[33F] Experiencing intermittent chest pain

Patient Description

A 33-year-old female reports experiencing intermittent chest pain on the left side for approximately one to two months. The pain is described as sharp initially, then dull before it subsides, with an intensity rated at 5 out of 10. The patient is very active, attending the gym daily, and notes that the pain does not worsen with physical activity. There are no specific movements or activities that exacerbate the pain, and it does not radiate to other areas of the body.

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Arora's Assessment

What might be happening

Based on the information provided, here are a few possibilities:

  • Costochondritis: This is inflammation of the cartilage in your rib cage. It often results in chest pain that can be sharp and localized, and it can come and go. It's usually harmless and often goes away on its own, but it can cause significant discomfort.

    • Treatment usually involves over-the-counter pain relievers and rest.
  • Gastroesophageal reflux disease (GERD): This is a chronic 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.

    • Treatment usually involves lifestyle changes and over-the-counter medications. In some cases, prescription medications or surgery may be needed.
  • Anxiety: Sometimes, anxiety and stress can manifest as physical symptoms, including chest pain.

    • Treatment can involve a combination of therapy, lifestyle changes, and medication.

Please note that while these conditions are not life-threatening, chest pain can sometimes be a sign of serious heart conditions. It's important to get any chest pain checked out by a healthcare professional to rule out these conditions.

What you can do

  1. Schedule an appointment with your healthcare provider to discuss your symptoms. They may want to perform tests to rule out heart conditions.
  2. If the pain is severe or comes with other symptoms like shortness of breath, dizziness, or nausea, seek immediate medical help.
  3. Try to notice if anything triggers the pain, such as certain foods or stress, and avoid these triggers if possible.
  4. Over-the-counter pain relievers can help with the pain, but they should not replace a visit to the doctor.

What you should look out for

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

  • Severe chest pain
  • Chest pain accompanied by shortness of breath, dizziness, fainting, or nausea
  • Chest pain that spreads to your jaw, left arm, or back
  • Chest pain that gets worse with exercise and gets better with rest
  • Chest pain that comes with a feeling of tightness, pressure, or squeezing

Remember, I'm an AI and this advice is not a substitute for professional medical advice. Please consult with a healthcare provider.

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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 in the rib cage, often causing sharp, localized chest pain. It is usually harmless and can be treated with over-the-counter pain relievers and rest.


Can GERD cause chest pain and what are the treatment options?

Yes, GERD can cause chest pain due to acid reflux irritating the esophagus. Treatment typically involves lifestyle changes, over-the-counter medications, and in some cases, prescription medications or surgery.


How can anxiety lead to chest pain and what are the management strategies?

Anxiety can manifest as physical symptoms, including chest pain, due to stress and tension. Management strategies include therapy, lifestyle changes, and medication.


When should chest pain be considered a medical emergency?

Chest pain should be considered a medical emergency if it is severe, accompanied by shortness of breath, dizziness, nausea, or if it spreads to the jaw, left arm, or back, or worsens with exercise and improves with rest.


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