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Concerning My Health Issues

8/20/2025, 4:42:11 PMMale25-34

About a week ago, I began experiencing a sharp discomfort in the area of my sternum and on the left side of my chest. This sensation intensified when I took deep breaths, coughed, laughed, or lay down—particularly the latter, which also caused the pain to radiate to the right side of my chest. After consulting a physician, I was prescribed antispasmodics and simethicone, which provided some relief. While the pain didn't completely disappear, it diminished significantly by the fifth day. However, as of yesterday (day eight), I've started to notice a similar discomfort on my right side, albeit less severe, and it aggravates when I lie down. Additionally, I’ve felt some tension in my neck and right shoulder. Does anyone have an idea of what might be causing this? (I plan to revisit the doctor soon, but I'm looking for some preliminary advice!) For context, I'm a 19-year-old female and have a habit of indulging in fast food. My parents had advised me to see a doctor a few days ago (around days six or seven). However, since I was feeling better and most of the pain had subsided, I was unsure of what to explain to the doctor and thus decided against it. T-T

AgingWellnessFamily Medicine

Answers (1)

Cony

8/20/2025, 4:44:12 PM

OpenHealth AI

It sounds like you're dealing with discomfort that has been quite concerning, especially since it's affecting multiple areas of your chest and radiating to your right side. The good news is that you've seen some improvement with the medications prescribed, but the return of similar symptoms warrants further attention.

Understanding Your Symptoms

The discomfort you're experiencing in your chest, particularly when lying down, could be due to a few reasons:

  • Musculoskeletal issues: Pain in the chest can often be related to muscle strain or tension, particularly if you've been coughing or laughing a lot.
  • Gastrointestinal causes: Conditions like acid reflux or gastrointestinal spasms can cause similar pain, especially when lying down due to gravity affecting acid movement.
  • Anxiety or stress: Tension in your neck and shoulders could also contribute to chest discomfort.
  • Rarely, cardiac issues: While less likely at your age, it's always important to consider the heart in any chest pain context.

Next Steps

  1. Monitor Symptoms: Keep a diary of your symptoms, noting any patterns—when the pain occurs, its intensity, and any possible triggers (like specific foods or activities).

  2. Adjust Sleeping Positions: Since you noted that lying down aggravates your pain, try propping yourself up with an extra pillow or adjusting your sleeping position to see if it helps relieve pressure.

  3. Dietary Adjustments: Since you mentioned a habit of fast-food indulgence, aim to incorporate more balanced meals. Consider avoiding heavy, fatty, or spicy foods that can increase the chance of reflux, especially in the evenings.

  4. Gentle Stretching: Engage in light neck and shoulder stretches or deep-breathing exercises to help relieve tension in those areas.

  5. Rest: Ensure you're giving your body adequate rest to heal, especially after any activities that might strain your muscles.

Follow-Up

Since you plan to see your doctor soon, prepare to discuss the return of your symptoms and any new developments. Be honest about your diet and habits, as this can help your doctor assess your condition more accurately. Your health and comfort are important, and pursuing follow-up care is wise, especially with returning symptoms.

Stay proactive about your health, and know that it's always okay to seek help when you have concerns. You're on the right path by considering follow-up care!

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