[53F] Experiencing chest pain and constipation with a history of SLE and Sjogren's syndrome

What might be happening

Based on the information you've provided, here are some possible conditions that could explain your symptoms:

• Heart Conditions: Chest pain that radiates down the left arm can be a sign of heart conditions such as angina or even a heart attack. Women often experience symptoms differently than men, and may not have the classic "chest clutching" symptoms.

  • Treatment often involves medications, lifestyle changes, and in some cases, surgery.

• Gastrointestinal Issues: Pain under the ribs that radiates to the back, along with constipation, could suggest a gastrointestinal issue such as gallstones or pancreatitis.

  • Treatment often involves dietary changes, medications, and sometimes surgery.

• Systemic Lupus Erythematosus (SLE) Flare: Given your medical history of SLE, it's possible that your symptoms could be due to a flare of this condition. SLE can affect many parts of the body and cause a wide range of symptoms, including pain and fever.

  • Treatment often involves medications to manage symptoms and prevent flares.

• Sjogren's Syndrome: This is an autoimmune disorder that often goes hand in hand with other immune disorders like SLE. It can cause a variety of symptoms, including fatigue and pain.

  • Treatment focuses on managing symptoms, which can include medications and therapies to alleviate dryness.

What you can do

Given the severity and nature of your symptoms, it's important to seek immediate medical attention. Chest pain that radiates down the arm can be a sign of a serious heart condition and should always be evaluated right away.

What you should look out for

You should seek immediate medical attention if:

• Your chest pain becomes severe or is accompanied by shortness of breath, sweating, nausea, or lightheadedness.
• Your abdominal pain becomes severe or is accompanied by vomiting, a high fever, or yellowing of the skin or eyes.
• Your constipation is accompanied by severe abdominal pain or blood in your stool.

Please remember that while I strive to provide accurate information, I am an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.