[44F] With sudden sharp pain in diaphragm and chest

What might be happening

Based on the symptoms and history you've provided, here are some possible explanations:

Sudden, Sharp Pain in Diaphragm Area

• Angina or Heart-Related Issues: Given your history of high blood pressure and family history of congestive heart failure, the pain extending into your chest and under your left armpit could be related to angina or another heart-related issue. Angina is chest pain caused by reduced blood flow to the heart muscles.
• Gastroesophageal Reflux Disease (GERD): Sometimes, GERD can cause sharp pain under the ribs and in the chest area, especially if it worsens with breathing.
• Pulmonary Embolism: Given your history of blood clots, a sudden sharp pain that worsens with breathing could be a sign of a pulmonary embolism, which is a blood clot in the lungs.

Palpitations and Irregular Heartbeats

• Arrhythmias: Your frequent palpitations and irregular heartbeats could be due to arrhythmias, which are irregular heart rhythms. These can be benign or serious, depending on the type and underlying cause.

Dizziness and Lightheadedness

• Orthostatic Hypotension: This condition causes a sudden drop in blood pressure when you stand up, leading to dizziness and lightheadedness. It can be related to dehydration, medication side effects, or other underlying conditions.
• Heart-Related Issues: Given your history, these symptoms could also be related to your heart's ability to pump blood effectively.

Migraines with Bumps at the Base of the Head

• Occipital Neuralgia: This condition involves irritation or injury to the occipital nerves, which run from the top of the spinal cord to the scalp. It can cause severe headaches and bumps at the base of the skull.

What you can do

Sudden, Sharp Pain in Diaphragm Area

• Seek Immediate Medical Attention: Given the severity and nature of your pain, especially with your history of high blood pressure and blood clots, it's crucial to seek immediate medical attention. Go to the emergency department or contact your healthcare provider as soon as possible.
• Avoid Physical Exertion: Until you can see a doctor, avoid any physical exertion that might worsen your symptoms.

Palpitations and Irregular Heartbeats

• Consult Your Doctor: Make an appointment with your healthcare provider to discuss your palpitations and irregular heartbeats. They may recommend an ECG or other tests to determine the cause.
• Monitor Your Symptoms: Keep a journal of your symptoms, including when they occur, their duration, and any associated activities or triggers. You can use MDandMe to track your symptoms and share this information with your provider.

Dizziness and Lightheadedness

• Stay Hydrated: Ensure you are drinking enough fluids, especially if you are not taking your prescribed water pills.
• Move Slowly: When standing up, do so slowly to give your body time to adjust and prevent sudden drops in blood pressure.

Migraines with Bumps at the Base of the Head

• Consult a Neurologist: Given your description of migraines and bumps, it would be beneficial to consult a neurologist for a thorough evaluation and appropriate treatment.
• Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage migraine pain. However, consult your doctor before taking any medication.

What you should look out for

Given the severity of your symptoms and the potential for serious underlying conditions, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Severe Chest Pain: If the pain becomes more intense or is accompanied by shortness of breath, sweating, or nausea, seek emergency medical attention immediately.
• Fainting or Severe Dizziness: If you experience fainting or severe dizziness, seek medical help right away.
• Worsening Palpitations: If your palpitations become more frequent or severe, contact your healthcare provider.

Remember, while I can provide information and suggestions, it's essential to consult with a healthcare professional for a formal diagnosis and appropriate treatment. If you have more questions or need further assistance, feel free to continue the conversation.