[57F] Experiencing twitching and chest pain

Patient Description

A 57-year-old female presents with a 24-hour history of constant twitching in the left eye and chin, rated 8 out of 10 in severity, and a dull chest pain, rated 3 out of 10 in severity, which is unaffected by rest or activity. Additionally, she reports severe sensitivity to loud noises that has been present throughout the day. The patient has a history of Coronary Artery Disease (CAD) diagnosed 10 years ago and is allergic to Zoloft, Indocin, and shellfish. She is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Stress or Anxiety: Stress can often lead to physical symptoms such as muscle twitching and sensitivity to noise. It can also cause chest pain, although this is usually sharp and stabbing rather than a dull ache.

    • Treatment typically involves stress management techniques and, if necessary, medication.
  • Neurological Conditions: Certain neurological conditions can cause muscle twitching, sensitivity to noise, and chest pain. These could include conditions such as Multiple Sclerosis or Parkinson's Disease.

    • Treatment typically involves medication to manage symptoms and slow the progression of the disease.
  • Cardiovascular Conditions: Given your history of Coronary Artery Disease (CAD), it's possible that your chest pain could be related. However, CAD usually causes sharp, crushing chest pain rather than a dull ache.

    • Treatment typically involves lifestyle changes, medication, and sometimes surgery.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history in person.

What you can do

Here are some steps you can take:

  1. Schedule an appointment with your healthcare provider as soon as possible to discuss your symptoms. They may want to conduct further tests or refer you to a specialist.

  2. Try to identify any potential sources of stress in your life and take steps to manage them. This could involve techniques such as deep breathing, meditation, or yoga.

  3. Keep a symptom diary. Note down when your symptoms occur, what you're doing at the time, and anything that makes them better or worse. This could help your healthcare provider identify any patterns or triggers.

  4. If your chest pain becomes severe, or if you experience other symptoms such as shortness of breath, dizziness, or nausea, seek immediate medical attention.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Chest pain that is severe, crushing, or accompanied by other symptoms such as shortness of breath, dizziness, or nausea.
  • Sudden weakness or numbness on one side of your body.
  • Difficulty speaking or understanding speech.
  • Sudden, severe headache.
  • Any other symptoms that are severe, worsening, or causing you concern.

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 a definitive diagnosis and treatment.

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11 mo ago

People Also Ask


What could cause constant twitching in the eye and chin?

Constant twitching in the eye and chin can be caused by stress, fatigue, caffeine intake, or neurological conditions. It's important to consult a healthcare provider for a proper diagnosis.


How can stress or anxiety lead to physical symptoms like muscle twitching and chest pain?

Stress or anxiety can lead to physical symptoms by triggering the body's 'fight or flight' response, which can cause muscle tension, twitching, and even chest pain. Managing stress through relaxation techniques can help alleviate these symptoms.


What are the potential neurological conditions that could cause muscle twitching and sensitivity to noise?

Neurological conditions such as Multiple Sclerosis or Parkinson's Disease can cause muscle twitching and sensitivity to noise. These conditions affect the nervous system and require medical evaluation and management.


When should someone with a history of Coronary Artery Disease seek immediate medical attention for chest pain?

Someone with a history of Coronary Artery Disease should seek immediate medical attention if they experience severe, crushing chest pain, especially if it's accompanied by symptoms like shortness of breath, dizziness, or nausea, as these could indicate a heart attack.


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