[39F] With sudden sharp chest pain

Patient Description

A 39-year-old female presents with sudden onset of sharp chest pain located at the center of the chest. The pain is rated as 8 out of 10 in severity and is exacerbated by breathing, coughing, and walking. The patient denies experiencing shortness of breath, dizziness, or nausea. There is no known family history of heart disease or stroke, and this is the first occurrence of such chest pain. The patient has not sought medical attention for this issue yet.

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Arora's Assessment

What might be happening

Based on the information you've provided about your sudden and sharp chest pain, here are some possible explanations:

  • Costochondritis: This is an inflammation of the cartilage that connects a rib to the breastbone. It can cause sharp pain that worsens with movement or deep breathing. While it's not life-threatening, it can be quite painful. Treatment typically involves pain relief with over-the-counter medications and rest.

  • Pleurisy: This is an inflammation of the tissues that line the lungs and chest cavity. It can cause sharp chest pain that worsens with breathing or coughing. Treatment may involve addressing the underlying cause, such as an infection, and managing pain.

  • Muscle Strain: Sometimes, chest pain can be due to a strained muscle in the chest wall, especially if you've engaged in unusual physical activity recently. Rest and over-the-counter pain relief can help.

Given the severity and sudden onset of your chest pain, it's crucial to rule out more serious conditions such as heart-related issues. While these are less likely given your symptoms, they can be serious and require immediate attention.

What you can do

  1. Seek Medical Attention: It's important to consult a healthcare professional as soon as possible to ensure that any serious conditions are ruled out and to receive appropriate care.

  2. Rest and Avoid Strain: Try to rest and avoid activities that worsen the pain, such as heavy lifting or strenuous exercise.

  3. Pain Relief: Over-the-counter pain medications like ibuprofen or acetaminophen may help alleviate the pain, but it's important to consult with a healthcare provider before taking any medication.

  4. Use MDandMe: You can use the MDandMe app to journal your symptoms, track your progress, and share detailed notes with your healthcare provider. This can help in getting a more accurate diagnosis and treatment plan.

What you should look out for

  • Seek Emergency Care: If you experience new symptoms such as shortness of breath, dizziness, nausea, or if the pain worsens, seek emergency medical care immediately.

  • Monitor Symptoms: Keep track of any changes in your symptoms, including the intensity and duration of the pain, and any new symptoms that may arise.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan. Your health and safety are the top priority.

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4 d 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, causing sharp chest pain that worsens with movement or deep breathing. Treatment typically involves pain relief with over-the-counter medications and rest.


What are the symptoms and causes of pleurisy?

Pleurisy is an inflammation of the tissues that line the lungs and chest cavity, causing sharp chest pain that worsens with breathing or coughing. It can be caused by infections, autoimmune conditions, or other underlying issues. Treatment involves addressing the underlying cause and managing pain.


How can I differentiate between muscle strain and more serious chest conditions?

Muscle strain in the chest can cause pain similar to more serious conditions, but it often follows physical activity and improves with rest and over-the-counter pain relief. Serious conditions may present with additional symptoms like shortness of breath or dizziness, and require immediate medical attention.


When should I seek emergency care for chest pain?

You should seek emergency care for chest pain if you experience new symptoms such as shortness of breath, dizziness, nausea, or if the pain worsens. These could be signs of a more serious condition that needs immediate evaluation.


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