Question 1

I've been having this quick, sharp pain on the left side of my chest whenever I put pressure on my left hand or lift something heavy. It's really strange because the pain just pops up out of nowhere, lasts only a few seconds, and then it's gone. Its been happening now and then for about 4 or 5 months, but it seems to be more frequent lately. Any idea what could be causing this? What should I do about it?

Accepted Answer

This type of chest pain that is triggered by certain movements or activities could be musculoskeletal in nature, such as costochondritis. It is an inflammation of the cartilage that connects a rib to the breastbone. To help relieve the pain and inflammation, you can take over-the-counter pain relievers such as ibuprofen (e.g., Advil) at a dose of 400mg to 800mg every 6 hours as needed with food. Additionally, applying a warm compress to the area may also provide some relief. However, it is important to consult with a healthcare professional for a proper evaluation and diagnosis.

Question 2

I'm really curious about something - I've had tons of ECGs, echos, and TMTs over the past year, and while I suspect I might have POTS because my heart rate jumps to 120 bpm when I walk, that's not what I'm most concerned about right now. Today, I'm experiencing these really strong, sharp chest pains. They come and go, happening in one small spot that hurts for 23 seconds and then disappears, or sometimes it's a dull ache lasting 24 seconds and then it's gone. Occasionally, the pain stays for 30 seconds to a minute, which I've found is called Texidor's twinges. The sharp pains are intense, happening in one spot or feeling like multiple wires in my chest wall are hurting for a second, but then they just vanish. Even with the dull pains, they stop after a few seconds, and I've also been coughing for the last few days. Do you think this could be heart-related? Sometimes, stretching makes the pain worse before it eases up. What could be causing this?

Accepted Answer

It is important to consider the possibility of musculoskeletal chest pain, especially given the description of sharp, localized pains that last for a few seconds and can be triggered or worsened by stretching. The fact that you have been coughing for the last few days also suggests a potential respiratory component to your symptoms. To address the sharp chest pains, you can try taking over-the-counter pain relievers such as acetaminophen or ibuprofen. Additionally, using a heating pad on the affected area may help alleviate the discomfort. It is also advisable to practice deep breathing exercises to help relax the chest muscles. If the symptoms persist or worsen, it would be prudent to follow up with your healthcare provider for further evaluation and to rule out any cardiac issues.

Question 3

Is it gas or heart attack?

Accepted Answer

Heart attack feels like pressure on chest cannot be relieved by antacids,associated with breathlessness. One can not entirely differentiate chest pain due to gas from chest pain due to heart attack based on symptoms only. You may need to visit a hospital and get evaluated by a health-care provider.

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