Should I Visit the ER, Urgent Care, or Use MyChart?
I am a 30-year-old female, standing at 5 feet 10 inches tall and weighing 250 pounds. I am experiencing intermittent pain rated at an 8 out of 10 in my left rib area, accompanied by shortness of breath. The discomfort feels like a stabbing sensation beneath my last rib, and I also have soreness in my shoulder and collarbone. Last night was particularly difficult because I struggled to breathe, and using my inhaler did not provide relief. Today, I feel fatigued. Additionally, I am currently menstruating. I have a diagnosis of stage 4 deep infiltrating endometriosis, although examinations have only been conducted on my pelvis. I have a history of adult granulosa cell tumor in my ovary, but I have been disease-free for over a year now. I recently underwent an abdominal ultrasound, and the results indicated everything is normal. I do not consume alcohol, use drugs, or smoke. My concern lies in not wanting to inconvenience anyone or utilize medical resources unnecessarily.
Answers (1)
7/9/2025, 4:31:14 PM
OpenHealth AI
Given your symptoms of severe pain in the left rib area, shortness of breath, and fatigue, it’s important to prioritize your health and seek appropriate medical attention. These signs could indicate a serious condition, and it's not an inconvenience to seek help when you are experiencing such discomfort.
Explanation:
The combination of stabbing rib pain and shortness of breath may potentially signal issues such as a respiratory condition, musculoskeletal pain, or even complications related to your history of endometriosis or granulosa cell tumor. It’s important to take these symptoms seriously, especially since you've noted that your inhaler hasn't helped and you are feeling quite fatigued.
Next Steps:
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Seek Urgent Care or an Emergency Room (ER): Given the intensity of your pain (rated 8/10) and accompanying shortness of breath, it is advisable to go to the ER or an urgent care facility immediately. Do not delay this step, as it is better to be evaluated than to risk any serious health issues.
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Monitor Symptoms: While getting ready to seek care, take note of any other symptoms you might experience, such as changes in breathing, onset of fever, or worsening pain, to share with the healthcare professionals.
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Communicate Your Medical History: When being seen, inform the medical team about your stage 4 endometriosis and history of granulosa cell tumor, as this is pertinent information that could influence their assessment.
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Avoid Self-Diagnosis: While you may have access to MyChart or other digital health resources, given the potential severity of your symptoms, prioritize in-person assessment rather than self-monitored care or online consultations for now.
Reassurance:
It’s completely understandable to be concerned about using medical resources; however, your health is the priority. It is always better to err on the side of caution when faced with persistent and severe symptoms. Take care and get the help you need!
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