OpenHealth Q&A

Get answered by medical professionals

Left-Sided Chest and Back Discomfort

8/23/2025, 2:41:05 AMMale25-34

At 28 years old and having experienced arrhythmia in the past, I've had some chest discomfort. Fortunately, after undergoing a battery of tests, my doctor deemed it non-serious, suggesting that we keep an eye on it instead. Although I struggle with my weight, I've made significant strides over the past six months, successfully shedding 35 pounds through regular exercise. Recently, however, I've been struck by an unexpected sharp pain in my left pectoral area. This sensation is more intense than what I've previously felt and tends to arise specifically when I'm standing; it alleviates quickly—within minutes—if I sit or lie down. If I remain upright, the pain can persist anywhere from 10 to 30 minutes, particularly when I first stand up. Interestingly, I don’t experience discomfort when applying pressure to the area. Starting yesterday, I've noticed this chest pain alternating with discomfort in my back. The pain in my back feels sharper, and unlike the chest pain, it affects me even while seated and tends to linger far longer. I have appointments scheduled with my cardiologist and primary care physician in two months; however, I’m contemplating whether this recent development warrants an earlier consultation. While the pain can be quite bothersome, the relief I find when I sit or lie down makes it somewhat tolerable for now.

Multiple SclerosisCOPDInternal Medicine

Answers (1)

Cony

8/23/2025, 2:41:21 AM

OpenHealth AI

It's understandable to feel concerned about new and sharper pain in your chest and back, especially given your history of arrhythmia. Your symptoms, particularly the sharp pain that occurs when standing and alleviates when sitting or lying down, could be caused by various factors, including musculoskeletal issues or even posture-related problems. The back discomfort that accompanies the chest pain could further indicate tension or strain in the muscles of the upper body.

Explanation

Chest and back discomfort can arise from several conditions. Given your recent weight loss and commitment to exercise, it's possible that new muscle tension or strain could be contributing. However, since you have a history of arrhythmia and the nature of your new symptoms has changed, it’s important to remain vigilant. The fact that the pain subsides when you position yourself differently is a positive sign, but persistent or sharp discomfort warrants close attention.

Next Steps

  1. Monitor Symptoms: Keep a detailed record of your symptoms, including when they occur, their duration, intensity, and any relieving factors.

  2. Focus on Posture and Ergonomics: Pay attention to your posture, especially when standing or sitting for extended periods. Consider making adjustments to your workspace or how you perform physical activities.

  3. Gentle Stretching and Strengthening: Engage in gentle stretching and strengthening exercises for your upper body, which may help alleviate muscle tension. Activities like yoga or specific stretches focusing on the chest and back may be beneficial.

  4. Pain Relief Methods: Use over-the-counter pain relief methods, such as acetaminophen or ibuprofen, as needed and if appropriate for you.

  5. Consider Earlier Consultation: Given the change in your symptoms and their persistence, it may be prudent to reach out to your healthcare provider for advice on whether an earlier consultation is necessary. If any acute symptoms arise, such as difficulty breathing, severe discomfort, or dizziness, seek immediate medical attention.

By monitoring your situation closely and implementing these steps, you can help address your discomfort while minimizing any exacerbation of symptoms. Don’t hesitate to share your findings with your healthcare providers during your next appointments.

Related Questions

Experiencing Lymph Node Issues – Urgent Help Needed

Hello, I'm a 28-year-old man, and I need some advice. Recently, I began feeling discomfort in a lymph node located in my left armpit. Within a couple of days, it developed into two visibly swollen nodes. Since I can't think of any other explanation, I’m fairly certain they are lymph nodes. The swelling escalated quite rapidly; it hurt significantly on the first day and visibly enlarged as the day progressed. Additionally, a section of the skin in my armpit turned red and began to throb, likely due to the pressure. Naturally, I panicked and immediately thought about potential cancer, but I decided to try some basic self-care remedies like using warm compresses and taking ibuprofen. While the pain subsided somewhat, the swelling persisted. Tonight, before going to bed, I took my evening dose of ibuprofen and decided to inspect my armpit. When I gently pressed on the swollen lymph node, a gooey substance began to ooze out through my skin. It was similar to when you extract a small blackhead or a blister, but it was more substantial in volume. The fluid had a whitish-yellow tint, and although it contained a bit of blood, it didn’t emit a particularly foul odor — I’m not quite sure how to describe the scent. After applying a bit more pressure, even more of the substance came out. I plan to visit the doctor first thing in the morning, but I’m really anxious and would appreciate any insight into what might be happening. Please help me!

