[46F] Experiencing chest and stomach pain with associated symptoms

What might be happening

Based on the information you've provided, here are a few possibilities:

• Gastroesophageal Reflux Disease (GERD): This condition occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus and cause chest pain. The pain can be worse when you take a deep breath or lie down.

  • Treatment usually involves lifestyle changes and over-the-counter medications. If these don't help, your doctor might recommend prescription medications or surgery.

• Gallstones: These are hardened deposits in the gallbladder that can cause sudden pain in the upper right abdomen, which can sometimes radiate to the right shoulder or back.

  • Treatment options include surgery to remove the gallbladder or medications to dissolve the gallstones.

• Panic Attack: This is a sudden episode of intense fear that triggers severe physical reactions when there is no real danger or apparent cause. Symptoms can include chest pain, rapid heart rate, sweating, and tingling or numbness in the hands and feet.

  • Treatment includes psychotherapy, medications, and lifestyle changes.

• Pleurisy: This is inflammation of the tissues that line the lungs and chest cavity. This can cause chest pain that worsens when you breathe, cough or sneeze.

  • Treatment usually involves addressing the underlying cause of the inflammation.

Please note that these are possibilities based on the symptoms you've described, and not a definitive diagnosis. It's important to see a healthcare professional for a proper evaluation.

What you can do

1. For GERD, try to avoid foods and drinks that trigger heartburn such as fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine.
2. If you think you might be having a panic attack, try to focus on your breathing. Breathe in slowly through your nose, hold your breath for a few seconds, then exhale slowly through your mouth.
3. If your pain is severe, persistent, or accompanied by other serious symptoms such as difficulty breathing or dizziness, seek immediate medical attention.

What you should look out for

Seek immediate medical help if you experience:

• Severe chest pain or pressure, especially if it radiates to your arm, jaw, or back or is accompanied by nausea, sweating, dizziness or shortness of breath.
• Symptoms of shock, such as rapid, shallow breathing; cold, clammy skin; and rapid, weak pulse.
• Symptoms that might indicate a more serious condition, such as high fever, uncontrolled vomiting, or severe abdominal pain.

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.