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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Tightness, Intense Pain On Chest Causing Intense Pain While Deep Breathing Or Yawning. Episode Of Tightness In Calf. Blood Clot?

Last week, beginning on tuesday evening, I experienced a tight, intense pain on the left side of my chest , towards the bottom of my breast near the sternum, it last about 2 hours and made it painful/difficult to take deep breaths, yawn or swallow , but gradually went away. this occurred again for a similar period of time the next night, and then again on thursday night. Today i woke up with a very tight and sore left calf . I ve heard these can be signs of blood clots, but I am an active 19 year old female.
Sun, 10 Feb 2013
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General Surgeon,  's  Response
Hello!

Thank you for the query.

Your chest pain can be caused by heart problem or by rib nerve irritation due to compression or inflammation (so called neuralgia). Heart pain is usually burning or squeezing, radiates to the left arm or jaw. Can appear with physical activity. Neuralgia gives well localized, stabbing pain which aggravates while moving the chest.
Calf pain should be always checked with thrombosis indeed. Especially if you use oral contraception, or had a trauma recently in this area. Other possible reasons of vein thrombosis are varrices or a cancer (this should always be verified as such thrombosis can be a first symptom of a cancer).
I suggest you to have heart ECG, Holters 24 hours ECG (young persons can suffer from heart arythmia) and stress test if necessary. If no heart problem reveled, you should try anti-inflammatory nonsteroidal drugs for this pain (Diclophenac).
You should also have D-dimer level checked and if elevated, Doppler ultrasound of your leg should be performed.

Hope this will help.
Regards.
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Tightness, Intense Pain On Chest Causing Intense Pain While Deep Breathing Or Yawning. Episode Of Tightness In Calf. Blood Clot?

Hello! Thank you for the query. Your chest pain can be caused by heart problem or by rib nerve irritation due to compression or inflammation (so called neuralgia). Heart pain is usually burning or squeezing, radiates to the left arm or jaw. Can appear with physical activity. Neuralgia gives well localized, stabbing pain which aggravates while moving the chest. Calf pain should be always checked with thrombosis indeed. Especially if you use oral contraception, or had a trauma recently in this area. Other possible reasons of vein thrombosis are varrices or a cancer (this should always be verified as such thrombosis can be a first symptom of a cancer). I suggest you to have heart ECG, Holters 24 hours ECG (young persons can suffer from heart arythmia) and stress test if necessary. If no heart problem reveled, you should try anti-inflammatory nonsteroidal drugs for this pain (Diclophenac). You should also have D-dimer level checked and if elevated, Doppler ultrasound of your leg should be performed. Hope this will help. Regards.