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Hello Doctor, I Am A 24 Year Old Male That

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Posted on Tue, 30 Jun 2020
Question: Hello doctor, I am a 24 year old male that has been having chest pains for the last week or so. At night, I tend to feel my chest area really warm like if something/some was lighting a fire inside but I have no other symptoms. No fatigue, no dizziness, no fainting or fever. Do you have any idea what this could be? At first it would happen only when I would lay down but there's been a couple of days where I feel this "warmness" throughout the day. Today, my chest on the left side is mildy hurting. Do you think it's anxiety related or something else? If you have any more questions, you can let me know.
doctor
Answered by Dr. Dr. Ivan Romich (30 minutes later)
Brief Answer:
Most likely anxiety

Detailed Answer:
Hi and welcome.
You symptoms are suggesting anxiety, because some specific heart or lung disorder would have other symptoms such as pain during physical activity, dizziness, pain in left arm, cough or shortness of breath. You may also have gastritis or GERD which is always aggravated by anxiety and stress. Another option is pinched intercostal nerve or muscle. I suggest to take nonsteroid painkiller and 2mg diazepam when you feel pain and rest. If new symptoms develop, work up may be necessary. Wish you good health
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. Ivan Romich (35 minutes later)
Okay, well that's good news. Regarding the painkillers, they have worked everyday except today. I drank two around 3 hours ago, but my chest pain has not really subsided. It doesn't hurt, but it just feels like a bubble of air / slight burning. Just. thought it was important to tell you.
Also, is it normal for these anxiety symptoms to prevent you from feeling sleepy at night? It's not common, but there has been instances where I wasn't able to sleep on time because of the feelings in my chest.
Lastly, are anxiety chest pains dangerous in the long-term effect? I ask because the chest does feel warm and I'm hoping it's nowhere near as serious as my brain can make it to be.
Thank you!
doctor
Answered by Dr. Dr. Ivan Romich (20 hours later)
Brief Answer:
Follow-up consultation

Detailed Answer:
Yes, all these symptoms are suggestive of psychosomatic issues.

It may be a combination of GERD, anxiety, and panic attacks. Sleeping difficulties are also commonly seen in these scenarios.

There are no long term negative effects, but stress relieving therapy, dietary and habit changes are required to make you feel better.

Medical therapy is required of there is no improvement and include painkillers, muscle relaxants, and benzodiazepines.

Wish you good health.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Dr. Ivan Romich

General Surgeon

Practicing since :2008

Answered : 13873 Questions

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Hello Doctor, I Am A 24 Year Old Male That

Brief Answer: Most likely anxiety Detailed Answer: Hi and welcome. You symptoms are suggesting anxiety, because some specific heart or lung disorder would have other symptoms such as pain during physical activity, dizziness, pain in left arm, cough or shortness of breath. You may also have gastritis or GERD which is always aggravated by anxiety and stress. Another option is pinched intercostal nerve or muscle. I suggest to take nonsteroid painkiller and 2mg diazepam when you feel pain and rest. If new symptoms develop, work up may be necessary. Wish you good health