Unexplained Discomfort
Since March, I have experienced intermittent acid reflux and symptoms of heartburn, leading to a diagnosis of gastritis following an endoscopy in June. In April, I underwent several tests including four ECGs, blood analysis, and a chest X-ray, all of which returned normal results. My most recent ECG was conducted in July. Currently, I am on proton pump inhibitors to manage my gastritis and adhering to a bland diet in hopes of alleviating my discomfort. However, I continue to experience chest discomfort that feels like muscle strain in my sternum, underneath my left ribs, and around my armpits, as well as across the breast area on both sides. Occasionally, I also feel pain in my back, mirroring the location of my chest discomfort, and recently, I have developed severe pain in the middle of my right side back. Although I believe my gastritis has improved, I'm unable to take NSAIDs due to its presence, so I am limited to paracetamol as needed. I have arranged for a two-week heart monitor, which I hope to start at the end of next month, to rule out any potential heart-related issues. I have attended numerous doctor consultations, and just when I begin to feel that my symptoms are manageable, new ones arise. As a 31-year-old female, a non-smoker and non-drinker, I maintain an active lifestyle while caring for my two young children. In addition, I've noticed a clicking and grinding sensation when I rotate my left arm and shoulder. I have scheduled a physiotherapy appointment in the coming weeks. Could this be indicative of fibromyalgia or costochondritis? Is it possible that my body is compensating, or could it be referred pain? I am seeking advice, as I can’t escape the feeling of impending doom regarding my health.
Answers (1)
8/28/2025, 7:03:15 PM
OpenHealth AI
It's understandable that you are feeling concerned about the persistence of your symptoms and the uncertainty surrounding them. From your description, it sounds like you're managing several interconnected issues, including gastritis, chest discomfort, and shoulder sensations. Let's break this down.
Main Points
- Your ongoing symptoms may be related to multiple factors, including muscular strain or costochondritis rather than fibromyalgia.
- Monitor your symptoms closely and adjust your self-care for comfort and relief.
- Your physiotherapy appointment is an important step. Focus on gentle exercises, hydration, and stress management.
Explanation
Your chest discomfort and the sensations around your ribs and back might be linked to costochondritis, which is inflammation of the cartilage connecting your ribs to your sternum. This condition often mimics heart-related pain but can arise from strain, poor posture, or even anxiety. The clicking and grinding in your shoulder could indicate a musculoskeletal issue, possibly related to shoulder mobility or muscle tension.
The fact that your ECGs and other tests have returned normal is reassuring regarding serious heart issues. Symptoms similar to what you're experiencing can also stem from compensation patterns in your body due to existing discomfort. Given your active lifestyle and responsibilities, stress and tension may further contribute to your symptoms.
Next Steps
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Continue Taking Proton Pump Inhibitors: Stick to your current medication for gastritis while avoiding NSAIDs, as advised.
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Monitor Symptoms:
- Keep a Journal: Track when your discomfort intensifies, any activities that may exacerbate the pain, and your overall emotional state.
- This can help identify patterns or potential triggers.
-
Gentle Exercises:
- Engage in low-impact activities like walking or specific stretches that focus on your back and shoulders, especially any recommended by your physiotherapist. This can help alleviate muscle tension.
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Heat Therapy:
- Apply heat pads to the affected areas to relieve muscle strain, particularly in your chest and back.
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Stress Management:
- Practice relaxation techniques such as deep breathing exercises, yoga, or meditation. These can help lower tension and anxiety, which may be contributing to your symptoms.
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Follow Up After Physiotherapy:
- Discuss the results of your physiotherapy with your therapist to determine if there are specific exercises or treatments that could further alleviate your pain.
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Heart Monitor:
- When you start the heart monitor, pay attention to any correlations between your activities and your symptoms, sharing this with your healthcare provider afterward.
If your symptoms change significantly or worsen before your physiotherapy session or heart monitor, consider reaching out to your healthcare provider to discuss your concerns. It's essential to prioritize your health while also caring for yourself emotionally. You’re doing a great job managing your health amidst challenging symptoms, and it's okay to seek support when needed.
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