OpenHealth Q&A

Get answered by medical professionals

Experiencing Chest Discomfort?

7/8/2025, 7:50:25 PMMale25-34

Greetings! I’m an 18-year-old female with autism, and I have possible diagnoses of hypermobile Ehlers-Danlos syndrome (hEDS) and postural orthostatic tachycardia syndrome (POTS). My family deals with various health concerns, but financial constraints make obtaining proper evaluations quite challenging. This background is relevant to my current situation. Today, while at work, I felt extremely lightheaded and noticed that my advanced heart rate monitor was showing irregular spikes in my heart rate. Typically, my heart rate fluctuates between 64 and 110 beats per minute just from sipping water, and it can soar to 150 when I ascend stairs. Right now, I’m feeling alarmed as it’s difficult for me to stand without dizziness or excessive breathlessness. Lately, I’ve been experiencing a discomfort in my chest that intensifies when I’m upright; it has transitioned into a persistent sensation. It seems to be centered around my throat and there’s a sharpness concentrated on the left side near my heart. Overall, my chest feels off, with a blend of dull and sharp pains at that region. Even while seated, I’m struggling with breathlessness, which is unusual for me. I also found that stretching by putting my arms behind my back and grasping my wrists while straightening my arms—which I typically do due to my hypermobility and joint concerns—is now triggering a novel nerve pain in my upper chest that I haven't experienced before. Though I frequently experience various symptoms, this particular one has been debilitating today, leaving me uncertain about how to proceed or what the underlying issue might be.

AgingLifestyle ChangesInternal Medicine

Answers (1)

Cony

7/8/2025, 7:50:45 PM

OpenHealth AI

It's understandable to feel alarmed given your symptoms, which could be linked to your existing health conditions like hypermobile Ehlers-Danlos syndrome (hEDS) and postural orthostatic tachycardia syndrome (POTS). The combination of lightheadedness, irregular heart rates, and chest discomfort can certainly be concerning, especially when they present together and affect your daily life.

Explanation

  1. POTS and Symptoms: Your symptoms, including increased heart rate upon standing and lightheadedness, align with POTS, where blood flow doesn't adjust normally when you change positions. This can lead to dizziness and breathlessness.

  2. Chest Discomfort: The chest discomfort and sharp pain might be linked to muscle strain or nerve involvement, potentially exacerbated by your hEDS. Given your condition, the connective tissue in your body might be more susceptible to strain, leading to pain when certain positions are held or movements made.

  3. Breathlessness: Even when seated, significant breathlessness warrants attention, as it can indicate various issues ranging from muscular to cardiac causes.

Next Steps

  1. Rest and Monitor: Prioritize rest. If possible, lie down and keep your legs elevated to help blood flow back to your heart and reduce symptoms of POTS.

  2. Hydration and Salt Intake: Ensure you’re drinking plenty of fluids and consider increasing your salt intake (if not contraindicated) to help manage blood volume and potentially ease symptoms. Consult dietary guidelines related to your condition.

  3. Position Changes: Avoid sudden position changes; rise slowly from a seated or lying position to minimize dizziness.

  4. Symptom Journal: Keep a meticulous record of your symptoms, noting the severity, duration, and any triggers or alleviating factors. This could help identify patterns or triggers related to your discomfort.

  5. Manage Physical Strain: Since certain stretches have triggered new nerve pain, it may be beneficial to pause those activities until you better understand the discomfort and consult a knowledgeable physical therapist familiar with EDS.

  6. Educate Yourself on Your Conditions: Learn more about POTS and hEDS management strategies. This knowledge can empower you and help you navigate your symptoms effectively.

If your symptoms worsen, especially if you experience severe pain, persistent breathlessness, or new symptoms arise, consider seeking evaluation from a healthcare professional, even if it's a telehealth consultation or community health resources that can assist given your financial constraints. Your health and comfort are important, and taking proactive steps can help manage your situation better.

