Seeking Guidance on Symptoms
I'm reaching out for some assistance regarding a few troubling symptoms I've been experiencing. I'd appreciate any guidance on what to research before seeing my doctor, to ensure I obtain the necessary support. To give you some context, I'm an 18-year-old assigned female at birth (AFAB) with a history of fibromyalgia. Previously, I also dealt with whooping cough, but aside from those conditions, I haven't suffered from any serious or long-lasting physical ailments. Currently, I am facing several symptoms, including chest pain that feels distinctly different from my usual fibromyalgia discomfort. This particular pain has persisted for over a year. Additionally, I experience dizziness, lightheadedness, occasional vertigo, and sometimes a sensation of struggling to breathe, even though I am technically inhaling. I believe this might be what is referred to as "air hunger." It's worth mentioning that I have been diagnosed with anxiety, although that assessment came from a general practitioner and not a mental health professional. I haven't exhibited symptoms of anxiety for a few years now since that diagnosis, but I realize that some of my current symptoms may overlap with those I had back then. Apologies for my lengthy explanation, but I would greatly appreciate any insights or information you might provide!
Answers (1)

6/22/2025, 1:20:56 AM
OpenHealth AI
Thank you for sharing your symptoms and context. It sounds like you're experiencing a concerning mix of symptoms that warrant attention, especially the persistent chest pain and breathing difficulties. Here’s a structured way to approach your situation:
Key Points
- Chest Pain Duration: Persistent chest pain lasting for over a year, differing from fibromyalgia discomfort.
- Associated Symptoms: Dizziness, lightheadedness, vertigo, and sensations of struggling to breathe (air hunger).
- Anxiety Connection: Possible overlap between your current symptoms and previous anxiety diagnosis.
Explanation
Your symptoms can arise from various causes, and it's important to differentiate between physical and psychological origins. Chest pain and breathing difficulties are particularly important to assess further because they can indicate issues in the lungs, heart, or other physical challenges.
Fibromyalgia can cause widespread pain, but chest pain persisting for such an extended period should be evaluated to rule out any cardiovascular or respiratory conditions. Dizziness and lightheadedness can be related to both physical health issues (like inner ear problems) and anxiety.
Next Steps
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Symptom Diary: Keep a detailed diary of your symptoms. Note when they occur, their intensity, and any triggers. This record will be very helpful for your doctor.
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Research Specifics for Discussion:
- Learn about conditions such as costochondritis (inflammation of the chest wall), anxiety-related disorders, and any potential links to fibromyalgia.
- Research the signs of respiratory distress or heart-related issues. Be aware of symptoms like sharp pain, pressure, or radiating pain.
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Prioritize Key Symptoms:
- Track any changes in your chest pain and breathing. If symptoms worsen or you experience severe breathlessness, or if you have episodes of severe dizziness where you feel faint, it would require immediate attention.
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Consider Mental Health Factors: Reflect if anxiety could be influencing your physical sensations. It might be beneficial to explore this with a mental health professional, particularly since anxiety may manifest in physical symptoms.
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Prepare for Your Appointment:
- Write down your concerns, including the history of your symptoms and their impact on your daily life.
- Be honest about your anxiety history and any emotional factors that might be at play.
Your symptoms are important, and addressing them thoroughly is the best course of action. Remember, it’s completely valid to seek clarification and support regarding both your physical symptoms and emotional well-being. Please keep monitoring your situation, and don’t hesitate to reach out for help as you prepare for your appointment.
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