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Having on and off pain in chest area. Feeling difficulty in breathing and nausea. What is going on?

Hi, I am 16 years old and I have been having on and off pain in my upper left chest area. The pain is also sometimes, but not always, accompanied by difficulty breathing and nausea . The pains have been going on for a little over 3 weeks now. The pain does seem to be stronger though in te evening, when it usually is non existent during the day. I do have frequent heart burn , and I sometimes pass it off as that, especially when the pain is more in the center or right side of my chest. So what I am asking is what are the odds that this is a heart attack , with me being 16 years old? I also weigh about 115 pounds, and I am fairly active, just not during the summer. Is there also a chance that it could be anxiety? When I get the pains, I tend to not want to go to bed, fearing that I won t wake up. This usually means I fall asleep around 4am. So please help me figure out what this is, it has been scaring me, and I want to know what s going on. Please reply, and thank you for your time.
Asked On : Fri, 3 Aug 2012
Answers:  3 Views:  40
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Diseases and Conditions
General & Family Physician 's  Response
Dear patient,

anxiety, improper dietary habits etc are the most common risk factors causing gastric discomfort in your age group. A healthy individual like you should least worry about getting an heart attack or MI. the less you worry about unwanted things the far better you will feel every day.
What you need is some antacids for a period of 3 weeks and it will be temporarly managed.
as you said you are having heartburn right, which can present as pain in centre or left or right in that order.
now follow below things and see what happens,
1. never eat too late and never keep yourself hungry , always have something to eat on like non fat containing biscuits,
2.Avoid oil mad stuffs like fries, fried chicken. also avoid spicy foods like pickles,
3,Eat plenty of fruits more apples less pineapple. and any other fruits you like.
4.Drink plenty of water.
5.Never go to sleep just after having food or even drinking water. wait for 1 hour and then go to sleep .
6.Start Tab.omeprazole 20mg with Domperidone 2 times a day for the next 5 days
followed by same tablet once daily for 16 days. ( have the tablet before food and take food after half an hour of consuming tablet)

you might have noticed that i have wrote the prescription for meds last. Yes above mentioned things are more important than medicines. follow those you will not need medicines after this course.
Thank you
Answered: Fri, 3 Aug 2012
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General & Family Physician Dr. Vidya KR's  Response
Hi, Thanks for using the HCM.
As you are getting chest pain, better to get ECG done, as you are also complaing of difficulty in breathing, consult a cariologist for further wok up with other other investigations like cardiac enzymes, ECHO etc, your symptoms could be due to anxiety also, but its better to rule out cardiac problem first..
Hope I have answered your query. If you have any further questions I will be happy to help. Thanks get well soon....
Answered: Fri, 3 Aug 2012
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Internal Medicine Specialist Dr. Rajeev Chavda's  Response
Thanks for using the HCM. I am happy to address your questions, chest pain is an imprecise term. It is often used to describe any pain, pressure, squeezing, choking, numbness or any other discomfort in the chest, neck, or upper abdomen, and is often associated with pain in the jaw, head, or arms. It can last from less than a second to days or weeks, can occur frequently or rarely, and can occur sporadically or predictably. It is important to keep in mind that chest pain is merely a symptom, not a diagnosis. And because it can be a symptom of anything from a catastrophic to a trivial medical problem, when a person experiences chest pain it is important to try to characterize that pain as rapidly as possible as being either completely benign, or possibly significant. Hence, will recommend you show to your clinician to diagnose the cause. Hope I have answered your query. If you have any further questions I will be happy to help. Thanks
Answered: Fri, 3 Aug 2012
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