[48M] Experiencing sternum pain and PVCs

What might be happening

Based on the information you have provided, possible diagnoses include:

• Costochondritis: This is an inflammation of the cartilage in your rib cage. The condition usually results from chest trauma (such as from a fall or injury) or from strenuous exercise. It can cause pain and tenderness in the area where your ribs attach to your breastbone (sternum).

  • Treatment typically involves rest, avoiding strenuous activities until you're healed, and pain relievers such as ibuprofen or naproxen.

• Gastroesophageal Reflux Disease (GERD): Given your history of heartburn, it's possible that your chest pain is related to 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 heartburn.

  • Treatment for GERD usually involves lifestyle changes and over-the-counter medications. In some cases, prescription medications or even surgery may be needed.

• Premature Ventricular Contractions (PVCs): These are extra heartbeats that begin in one of your heart's two lower pumping chambers (ventricles). These extra beats disrupt your regular heart rhythm, sometimes causing you to feel a fluttering or a skipped beat in your chest. PVCs are common and they're typically harmless, but they can cause anxiety and they can be more serious in people with heart disease.

  • Treatment isn't necessary for PVCs unless they're causing significant symptoms or if they're linked to other heart health issues.

What you can do

1. Rest and avoid strenuous activities until you're healed.
2. Take over-the-counter pain relievers such as ibuprofen or naproxen to help with the chest pain.
3. Make lifestyle changes to help manage your GERD symptoms, such as maintaining a healthy weight, avoiding foods and drinks that trigger heartburn, eating smaller meals, and not lying down after a meal.
4. Consult with your doctor about your symptoms. They can provide a formal assessment and order relevant tests if necessary.

What you should look out for

Reasons to see a doctor more urgently:

• If your chest pain becomes severe or constant
• If you experience shortness of breath, sweating, dizziness, or nausea along with chest pain
• If your heartburn symptoms worsen or don't improve with treatment
• If you notice an increase in the frequency of your PVCs or if they're associated with other symptoms such as fainting or shortness of breath

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 for an accurate diagnosis.