[36M] Experiencing intermittent burning sensation in right lung

Patient Description

A 36-year-old male has been experiencing a burning sensation on the right side of his right lung for the past two years. The pain, which is mild with a severity of 2 out of 10, is exacerbated by heavy breathing but subsides with rest. The patient occasionally suffers from heartburn and difficulty swallowing, which may be related to a history of acid reflux or GERD. The patient has a long-standing diagnosis of anxiety and panic disorder, as well as pre-diabetes diagnosed about a year ago. Currently, the patient is on a daily 20mg dose of Lexapro for anxiety and panic disorder and reports no known drug allergies.

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Arora's Assessment

What might be happening

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

  • Gastroesophageal Reflux Disease (GERD): This is a digestive disorder that affects the ring of muscle between your esophagus and your stomach. It might cause heartburn and might explain the burning sensation in your chest.

    • Treatment typically involves lifestyle changes and over-the-counter medications. In severe cases, prescription medications or surgery might be needed.
  • Anxiety and Panic Disorder: You've mentioned that you were diagnosed with these conditions about 13 years ago. Anxiety can often cause physical symptoms, including chest pain.

    • Treatment typically involves psychotherapy (cognitive behavioral therapy) and medication.
  • Costochondritis: This is an inflammation of the junctions where the upper ribs join with the cartilage that holds them to the breastbone. This condition can cause chest pain that's often worsened by physical activity or deep breathing.

    • Treatment typically involves pain relievers and physical therapy.

Please note that these are only possible explanations for your symptoms. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

Here are some steps you can take to manage your symptoms:

  1. Avoid foods and drinks that trigger heartburn. Common triggers include fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine.
  2. Try to eat smaller meals. Avoid overeating by eating smaller, more frequent meals throughout the day.
  3. Don't lie down after a meal. Wait at least three hours after eating before lying down or going to bed.
  4. Elevate the head of your bed. If you regularly experience heartburn while trying to sleep, put gravity to work for you. Place wood or cement blocks under the feet of your bed so that the head end is raised by 6 to 9 inches.
  5. Don't wear tight clothes or tight belts. These can compress your stomach, leading to heartburn.

What you should look out for

If your symptoms become more severe or frequent, it's important to seek medical attention. Specifically, you should contact a healthcare provider if you experience:

  • Severe, crushing chest pain
  • Difficulty breathing
  • Dizziness, fainting, sweating
  • Nausea, indigestion, or abdominal pain
  • Unexplained fatigue, paleness, or cold sweats

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

Top picked over-the-counter products for Acid Reflux (GERD): American College of Gastroenterology Guidelines

People Also Ask


What are the common symptoms of GERD and how can they be managed?

Common symptoms of GERD include heartburn, regurgitation of food or sour liquid, difficulty swallowing, and chest pain. Management typically involves lifestyle changes such as avoiding trigger foods, eating smaller meals, and not lying down after eating. Over-the-counter medications like antacids can also help, and in severe cases, prescription medications or surgery may be necessary.


Can anxiety and panic disorders cause physical symptoms like chest pain?

Yes, anxiety and panic disorders can cause physical symptoms, including chest pain, palpitations, shortness of breath, and dizziness. These symptoms are often due to the body's 'fight or flight' response. Treatment usually involves psychotherapy, such as cognitive behavioral therapy, and medications like SSRIs.


What is costochondritis and how is it treated?

Costochondritis is an inflammation of the cartilage that connects the ribs to the breastbone, causing chest pain that can be worsened by physical activity or deep breathing. Treatment typically includes pain relievers, rest, and physical therapy to manage symptoms.


How can lifestyle changes help manage acid reflux or GERD symptoms?

Lifestyle changes can significantly help manage acid reflux or GERD symptoms. These include avoiding foods and drinks that trigger symptoms, eating smaller meals, not lying down immediately after eating, elevating the head of the bed, and avoiding tight clothing. These changes can reduce the frequency and severity of symptoms.


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