[31F] Experiencing chest pain with associated dizziness and difficulty breathing

Patient Description

A 31-year-old female has been experiencing a pressure-like chest pain for a week, rated as 3 to 4 in severity. The pain occurs at rest and is exacerbated by crying. It is accompanied by dizziness and a sensation of difficulty breathing, described as feeling like someone is squeezing the heart. The pain slightly changes with position and on taking a deep breath. The patient has no known pre-existing conditions, allergies, or current medications. No associated symptoms such as sweating, nausea, or radiating pain to the arm or jaw were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, you are experiencing chest pain, which can be caused by a variety of conditions, some of which are serious. Here are a few possibilities:

  • Angina: This is chest pain caused by reduced blood flow to the heart muscles. It's not a disease but a symptom of an underlying heart problem, usually coronary heart disease. Angina is typically described as squeezing, pressure, heaviness, tightness or pain in your chest.

    • Treatment usually involves lifestyle changes, medication, and sometimes, surgery.
  • Panic Disorder or Anxiety: Chest pain is a common symptom of panic attacks and anxiety. These episodes can cause symptoms that mimic those of a heart attack, including chest pain, shortness of breath, and dizziness.

    • Treatment typically involves cognitive behavioral therapy, medication, and lifestyle changes.
  • Gastroesophageal Reflux Disease (GERD): This is a chronic condition where stomach acid flows back into the esophagus. This can cause a burning sensation in your chest (heartburn), which can be mistaken for heart-related pain.

    • Treatment usually involves lifestyle changes and over-the-counter medication. If these don't help, your doctor may prescribe stronger medications or even surgery.

What you can do

Given the potential seriousness of chest pain, it is important to seek immediate medical attention. Here are some steps you can take:

  1. Call 911 or go to the nearest emergency room. Chest pain can be a sign of a serious heart condition and should not be ignored.
  2. Try to stay calm and take slow, deep breaths while you wait for help to arrive.
  3. If you have been prescribed nitroglycerin for angina, take it as directed by your doctor.

What you should look out for

If you experience any of the following symptoms, seek immediate medical attention:

  • Chest pain that spreads to your jaw, left arm, or back
  • Sudden sharp chest pain with shortness of breath, especially after a long period of inactivity
  • Nausea, dizziness, rapid heart rate or rapid breathing, confusion, ashen color, or excessive sweating
  • Very low blood pressure or very low heart rate

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare professional who can evaluate your symptoms fully and guide your treatment.

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11 mo ago

People Also Ask


What are the common causes of chest pain in young adults?

Common causes of chest pain in young adults include anxiety or panic attacks, gastroesophageal reflux disease (GERD), musculoskeletal issues, and less commonly, heart-related conditions like angina. It's important to get evaluated by a healthcare professional to determine the cause.


How can anxiety or panic attacks cause chest pain?

Anxiety or panic attacks can cause chest pain due to the body's 'fight or flight' response, which can lead to muscle tension, increased heart rate, and hyperventilation. These physiological changes can mimic heart attack symptoms, including chest pain.


What lifestyle changes can help manage angina or GERD?

Lifestyle changes to manage angina or GERD include maintaining a healthy diet, regular exercise, avoiding smoking and excessive alcohol consumption, managing stress, and maintaining a healthy weight. For GERD, avoiding trigger foods and eating smaller meals can also help.


When should I seek emergency medical attention for chest pain?

You should seek emergency medical attention for chest pain if it is severe, sudden, or accompanied by symptoms such as pain spreading to the jaw, arm, or back, difficulty breathing, nausea, dizziness, or excessive sweating. These could be signs of a serious condition like a heart attack.


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