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Persistent Chest Discomfort for Two Days

3/30/2025, 6:10:23 PMMale25-34

At 27 years old, I have been experiencing tightening in my chest for the past 48 hours, particularly around the region associated with my heart. Typically, I maintain a high resting heart rate, averaging around 110 beats per minute, but in recent days, it has ranged between 100 and 140. In an attempt to alleviate what I initially thought might be heartburn or acid reflux, I have tried Tums, a gas-relief medication, and omeprazole, yet none have produced any relief. I can distinctly feel my heart racing, although there are moments when the sensation eases a bit. Last night, as I was settling down for sleep, I noticed a peculiar clicking feeling on the left side of my ribcage that seemed to synchronize with my heartbeat. While I do tend to experience anxiety, I have never had chest tightness from anxiety that has persisted for this length of time. Two nights prior, I had a few alcoholic drinks, and the discomfort began the following day. To cope, I have been hydrating extensively and using a heating pad on my chest, which seems to provide some comfort. I had a heart murmur in infancy that eventually resolved on its own. Additionally, I vape. Should I consider going to the emergency room? While the discomfort isn’t severe enough to compel an immediate visit, the ongoing nature of the symptoms is quite concerning. I've found myself researching various conditions, feeling anxious about potential issues like a collapsed lung or angina.

AgingFamily MedicineInternal Medicine

Answers (1)

Cony

3/30/2025, 6:10:37 PM

OpenHealth AI

It's understandable to be concerned about persistent chest discomfort, especially given the variety of symptoms you're experiencing. The concerning elements include your elevated heart rate, the ongoing tightness in your chest, and the recent changes since consuming alcohol. While anxiety can indeed cause similar sensations, it's important to consider other potential causes too.

Explanation

Chest discomfort can arise from a range of factors, including gastrointestinal issues, anxiety, or even cardiac conditions. Given your history of a heart murmur and the symptoms you're describing—including the sensation of tightness and the clicking feeling—it's essential to take these symptoms seriously. Vaping and alcohol consumption can also contribute to heart rate changes and chest irritation.

Next Steps

  1. Immediate Monitoring: Pay attention to any changes in your symptoms. If you experience worsening pain, trouble breathing, lightheadedness, or any other severe symptoms, seek emergency medical attention right away.

  2. Rest and Relaxation: Reduce any stress-inducing activities. Since you have anxiety, practice relaxation techniques such as deep breathing, meditation, or gentle stretching, which may help ease discomfort.

  3. Hydration and Avoidance: Continue to drink plenty of water. Avoid caffeine, alcohol, and any other known irritants for the next few days, as these can exacerbate symptoms.

  4. Symptom Diary: Keep track of your symptoms, noting any triggers, the intensity of the discomfort, and any additional sensations you feel. This information can be useful for healthcare providers if you decide to seek further evaluation.

  5. Follow-Up: Given that your symptoms have persisted for two days without relief, especially with the specific heart-related sensations and your elevated heart rate, consider reaching out to a healthcare provider calmly to discuss your symptoms. A professional can help determine whether further evaluation is necessary, such as a physical examination or monitoring.

Remember, while researching can be helpful, it can also elevate anxiety. Try to prioritize your well-being by focusing on actionable steps and seeking appropriate support when needed.

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