Experiencing Chest Discomfort Despite Being Cleared of Heart Issues
Recently, I (26, male-to-female) have been grappling with unexpected and intense panic attacks without any clear provocation. I stand 5 feet 10 inches tall and weigh 160 pounds, currently on a regimen that includes estradiol, spironolactone, and progesterone. I've never smoked, but I did experience a pneumothorax last year, which has not resulted in any ongoing issues since then. While it seems that anxiety may be the primary cause of my current symptoms, I've been feeling a moderate yet persistent discomfort in my left chest area for the past 36 hours, raising concerns that it could be heart-related. I am also experiencing mild shortness of breath, although it is not nearly as severe as the past episode of pneumothorax, which has been ruled out multiple times via X-rays. Lately, I've noticed that my heart rate tends to increase more easily and I become slightly breathless with minimal exertion; simply standing up from a seated position bumps my heart rate to the mid-90s. I find relief by sitting back down and taking a moment to relax. The pressure in my chest does not exactly feel sharp, yet it is more pronounced than other similar sensations I have experienced. After enduring a lengthy nine-hour panic attack yesterday (which occurred without any triggering thoughts), I sought medical attention at the emergency room. They conducted an EKG, which showed normal results, and tested my d-dimer levels, which came back fine except with a minutely elevated white blood cell count. I was discharged with advice to manage my anxiety and consider seeking medication. I acknowledge that this is a prudent step I plan to take. However, it has now been a full day and a few hours since then, and I've noted that the discomfort has intensified slightly—though I would not rate it as severe, perhaps a 2.5 or 3 out of 10 instead of yesterday's 2. I am contemplating whether I should keep an eye on this development to see if it resolves on its own, or should I return for further evaluation, considering that I received a clean bill of health despite the d-dimer test being almost universally accurate, according to the medical advice I was given.
Answers (1)
8/30/2025, 6:22:37 AM
OpenHealth AI
It's understandable to feel concerned about chest discomfort, especially when you're experiencing anxiety and past health issues. Given your recent evaluation and normal EKG findings, coupled with your ongoing anxiety, it's likely your symptoms may be related to panic attacks rather than a heart issue. However, keeping an eye on your symptoms is wise.
Explanation:
Chest discomfort and shortness of breath can frequently arise from anxiety, particularly with panic attacks. While the normal tests suggest there are no immediate heart issues, it's crucial to monitor any changes in your symptoms, especially since they have slightly intensified. Anxiety can cause physical symptoms that mimic cardiac issues, and it's common for individuals experiencing panic to notice their heart rates increase with minor exertion.
Next Steps:
- Monitor Symptoms: Keep a journal of when the discomfort occurs, its intensity, and any accompanying symptoms. Note any patterns or potential triggers.
- Practice Relaxation Techniques: Engage in deep breathing exercises or mindfulness practices to help manage immediate anxiety during episodes. Techniques like box breathing or progressive muscle relaxation can be helpful.
- Stay Hydrated and Rest: Ensure you drink plenty of fluids and avoid excessive caffeine, which can heighten anxiety.
- Gradual Activity: If you feel capable, gradually attempt light activities (like walking) and observe how your body reacts, while being aware of your limits.
- Follow Up: If the discomfort persists or worsens, or you experience new symptoms (like severe breathlessness, chest pain increasing significantly, or palpitations), it would be wise to seek further medical evaluation.
Your plan to seek additional support for managing anxiety, including potential medication, is an excellent proactive step. It can significantly enhance your ability to cope with these sensations and eventually reduce their frequency. Remember, you're not alone in this, and taking action on your mental health is just as important as physical health.
Related Questions
Understanding CEA Levels
As I eagerly anticipate my upcoming appointment with the doctor, my anxiety is at an all-time high, prompting me to seek some clarity. Recently, I had a routine medical examination after quite a long hiatus. I’m a 35-year-old woman, weighing 125 pounds, who maintains an active lifestyle with no troubling symptoms. During the visit, my physician suggested a comprehensive blood test. She noted my family history, particularly that my grandfather passed away from colon cancer, and decided to run some additional checks. I didn’t dwell on this at the time. Fast forward to receiving the results: everything appeared to be within the normal range, including the complete blood count and liver function tests. However, my carcinoembryonic antigen (CEA) level was recorded at 3.8. Naturally, I turned to the internet for answers and discovered various non-cancerous conditions that might lead to elevated CEA levels. I am a non-smoker, and none of the other potential causes seemed applicable to my situation. My doctor reached out to inform me about the elevated CEA and emphasized the need for a colonoscopy, which I have since scheduled. However, when I sought further clarification, she was somewhat vague, which left me feeling unsettled. From what I've learned, this particular test is often administered to individuals already diagnosed with certain conditions rather than as a preventative measure, so information is scant. I find myself increasingly anxious, especially considering I have three young sons who depend on me. At this moment, I am in search of any insights or support. I appreciate any guidance or information you can share. Thank you!
