[42F] Experiencing chest pain, back pain, and other symptoms

What might be happening

Based on the information you provided, here are a few possible explanations for your symptoms:

• Cardiovascular conditions: Given your chest pain, shortness of breath, and family history of heart disease, conditions such as angina or even a heart attack should be considered. These conditions can cause chest pain that radiates to the neck and shoulder, shortness of breath, and sweating.

  • Testing would typically involve an electrocardiogram (ECG), blood tests, and possibly an exercise stress test. Treatment can range from lifestyle changes and medications to procedures such as angioplasty or bypass surgery.

• Musculoskeletal conditions: Your back pain, particularly as it worsens with standing, could be due to conditions such as a herniated disc or spinal stenosis.

  • Treatment typically involves physical therapy, pain relief medications, and in some cases, surgery.

• Nutritional deficiencies: Your numbness and tingling could be due to deficiencies in certain vitamins, such as B12 or magnesium. This could also explain your fatigue.

  • Treatment would involve dietary changes and/or supplements.

• Thyroid conditions: Your levothyroxine medication indicates you have a thyroid condition, possibly hypothyroidism. This can sometimes cause fatigue and muscle pain.

  • Treatment typically involves hormone replacement therapy.

• Eye conditions: Your blurry vision could be due to a number of conditions, including refractive errors, cataracts, or glaucoma.

  • Treatment would depend on the specific condition and could range from glasses or contact lenses to surgery.

What you can do

Given the severity and range of your symptoms, it's important that you seek medical attention as soon as possible. In the meantime, here are some general suggestions:

1. If you smoke, try to quit. This can significantly reduce your risk of heart disease and improve your overall health.
2. Try to maintain a balanced diet rich in fruits, vegetables, lean proteins, and whole grains. This can help address any nutritional deficiencies.
3. Stay hydrated and try to get regular exercise, as this can help with general health and well-being.
4. Take your medications as prescribed, and discuss any side effects or concerns with your doctor.

What you should look out for

Seek immediate medical attention if you experience:

• Chest pain that is severe, worsening, or lasts longer than a few minutes
• Difficulty breathing or shortness of breath
• Sudden, severe headache or confusion
• Sudden loss of vision or double vision
• Any new or worsening symptoms

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.