OpenHealth Q&A

Get answered by medical professionals

Should I Visit the Emergency Room?

8/18/2025, 6:41:18 PMMale25-34

Hello everyone, I’m a 19-year-old male weighing about 75 kilograms (approximately 168 pounds) and I’m not currently on any long-term medication. Last night (August 17), after a night of drinking, I returned home and experienced something strange in the area on the left side of my chest, around my ribs. I’m unsure exactly how it happened, but I recall standing at the top of the stairs and then finding myself lying face down at the bottom. I felt some discomfort at the time, but due to my intoxication, it didn’t raise any alarms for me. This morning, however, I awoke in bed to an intense pain that worsens with each breath. There’s an ongoing dull ache, but movements such as standing up, lifting my left arm, coughing, or sneezing cause significant agony in my ribs. Additionally, I’ve noticed a substantial bruise on my arm along with a small bruise near my ribs. I’ve taken some paracetamol, but the discomfort has not decreased. Any guidance or advice would be greatly appreciated!

Back PainChest PainNeck Pain

Answers (1)

Cony

8/18/2025, 6:41:46 PM

OpenHealth AI

I'm sorry to hear about your situation, and it's essential to address your symptoms seriously. Given your description of chest pain, bruising, and the context of a fall, it's crucial to be cautious.

Main Points:

  • You may be experiencing a rib injury, such as a fracture or contusion, which can cause significant pain, especially with movement.
  • The worsening pain with breathing and movements could indicate a more severe injury or even complications like a pneumothorax (air in the chest cavity), so prompt evaluation is important.

Explanation: The combination of the fall, rib pain, and chest discomfort raises concerns about a possible injury to the ribs or underlying structures. Bruising is a sign of trauma, and given that your pain is increasing and not improving with over-the-counter medication, it warrants further evaluation.

Next Steps:

  1. Seek Immediate Medical Attention: Given the nature of your symptoms, I recommend going to the nearest emergency room or urgent care center. Describe your fall and current symptoms in detail. They may want to perform imaging tests, such as an X-ray, to rule out fractures or other injuries.

  2. Limit Movement: Until you can get evaluated, try to rest and avoid movements that exacerbate your pain. This will help minimize discomfort and prevent further injury.

  3. Pain Management: While you can continue taking paracetamol, avoid any medications that might thin your blood, like aspirin or ibuprofen if you're concerned about potential internal injuries until evaluated by a healthcare professional.

It's understandable to feel anxious in this situation, but getting the right care promptly can make a significant difference. Focus on getting assessed, and I hope you find relief soon.

Related Questions

Concerns Over My Partner's Persistent Pain and Resistance to Seek Medical Help

I’m facing a worrying situation with my partner, a 40-year-old man who stands 6 feet 1 inch tall and weighs approximately 19 stone. Here's a brief overview of his medical background: Twenty years ago, he experienced two instances of deep vein thrombosis (DVT) in his left shoulder. Following the second incident, doctors discovered an abnormal growth of a rib that was pressing against a vein, which was the cause of those DVTs. More recently, he dealt with a blood clot in his calf last year. Fortunately, that was successfully treated, and he returned to his normal health. Although he was advised to continue taking apixaban for the long term, he has, unfortunately, chosen not to follow through with this guidance. He also has a history of elevated blood pressure. For the past couple of days, he has been experiencing two concerning symptoms that emerged simultaneously: a persistent cough with no accompanying cold or flu signs, and a severe pain located on the right side of his torso. He describes this discomfort as being mostly in his stomach yet extending slightly to his back. I would pinpoint the troubled area as the lower part of his ribs along the side of his body. It's unusual for him to express discomfort or complain about his health, so his recent grievances signal to me that the pain is likely quite significant. Despite my repeated suggestions for him to visit a doctor, he insists that he may have simply pulled a muscle. To manage the pain, he's been applying an ibuprofen cream (voltarol) and taking naproxen, but neither seems to provide relief. What might be the underlying issue here? I hope that some medical professionals who see this post can offer their insights, which might persuade him to consider making a doctor’s appointment. I’m open to providing any additional information you might require for a more informed perspective. Thank you for your help!

Chest PainJoint PainAbdominal Pain
Male25-34
1 hour ago

Normal MRI and EMG Reveal Nerve Slowdown

Greetings, I’m a 23-year-old female seeking guidance about some health issues I’ve been experiencing. Recently, I've noticed weakness in both my hand and arm, particularly in my dominant hand where grip strength has been notably diminished. After undergoing an EMG, the results indicated that my nerves are exhibiting a slowdown. However, my MRI results were unremarkable. To address some swelling I experienced, I was prescribed a course of steroids (4mg for a few months), which alleviated some of the issues, yet I still experience residual swelling in my hand. Often, my hand feels cold, and I notice a popping sensation when I move my fingers. Despite these sensations, I do not have any numbness or tingling, and the swelling appears sporadic. The pain I endure is quite severe, described as a hammering sensation throughout my hand. On occasion, I take ibuprofen (600mg) for relief, but it proves to be somewhat ineffective. My wrist itself seems fine, but my orthopedic specialist is considering a diagnosis of carpal tunnel syndrome (CTS), even though my symptoms don’t align with typical CTS indicators. I would greatly appreciate any advice or insights you may offer!

