Unexplained Discomforts
Since March, I've been experiencing intermittent symptoms of acid reflux and heartburn, leading to a diagnosis of gastritis in June following an endoscopy. I underwent four ECGs, blood tests, and a chest X-ray in April, all of which returned normal results. My most recent ECG was conducted in July. Currently, I am on proton pump inhibitors (PPIs) to manage my gastritis and have adopted a bland diet to alleviate discomfort. Despite these measures, I continue to endure chest pain that feels more like muscle strain in the sternum, lower left ribs, under my armpits, and across my chest on both sides. Occasionally, I also experience back pain correlating with the chest discomfort, and recently, I've developed sharp pain on my mid-right side. It seems my gastritis symptoms have lessened, but I am unable to take NSAIDs owing to the condition, so paracetamol is my only option for pain relief when necessary. I've scheduled a heart monitor for two weeks, anticipated for the end of next month, to eliminate the possibility of any heart-related concerns. I have attended numerous medical appointments, and just when I feel I am gaining control over my symptoms, a new one emerges. At 31 years old, I do not smoke or drink, and I regularly exercise, balancing life as a mother of two young children. Notably, when I move my left arm or shoulder, I hear a clicking and grinding sound. I've arranged a physiotherapy session in a few weeks. Could these symptoms be indicative of fibromyalgia, costochondritis, or perhaps my body just reacting to various stresses? I’m feeling quite overwhelmed and am anxious about the possibilities.
Answers (1)
8/28/2025, 6:54:46 PM
OpenHealth AI
It's understandable that dealing with multiple, overlapping symptoms can be overwhelming and concerning. Your symptoms, particularly the chest discomfort and the clicking sounds from your shoulder, could stem from muscular or musculoskeletal issues rather than serious underlying conditions, especially given your normal tests and proactive health measures.
Explanation
- Gastritis Management: Since you've been diagnosed with gastritis and are on proton pump inhibitors (PPIs), it’s good to see that you've also made dietary adjustments. This is essential for easing gastritis symptoms.
- Chest Pain and Back Pain: The chest pain you're experiencing, despite feeling like muscle strain, could be related to costochondritis, which is inflammation of the cartilage where your ribs meet the sternum. This can lead to pain that may feel sharp and may be aggravated by movement.
- Clicking and Grinding Sounds: The noises from your shoulder could potentially suggest shoulder issues or muscle tension, which can occur in response to stress or overuse, especially as a busy parent.
Next Steps
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Track Your Pain: Start keeping a journal of when your chest pain and shoulder clicking occur. Note what activities precede these symptoms and any pain levels. This can provide helpful insights for your physiotherapy session.
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Breathing Exercises: Practice gentle stretching and breathing exercises. This can help reduce tension in your chest and shoulders, alleviating some discomfort. Techniques like deep belly breathing may enhance relaxation.
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Heat Therapy: Applying a warm compress or heating pad to the affected areas might provide relief from muscle pain and discomfort. Ensure that the heat is at a comfortable level.
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Avoiding Strain: Be mindful of your posture, especially during daily activities and while engaging with your children. Adjusting how you carry yourself may reduce chest and shoulder strain.
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Prepare for Physiotherapy: When you attend your physiotherapy session, discuss all your symptoms thoroughly, as well as the clicking shoulder. Your therapist can guide you with exercises to strengthen and improve flexibility.
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Mindfulness and Stress Reduction: Given your concerns about stress and its impact on your symptoms, consider incorporating stress-reducing practices like mindfulness meditation or gentle yoga into your routine.
It's crucial to continue monitoring your symptoms and maintain communication with your healthcare providers. Addressing the mental and emotional aspects of chronic discomfort is just as vital in your overall health. Remember, you're not alone in this journey, and seeking support from professionals, family, or support groups can be incredibly helpful. Let me know if you have any further questions or concerns!
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