Multiple SclerosisInternal MedicineRheumatology
Male25-34
46 minutes ago

Exploring the Impact of Gastric Surgery: Outcomes and Advantages

The question arises: do the benefits associated with gastric surgery stem from significant weight reduction, the actual removal of part of the stomach, or are the two factors collectively responsible, with varying degrees of influence? A major point of inquiry focuses on the improvement of sleep apnea in patients undergoing gastric sleeve procedures. Is this enhancement primarily due to the physical excision of stomach tissue, or does it arise chiefly from the resulting weight loss that follows the surgery?

Crohn's DiseaseInternal MedicineEndocrinology
Male25-34
46 minutes ago

Seeking Help to Understand My MRI Findings

I’m currently facing a challenging situation as I search for a new neurologist. This MRI serves as a follow-up to one I underwent in January. Since the beginning of 2024, I've experienced non-epileptic seizures and several other neurological incidents, which led to a diagnosis of Functional Neurological Disorder (FND). Here's what the report indicates: **BACKGROUND**: The MRI was conducted to evaluate reported non-epileptic seizures and determine the presence of any brain lesions. **COMPARISON**: This MRI was compared to the one done on February 19, 2025. **TECHNIQUE**: The examination utilized multiplanar multisequence imaging without contrast, incorporating a 3D coronal T2 FLAIR sequence. **FINDINGS**: - A small area in the right centrum semiovale shows a slight increase in T2 signal that remains unchanged compared to previous scans. - There are subtle increases in T2 signal noted in cortical areas of both the right and left medial temporal lobes, as well as in the right and left insular regions. The volume of the medial temporal lobes appears normal. - No restrictions in diffusion were observed, nor is there any sign of hydrocephalus, fluid accumulation outside of the brain, or recent bleeding inside the skull. Overall, brain volume is normal with no unusual blood flow findings noted. There is a mild enlargement of the adenoid gland, measuring 2.4 cm in diameter, and the marrow signal appears normal. **INTERPRETATION**: - There are subtle irregularities in the signal of the cortical gray matter located in the bilateral medial temporal lobes and insular cortices. Importantly, there is no evidence of any mass effect or atrophy in the medial temporal lobe. These findings could be related to recent seizures or areas of seizure activity within the brain. The previously mentioned subtle white matter abnormality in the right centrum semiovale has not changed, and the rest of the white matter appears normal without any new issues. Consultation with a neurologist is recommended. If anyone could provide some clarification on this, it would be greatly appreciated! 😊

DiabetesMultiple SclerosisRheumatology
Male25-34
57 minutes ago

Concerns About Brain-Eating Amoebas Following Sinus Rinse

Hello, I’m a 25-year-old male, standing 5 feet 7 inches tall and weighing 150 pounds. I recently underwent surgery to correct a deviated septum and was advised to use sinus rinses for one week after the procedure. In my research, I discovered that the recommended water types for these rinses include distilled, properly purified (with specific guidelines for purification), or boiled water. Lacking experience and knowledge, I wrongly assumed that using purified drinking water would suffice. However, upon diving deeper into the topic, I stumbled upon information about Naegleria fowleri, a notorious brain-eating amoeba that can be lethal if it enters the nasal cavity. I turned to ChatGPT for clarification on whether the brand of drinking water I used, "Nestle Pure Life," was adequate for sinus rinses without additional boiling. The response I received was negative, which has left me feeling like I’m facing a serious health risk.

Internal MedicineEndocrinology
Male25-34
57 minutes ago

The Case for Greater Use of Blood Tests in Assessing Neuropathy and Muscle Pain

As a 39-year-old female, I find myself pondering why lab tests for blood aren't routinely conducted for individuals experiencing persistent nerve and muscle discomfort. While I have undergone numerous comprehensive metabolic panels, it raises the question: why aren't other critical elements, such as magnesium levels, examined as well? Understanding whether a patient might benefit from specific supplements could potentially alleviate their symptoms or even provide a complete resolution. It makes one wonder why this approach isn’t adopted more often, particularly prior to administering medications like gabapentin and others.

FibromyalgiaCrohn's DiseaseCOPD
Male25-34
57 minutes ago