[43F] Experiencing chest pain and weakness

Patient Description

A 43-year-old female has been experiencing somewhat sharp chest pain located above the left breast since the previous night. The pain intensifies upon bending and straightening up or retracting the shoulder. She reports a constant presence of the pain without any noted relief. Additionally, the patient has been feeling a general sense of weakness, which is unusual given her typically active lifestyle, rating this weakness as moderate in severity. She also experienced transient nausea that resolved after lying down. The patient has no known pre-existing conditions, allergies, or adverse reactions to medications and is not currently on any medications.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Musculoskeletal pain: This is pain that affects the muscles, ligaments and tendons, and bones. The pain you described could be related to the muscles or ligaments in your chest wall, especially since the pain is affected by movement and posture. This type of pain is typically treated with rest, pain relievers, and physical therapy.

  • Angina: This is chest pain caused by reduced blood flow to the heart muscles. It's usually described as pressure or squeezing in your chest. The pain can also occur in your shoulders, arms, neck, jaw, or back. Angina is a symptom of coronary artery disease, the most common type of heart disease. Treatment includes medication, lifestyle changes, and in some cases, surgery.

  • Gallbladder disease: The gallbladder is an organ that stores bile, a fluid produced by your liver to digest fat. Gallstones or inflammation of your gallbladder can cause sharp, intense pain in your upper right abdomen or chest. The pain may also radiate to your right shoulder or back. Treatment usually involves a change in diet and sometimes surgery.

What you can do

Given the nature of your symptoms, it would be best to seek immediate medical attention. Chest pain can be a sign of a serious heart condition, especially if it's accompanied by symptoms such as shortness of breath, sweating, and nausea. Even if your chest pain isn't related to your heart, it's still important to get it checked out.

What you should look out for

If your chest pain becomes severe, or if you start to experience symptoms such as shortness of breath, sweating, nausea, or pain that spreads to your back, neck, jaw, shoulders, or arms, seek immediate medical attention. These could be signs of a heart attack, which is a medical emergency.

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare professional who can evaluate your symptoms and condition more thoroughly.

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1 yr ago

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People Also Ask


What are the common causes of chest pain that is affected by movement and posture?

Chest pain affected by movement and posture is often due to musculoskeletal issues, such as muscle strain, costochondritis, or inflammation of the chest wall. These conditions are typically related to physical activity, poor posture, or injury.


How can I differentiate between musculoskeletal chest pain and angina?

Musculoskeletal chest pain is usually sharp and localized, worsening with movement or pressure on the chest. Angina, on the other hand, is often described as a pressure or squeezing sensation and may be accompanied by symptoms like shortness of breath, sweating, or pain radiating to other areas. A healthcare professional can perform tests to differentiate between the two.


What lifestyle changes can help manage or prevent angina?

Lifestyle changes to manage or prevent angina include maintaining a healthy diet, exercising regularly, quitting smoking, managing stress, and controlling other health conditions like high blood pressure, high cholesterol, and diabetes.


What are the symptoms of gallbladder disease and how is it treated?

Symptoms of gallbladder disease include sharp pain in the upper right abdomen or chest, nausea, vomiting, and sometimes fever. Treatment may involve dietary changes to reduce fat intake, medications to dissolve gallstones, or surgery to remove the gallbladder if necessary.


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