[54F] Experiencing intermittent chest pain with associated symptoms

What might be happening

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

• Angina: This is a type of chest pain caused by reduced blood flow to the heart. Angina is a symptom of coronary artery disease. The pain is often described as a pressure or squeezing in your chest. It can also be felt in the shoulders, arms, neck, jaw, or back. Angina pain may even feel like indigestion. The fact that your pain is worsened by exercise and relieved by rest is typical of angina.

  • Treatment for angina usually includes lifestyle changes, medication, and sometimes, surgery.

• Hypothyroidism: Your hypothyroidism may be contributing to your fatigue and feelings of sadness. When your thyroid doesn't produce enough hormones, it can affect your mood, weight, and energy levels.

  • Treatment for hypothyroidism usually involves daily use of the synthetic thyroid hormone levothyroxine, which you are already taking.

• Depression: Persistent feelings of sadness and loss of interest that characterize depression can interfere with your daily life, for weeks or longer.

  • Treatment for depression often involves a combination of medication and psychotherapy.

Please remember, these are just possibilities and not a definitive diagnosis.

What you can do

1. Consult a doctor as soon as possible about your chest pain, especially since it's associated with exercise. This could be a sign of a serious heart condition.

2. Discuss your feelings of constant sadness with your doctor. They can provide resources and treatments to help manage these feelings.

3. Continue taking your levothyroxine as prescribed, and discuss any concerns you have about your hypothyroidism with your doctor.

What you should look out for

Seek immediate medical attention if:

• Your chest pain becomes severe or constant
• You experience severe shortness of breath
• You have symptoms of a heart attack, which can include pain or discomfort in one or both arms, the back, neck, jaw, or stomach, shortness of breath, cold sweat, nausea, or lightheadedness.

Please remember, I'm an AI and this advice is not a substitute for professional medical advice. Always consult with a healthcare provider for a formal diagnosis and treatment.