NeurologyPain ManagementNeck Pain
Male25-34
2 hours ago

Experiencing Unusual Sensitivity to Paracetamol

Hello, Reddit community! I'm a newcomer here, so please bear with me as I navigate this platform as well as the rules. I appreciate your understanding regarding my writing skills. I find myself in a situation that lacks sufficient information online, and I'm reaching out for insights from others. Currently, I have reasons to believe that I might be experiencing a unique sensitivity to paracetamol, and I’d like to share my timeline regarding this matter. Throughout my life, I generally had no issues with paracetamol. I used various brands multiple times and felt fine. However, starting in the fourth grade, I began to experience difficulties with it. My initial problems were respiratory-related, but soon they also affected my gastrointestinal system. I haven't had any formal testing yet, but I can safely use other pain relievers like NSAIDs without any adverse effects. Initially, I tolerated paracetamol relatively well; my early symptoms seemed like common side effects. Unfortunately, it escalated to severe reactions, including vomiting, tightening of the throat, blood in my mucus, and shortness of breath. In my confusion, I thought limiting my dosage could help, which it did temporarily, but eventually even the reduced amounts failed to be effective. I experimented with syrup formulations that contain less paracetamol or where it isn't the primary ingredient, and found those to be more manageable. Recently, however, even those have become problematic, making it necessary for me to seek alternatives to paracetamol, as it has become increasingly intolerable. Through my research, I discovered that such reactions often stem from cross-sensitivity to other medications or from preexisting respiratory conditions. I lack a history of asthma or other respiratory issues, so I’m inclined to dismiss that possibility, although I remain uncertain. Moreover, I have no known allergies, which adds to my confusion since my reactions only occur with this one particular medication while all others seem fine. It is difficult for me to process this change, especially since I used to have no issues with paracetamol. It is widely available and generally considered safe, so I struggle to understand the source of my suffering. Many people insist that these reactions are normal side effects, leading me to question whether I am overreacting. The immediacy of my reactions intensifies my concern; I don’t even need to swallow the medication completely before I notice my throat constricting, increased mucus production, and shortly thereafter, some blood in my mucus along with persistent coughing. This pattern has become consistent, whereas it used to depend on the dosage. Now, regardless of how much I take, the same symptoms occur. I’ve tried to dismiss it, not wanting to worry my parents or seek medical attention for a dosage safety test, fearing I’ve already pushed my body too much. However, I am considering discussing my concerns with my mother since she is increasingly worried about my use of this medication. I’m not seeking a diagnosis or medical advice—I understand I should probably consult a professional. I’m just interested in knowing if anyone else has faced similar experiences, as the confusion grows. What I once assumed were normal side effects now seem to signify something more concerning.

Chest PainJoint PainAbdominal Pain
Male25-34
3 hours ago

Chronic Foot Pain: Seeking Insights on Possible Causes

I'm reaching out to gather thoughts on a perplexing issue I'm facing. Since my first pregnancy back in 2020, I've been dealing with intense foot pain that appears unpredictably. It all started when I was about seven months along while working long shifts in a busy kitchen, four days a week, for eight hours each day. At the time, I dismissed the discomfort as something typical for pregnancy, but it fortunately subsided about six months after giving birth to my first child. Fast forward to late 2024, when I became pregnant with my second child. By now, I had transitioned to being a stay-at-home mother, with none of the rigorous demands of my previous job. However, around three months into this new pregnancy, the foot pain reemerged and has persisted ever since. My youngest is turning two this month, which helps frame this timeline. The pain has oscillated between being severe and manageable, but the previous six months have marked a significant decline into debilitating territory. When I am at rest, I feel sharp pains in my metatarsals that radiate up to my knees. To alleviate some discomfort, I’ve been altering my walking style to shift weight more onto my heels instead of the balls of my feet. However, this adjustment has introduced a new level of discomfort in my heels. Ironically, the only relief I find is while walking. Nonetheless, excessive walking—even something as simple as taking my oldest to school for a brief ten-minute journey—leaves me nearly immobilized the following day. Currently, I’m on a regimen of 50 mg of APO-Diclofenac DR, taken twice daily, yet I’ve found no relief. Previously, I also tried 500 mg of naproxen twice a day without any positive outcomes. I've experimented with various footwear, but none have alleviated the pain. My primary care physician has arranged for bilateral x-rays and blood tests to check for conditions like gout and markers for osteoarthritis and rheumatoid arthritis, among other things. So far, all tests have returned normal. There have been occasions where I’ve had to keep my oldest child at home from school simply because I’m unable to walk even a short distance, such as the fifty steps from my bedroom to the kitchen. Standing causes distress, and even elevating my feet while resting feels unbearable. Additionally, any gentle touch to my feet triggers intense pain that shoots up my shins. The only feedback I’ve received from my doctor so far is that it likely stems from inflammation, along with a recommendation to expedite weight loss. I had a chiropractor assess my condition, and they noted that I am hypermobile, but I’m unsure how significant that could be to my situation. If you have any questions for clarification, I’d be more than willing to respond. I’m enduring considerable pain and would greatly appreciate any suggestions on possible avenues for finding relief.

Back PainJoint PainChronic Pain
Male25-34
5 hours ago

Discomfort Under My Big Toe – Seeking Diagnosis

I’m a 22-year-old male. About a week ago, I noticed a minor ache in my big toe, which didn’t bother me too much at the time, so I decided to brush it off. However, by yesterday, the discomfort had intensified significantly. I also observed some swelling and a bit of discoloration, but I'm unsure whether this issue stems from a corn, a blister, or something else entirely. I would greatly appreciate any assistance in identifying what might be going on.

Back PainJoint PainOrthopedics
Male25-34
8 hours ago