Related Questions

Unexpected Eye Issues: Headache and Double Vision Concerns

A 33-year-old female, measuring 1.67 meters in height and weighing 55 kilograms, residing in the Netherlands, experienced a sudden onset of symptoms. Last evening, shortly after dinner, my partner complained of a slight headache localized at the rear of her head. Along with this discomfort, she encountered double vision and noticed her right eye deviating outward. Interestingly, when she shut either eye, the double vision resolved, enabling her to see without distortion. We rushed her to the emergency room later that night. The medical team conducted a variety of assessments, including physical examinations, neurological evaluations, visual tests, and laboratory analyses. Fortunately, all results were normal. However, the doctors found it peculiar that her right eye exhibited normal movement and accurately tracked a pen in all directions when her left eye was closed. The medical opinion suggested that it may be a migraine-related episode, a condition she has experienced previously. Nonetheless, she insists that this feels unlike any migraine she has had in the past. A teleconsultation with a neurologist is scheduled for Monday to arrange an MRI should the symptoms continue. The doctors advised that if her symptoms worsen, we should return to the hospital immediately. Fortunately, after a night's rest, her vision had returned to normal by morning, the headache had subsided, and her right eye was aligned properly. I am understandably concerned, particularly due to her assertion that this does not resemble a typical migraine. Is it possible that this is indeed a migraine, or could it be indicative of another underlying issue? Thank you for your attention to this matter.

AgingWellnessPreventive Medicine
Male25-34
2 minutes ago

Unusual Wave Patterns in ECG: Potential Artifacts in Lead V6

Upon examining the ECG readings, I've noticed peculiar double wave formations appearing between the QRS complex and the T wave in lead V6. This is new to me, as I have never encountered such patterns before. Could these be classified as artifacts?

Family MedicineInternal MedicinePreventive Medicine
Male25-34
53 minutes ago

Intense Pain in Left Thumb

Greetings, I’ve been experiencing a piercing pain at the tip of my left thumb intermittently. This discomfort is situated within the thumb rather than on the outer skin. It primarily affects the underside of the thumb and surrounds the base of the nail. The pain seems to extend only to the first skin fold, specifically around the distal phalanx. When applying pressure, I’ve noticed some red streaks appearing beneath the surface, alongside the white area. I trust this explanation is clear. This issue has persisted for over a year, occurring sporadically but intensifying as time has passed. Could this be a cause for concern? A bit about myself: I am a 25-year-old female with no significant medical issues in my background. I previously smoked cigarettes for three years, transitioned to vaping, and have been vaping for six years now. I maintain an active lifestyle, frequently going to the gym and participating in various sports such as indoor football and pickleball. I don’t have any known allergies.

AgingLifestyle ChangesPreventive Medicine
Male25-34
2 hours ago

Persistent Need to Stretch Legs While Seated

I experience a significant discomfort when seated, particularly when my knees are bent at about a 90-degree angle. This sensation compels me to stretch my legs straight, and if too much time passes without doing so—typically around every five to six minutes—the urge intensifies to an uncomfortable level that’s hard to manage. It’s more than just a desire to fidget; fully extending my legs tends to offer the greatest relief. Adjusting my position provides some comfort, but it doesn’t alleviate the feeling nearly as effectively as a full stretch does. This issue predominantly arises when I remain stationary in a chair. Occasionally, I notice a similar feeling when I’m lying down, but these instances are relatively rare compared to the frequent occurrences while sitting. I consulted a relative who is a medical professional about this discomfort, and they suggested that it doesn’t appear to align with Restless Leg Syndrome. However, since this isn't their specialization, I acknowledge that there may be a chance of error. * What could potentially be causing these sensations? * Does anyone else relate to this experience? * Are there methods available to help manage or diminish this feeling? I would greatly appreciate any advice or insights.

WellnessSupplementsLifestyle Changes
Male25-34
3 hours ago

Resources for Safe Mouse Cleanup

While it may not be a typical inquiry for a healthcare professional, I find myself in need of guidance. Recently, we had an uninvited mouse visitor in our home, and unfortunately, it left droppings in my children's toy storage and on the changing table. I am seeking advice on how to effectively disinfect all affected items or determine if disposal is necessary to prevent any health risks. My children are quite young, at 2.5 years and just 4 months old. If they’ve potentially been exposed to mouse droppings, should I reach out to their pediatrician? For reference, I’m a 32-year-old female, standing at 5'6" and weighing 140 pounds, not currently on any medications.

AgingWellnessFamily Medicine
Male25-34
3 hours ago