worsening symptoms.

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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10 mo ago

People Also Ask


What is costochondritis and how is it treated?

Costochondritis is an inflammation of the cartilage that connects a rib to the breastbone. It can cause sharp chest pain that may worsen with movement or physical activity. Treatment typically involves rest, avoiding activities that exacerbate the pain, and taking over-the-counter pain relievers.


How can I differentiate between angina and other types of chest pain?

Angina is chest pain caused by reduced blood flow to the heart and often feels like pressure or squeezing. It is usually triggered by physical exertion and relieved by rest within a few minutes. Other types of chest pain, like that from costochondritis, may not follow this pattern and can be more persistent.


Can anxiety cause physical symptoms like chest pain and dizziness?

Yes, anxiety can cause physical symptoms such as chest pain, dizziness, and a metallic taste in the mouth. These symptoms often occur in episodes and may be accompanied by feelings of panic or fear.


What should I do if I experience severe chest pain?

If you experience severe chest pain, especially if it is accompanied by symptoms like shortness of breath, nausea, or fainting, seek immediate medical attention. These could be signs of a serious condition that requires prompt evaluation and treatment.


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