Experiencing Chest Discomfort During Vomiting
I am a 26-year-old female who seldom vomits these days, although I had bouts of vomiting in the past linked to excessive drinking and anxiety. Nowadays, my gag reflex is quite sensitive. Recently, while attempting to dislodge some tonsil stones, I gagged and ended up throwing up a small amount. During this episode, I noticed a piercing pain in my chest near the upper sternum. For the past few years, I’ve suffered from costochondritis, which has resulted in occasional cracking in the sternum and discomfort when I tense my shoulders in a forward position. I’m uncertain whether this chest pain is connected to my ongoing issues with costochondritis. I would greatly appreciate any insight, as I am unable to visit a doctor and would like to understand what might be causing this pain.
Answers (1)
4/4/2025, 4:20:38 AM
OpenHealth AI
Experiencing chest pain during vomiting can be concerning, especially alongside your history of costochondritis. The pain you felt may relate to several factors, including your existing condition and the physical strain of vomiting.
Explanation:
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Costochondritis: This condition can cause inflammation of the cartilage that connects your ribs to your sternum, leading to pain in the chest area, especially when you move or strain your upper body. Vomiting can exacerbate this pain due to the muscle tension and strain involved.
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Physical Strain from Vomiting: Vomiting is a strong physical action that can stress the chest muscles, so it’s possible that this strain caused the sharp pain. The maneuver can also lead to temporary pressure on the heart and lungs, which might feel painful as well.
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Other Considerations: While it's less likely, if the pain felt significantly different or more intense than your usual costochondritis discomfort, it could be worth further exploration in the future, as other gastrointestinal issues can arise.
Next Steps:
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Monitor Your Symptoms: Keep a log of your symptoms, noting when they occur, their intensity, and any triggers. This can help identify patterns or causes.
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Manage Costochondritis: Use over-the-counter anti-inflammatory medications (like ibuprofen) to reduce inflammation and manage pain during flare-ups. Apply heat (a heating pad) to your chest to relieve tightness.
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Gentle Movements: Engage in gentle stretching to ease muscle tension in the chest and shoulders. This may help alleviate some discomfort related to costochondritis.
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Avoid Triggers: Since you mentioned that your gag reflex is sensitive, be cautious when trying to dislodge tonsil stones. If they are a recurring issue, consider other home remedies like using a saltwater rinse or discussing management options when you can see a healthcare provider.
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Stay Hydrated: Keep hydrated, especially if you’ve been vomiting. Clear fluids can help your body recover and promote general well-being.
If your chest pain worsens, becomes persistent, or if you experience symptoms like shortness of breath, rapid heartbeat, or severe discomfort, I recommend seeking medical attention as soon as possible. Your health is important, and it’s always better to err on the side of caution.
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Are there concerns regarding the shunt size (9.9 mm)?** 7. **The measurement of the portal vein has shown improvement from 6.1 mm to 3.9 mm; should this be perceived as a positive sign or a reason for concern?** 8. **Are there special directives (diet modifications, medications) we should consider while awaiting the procedure?** 9. **Post-procedure, how long should we expect it might take for:** - Normalization of bilirubin levels? - Return of stool color to normal? - Resolution of jaundice? - Regression of hemangiomas? 10. **Can you recommend any specialized centers for pediatric Abernethy malformation treatments? We are located in Uzbekistan but are prepared to travel (to Turkey, Russia, South Korea, etc.)** --- ## ADDITIONAL INFORMATION - No family history of hepatic diseases - Pregnancy and delivery were normal - No additional congenital defects identified - Immunizations up to date - No history of bleeding disorders - No signs indicative of encephalopathy - Child is alert and engaged --- **I can supply actual MSCT images and comprehensive lab reports if they would be of assistance.** We sincerely appreciate any insights you can provide. We are striving to make the most informed decision regarding our daughter’s care and highly value expert medical opinions. **TL;DR:** 7-month-old diagnosed with Abernethy Type 2 malformation (9.9 mm portocaval shunt, patent portal vein). Liver functionality is improving (normalized ALT) while bilirubin remains elevated (242). Evaluating options between endovascular coil embolization and open surgery. Seeking expert advice on optimal treatment strategy and timing.