Worried About Dull Pain Between Ribs 2 and 3 on My Left Side
Personal Information: 31 years old, weighing 170 pounds, height 5'9" Greetings everyone, For a while now, I have been experiencing a persistent dull discomfort in the left side of my chest, particularly near the area between my second and third ribs, close to my armpit and slightly above my breast. Occasionally, I also notice this sensation on the right side. At times, the pain intensifies and radiates towards my armpit. Just to provide some context, I have been diagnosed with endometriosis and have a previous medical history that includes gastrointestinal issues like acid reflux. Recently, I consulted a cardiologist who performed an EKG. Although the test indicated abnormal T waves, she did not express any concern regarding the results. During the examination, she palpated the upper part of my chest and did not detect any unusual lumps or irregularities, leading her to conclude that the pain is likely related to acid reflux. Nevertheless, I am still apprehensive, especially because the pain tends to occur randomly, with a higher frequency at night, and it has been troubling me for the past six weeks. Most of the time, the discomfort is a dull ache, yet I have experienced heartburn and reflux before, and this sensation feels distinct. At times, the pain escalates, and I take famotidine, which offers some relief. I have a mammogram scheduled for next Wednesday, and I can’t shake off the fear that it could indicate something serious like lymphoma or breast cancer. During the cardiologist's exam, she only assessed the upper portion of my breast, but later in the day, I discovered two small, pea-sized lumps beneath my left nipple that are tender to the touch. Could it be possible that this discomfort is merely a symptom of acid reflux? I’m quite unsettled that the cardiologist didn’t investigate this further, particularly since I underwent a stress test back in January that returned clear results when I was experiencing random palpitations.
Answers (1)
7/23/2025, 6:40:50 PM
OpenHealth AI
It's understandable to feel anxious about persistent pain and any new symptoms you are experiencing. The discomfort you're describing between your ribs, especially considering your history of endometriosis and gastrointestinal issues like acid reflux, can likely be attributed to several potential causes. It's very common for anxiety about health to amplify these feelings. Let’s consider what you’re experiencing more closely.
Key Points:
- The ache between your ribs may be related to muscular issues, acid reflux, or other benign causes.
- The lumps you found need to be evaluated, but they are often non-cancerous.
- It's crucial to manage your symptoms while awaiting further evaluations.
Explanation:
- Dull Pain: The dull pain you feel on your left side can often result from muscle strain, especially if it’s worse at night or after certain activities. Given your existing acid reflux, it could also stem from irritation due to stomach acid affecting the esophagus or diaphragm.
- Lumps: The tenderness and size of the lumps you discovered are significant. While they can be benign (such as cysts or fibrocystic changes), getting them evaluated at your mammogram appointment is critical for peace of mind.
- Previous Assessments: Your cardiologist’s assessment and the EKG results, while concerning, were deemed not indicative of immediate health crises by a specialist. This can help in alleviating some anxiety, though it’s valid to seek clarity on lingering symptoms.
Next Steps:
- Track Symptoms: Keep a detailed journal of your pain, including what triggers it, how long it lasts, and any changes in your bowel habits or gastrointestinal symptoms. This will help you and your healthcare provider identify patterns.
- Manage Acid Reflux: Continue taking famotidine as needed, but also try to implement lifestyle changes. Avoid trigger foods (spicy, fatty, or acidic foods), eat smaller meals, and try not to lie down immediately after eating.
- Schedule Your Breast Examination: Make sure to mention the lumps to the doctor during your mammogram. They can provide a more thorough examination and decide if any further tests are necessary.
- Mindful Practices: Engage in stress-reducing activities like mindfulness or gentle exercise to help manage anxiety surrounding your symptoms.
- Consider Following up with a Primary Care Provider: After your mammogram, discussing your concerns with a primary care provider might lead to more personalized insights into your symptoms and anxiety.
It's important to focus on these steps while awaiting your appointments. Take care, and remember to give yourself time to process and address your symptoms. If anything worsens significantly, such as increased pain or new symptoms, consider reaching out to a healthcare professional sooner.
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