Concerns About Iron Levels and Supplementation with High Ferritin
Hello everyone, I’m a 40-year-old male. Currently, I’m on Mounjaro for weight management, which I’ve been using for the past six months. I've successfully reduced my BMI from 35 to 27.5. For about ten years, I battled IBS and eczema, but I recently discovered that both issues stemmed from dairy proteins. After eliminating dairy from my diet, both conditions have completely improved. However, I previously dealt with chronic inflammation throughout my body. I took it upon myself to research and experiment with various solutions, as the conventional treatments I received from doctors—mostly ineffective medications and steroid ointments for my eczema—didn’t help. In mid-July, I ended up in the emergency department due to food poisoning, leading to a rapid weight loss of 5 kg within two days caused by vomiting and diarrhea. They ran some blood tests for the first time, which included measuring my iron levels. Fortunately, they provided intravenous fluids for rehydration but did not address the iron issues immediately. Here are the results from that test: - Iron: 43 - Iron binding capacity: 294 - Transferrin saturation: 14.5 - Transferrin: 2.1 - Ferritin: 325 - Vitamin B12: 349 - Folic acid: 7.7 - Hemoglobin: 18 I reviewed these results with my general practitioner yesterday during a follow-up regarding my Mounjaro treatment. Additionally, I’m currently fighting off an ear infection along with a cold. I've been prescribed two different antibiotics for the ear infection (initially staphicid and now azithromycin), along with an ointment for my outer ear. The infection was likely triggered by untreated eczema in my ear after inadvertently consuming something that contained milk powder. After reviewing my iron levels again, here’s what the recent test showed: - Iron: 45 - Transferrin: 1.96 - Iron saturation: 16 - Ferritin: 318 - Hemoglobin: 15.2 My doctor has recommended that I take iron supplements, advising a regimen of one tablet per day for 50 days, with each tablet containing 14 mg of iron along with vitamin C for enhanced absorption and folic acid. Now, I have a question: Given that my ferritin levels are already relatively high, is it wise to add more iron to my regimen? It appears I have ample iron stores, yet my body isn't releasing it effectively. Could this situation originate from the longstanding inflammation my body is still addressing? I stumbled upon the term "anemia of chronic inflammation." Is it safe to supplement with iron when my ferritin levels are elevated? I would greatly appreciate a second opinion from a healthcare professional on this matter. Thank you!
Persistent Clear Mucus for Over Two Years
I'm feeling truly at my wit's end in search of some resolution. This all began unexpectedly on a regular morning when I woke up to find mucus in my throat. While initially I noticed it had a bit of color, it's since transformed into a completely clear substance. Despite consulting numerous medical professionals and specialists, I haven’t found any relief. I have tried a wide array of treatments and medications including allergy injections, various allergy medications (spanning from over-the-counter antihistamines to prescribed options), steroids, inhalers for asthma, nasal sprays, antacids, and antibiotics—yet nothing has brought about any improvement. I’m still actively receiving allergy shots, maintaining this treatment as per my doctor's recommendations for the past year. I don't smoke, nor do I have allergies to food. However, I’ve observed that certain textures of food tend to worsen the irritation in my throat more than others. Regardless of what I eat (apart from water), I constantly feel as if there’s more mucus accumulating in my throat, which makes me repeatedly clear it, and it hampers my ability to position my tongue properly. I've experimented with sleeping with my mouth open, and I’ve found it somewhat easier to clear the mucus upon waking, but that’s the only progress I’ve made so far. For context, I’m a male residing in the climate of Arizona. I’m open to any questions and curious to know if anyone else has faced a similar issue. Thank you!
Concerns About Spider Veins and Leg Discomfort
A 25-year-old female, weighing 160 pounds, who does not smoke or consume alcohol, and is on no medications except for the Mirena IUD, is seeking advice regarding her condition. In her mid-twenties, she noticed a dramatic increase in spider veins, which she attributes primarily to her genetic background inherited from her mother. Given her age, she is curious if these developments warrant concern. She holds a sedentary position at work and admits to being slightly overweight. She is wondering if utilizing compression socks would be an effective way to manage her symptoms. If so, she seeks recommendations for the most suitable brands or styles that would be compatible with various clothing choices. There is a related image to provide further context in the comments.
31-Year-Old Female Experiencing Discomfort Below Sternum
Background: I have been dealing with a history of acid reflux along with Irritable Bowel Syndrome (IBS). Recently, I underwent a colonoscopy in November 2023, and the results were normal. For the last few days, I've experienced mild, intermittent discomfort just beneath my sternum, slightly to the left side. Given my struggles with health anxiety, I've become particularly aware of this sensation, which has heightened my worry. I also possess a Kardia ECG device, and it shows normal readings. Aside from this issue, I only notice my throat reacting similarly to when my reflux flares up. Any advice or insights would be greatly appreciated!