[61F] Experiencing periodic sharp chest pains

What might be happening

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

• Costochondritis: This is inflammation of the cartilage that connects a rib to the breastbone (sternum). It causes sharp pain in the costosternal joint — where your ribs and breastbone are joined by rubbery cartilage. Pain caused by costochondritis might mimic that of a heart attack or other heart conditions.

  • Treatment typically involves over-the-counter pain relievers such as ibuprofen or naproxen. Rest and heat may also help.

• Gastroesophageal Reflux Disease (GERD): This is a chronic condition where 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, causing chest pain among other symptoms.

  • Treatment typically involves lifestyle changes and over-the-counter medications. Prescription medications and surgery might be needed in severe cases.

• Precordial Catch Syndrome (PCS): This is a benign and very common condition in young adults and adolescents characterized by sporadic, sharp chest pains localized on the left side of the chest. The pain typically lasts for a few seconds to a minute, and is often described as "a bubble in the chest" or "a stab in the heart".

  • Treatment is not necessary as the condition is harmless and resolves on its own.

• Panic Disorder/Anxiety: Anxiety and panic attacks can also cause chest pain. These attacks can cause feelings of fear and apprehension, as well as physical symptoms like chest pain, heart palpitations, and shortness of breath.

  • Treatment typically involves psychotherapy, medication, or both.

Given your history of high blood pressure and COPD, it's also important to consider cardiac causes. However, the brief duration and nature of your pain make these less likely.

What you can do

1. Try to rest and avoid strenuous activities to see if this helps with your pain.
2. Over-the-counter pain relievers such as ibuprofen or naproxen may help with your pain.
3. If you notice a pattern with your pain and eating, you might want to try avoiding foods that trigger heartburn.
4. If your pain is causing you significant distress, techniques to manage stress and anxiety such as deep breathing, yoga, and meditation may be beneficial.

What you should look out for

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

• Severe chest pain
• Chest pain accompanied by shortness of breath, dizziness, fainting, sweating, nausea, or pain radiating to your arm, shoulder, neck, or jaw.
• Any new or worsening symptoms

Please remember that while I strive to provide accurate information, I am an AI and this advice should not replace a consultation with a healthcare professional.