[38M] Experiencing chest pain

Patient Description

A 38-year-old male is experiencing chest pain. The pain is described as a sharp and constant presence, located on the left side of the chest. The patient reports that the pain worsens with deep breaths and when lying down, but improves when sitting up and leaning forward. There is no mention of any recent injuries or trauma to the chest area. The patient has not provided any information on past medical history, current medications, or other symptoms that may be associated with this chest pain.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible conditions:

  • Influenza (Flu): This is a common viral infection that can be deadly, especially in high-risk groups. The flu is different from a cold. Flu symptoms usually come on suddenly and may include fever, body ache, tiredness, cough, and headache.

    • Treatment usually involves rest and fluids. In some cases, antiviral medication may be prescribed.
  • COVID-19: This is a viral infection caused by a new coronavirus introduced to humans for the first time. It is spread from person to person mainly through the droplets produced when an infected person speaks, coughs or sneezes. Symptoms can range from mild (or no symptoms) to severe illness. Some of the symptoms you've described, such as fatigue, body aches, diarrhea, and cough, are common in COVID-19.

    • Treatment involves supportive care to help relieve symptoms. For severe cases, hospitalization may be required.
  • Mononucleosis: This is a viral infection that causes persistent fatigue, sore throat, fever, and other symptoms. It's also known as "mono" or "the kissing disease." It is usually caused by the Epstein-Barr virus.

    • Treatment involves rest, good nutrition and drinking plenty of fluids. You can soothe the sore throat by gargling with warm salt water or using throat lozenges.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

  1. Rest and hydrate: Regardless of the cause, rest and hydration are key to recovery from most illnesses. Try to get plenty of sleep and drink lots of fluids.

  2. Over-the-counter medication: Over-the-counter medication can help manage symptoms such as body aches and headache. Always follow the package instructions.

  3. Isolate: If you have not already done so, you should isolate yourself from others to prevent potential spread of infection.

  4. Get tested for COVID-19: Given the ongoing pandemic and your symptoms, it would be prudent to get tested for COVID-19.

What you should look out for

If your symptoms worsen or you experience difficulty breathing, seek medical attention immediately. Also, if your symptoms do not improve after a week or so, you should consult with a healthcare professional.

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10 mo ago

People Also Ask


What are the common causes of chest pain that worsens with deep breaths and improves when sitting up?

Chest pain that worsens with deep breaths and improves when sitting up can be caused by conditions like pericarditis, pleuritis, or musculoskeletal issues. Pericarditis is inflammation of the pericardium, the sac surrounding the heart, and is often relieved by sitting up and leaning forward.


How can I differentiate between chest pain caused by a heart problem and other causes?

Chest pain caused by heart problems, such as a heart attack, is often described as a pressure or squeezing sensation and may be accompanied by symptoms like shortness of breath, sweating, nausea, or pain radiating to the arm or jaw. Other causes, like pericarditis, may present with sharp pain that changes with position.


What are the symptoms of pericarditis, and how is it treated?

Pericarditis symptoms include sharp chest pain that may radiate to the neck, shoulders, or back, and is often relieved by sitting up and leaning forward. Treatment typically involves anti-inflammatory medications, rest, and in some cases, more specific treatments depending on the underlying cause.


When should I seek immediate medical attention for chest pain?

You should seek immediate medical attention for chest pain if it is severe, accompanied by symptoms like difficulty breathing, fainting, or if it feels like pressure or squeezing. Also, if the pain is persistent and does not improve with rest or over-the-counter medications, it is important to consult a healthcare professional.


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