Should I Wait for My Appointment Regarding Ongoing Chest Pain?
For several years, I’ve been grappling with chest pain despite all the tests yielding normal results. Two years ago, I consulted with a cardiologist who recommended a number of assessments: a CT scan, a 24-hour ECG, a standard ECG, blood tests, and a chest X-ray. Everything came back normal, leading to a diagnosis of anxiety. The chest pain I experienced at that time could persist from one day to two weeks and felt like a heavy pressure in my chest. Recently, over the past 8 to 12 months, the discomfort has shifted to the left side of my chest. It is also somewhat centered but specifically located about an inch above and below my left nipple, as well as beneath my left armpit and at the lower end of my left rib cage. This discomfort manifests as a dull ache and can remain constant, lasting between one day to two weeks. At times, the same aching sensation can be felt in my upper left arm. Interestingly, I typically do not wake up with pain, but it gradually emerges after I've been awake for about an hour. I’ve visited the ER around six times this year because the pain can become quite intense, to the point where it feels as if I might collapse. My most recent trip was two weeks ago for another ECG and blood work, and the doctors suggested it might be costochondritis this time. Three months ago, my general practitioner referred me to a pain management clinic, but I am still waiting for an appointment. Currently, I am three days into experiencing left-sided chest pain once more, accompanied by the same discomfort in my left arm. At this moment, I would rate the pain as a 3 out of 10. The main question on my mind is whether I should try to ignore this pain as best as I can. When I go for walks or engage in regular activities, the pain doesn’t intensify, and I don’t experience any shortness of breath or excessive sweating; physically, I feel perfectly fine. As a 28-year-old male, I am seeking advice on how to approach this situation. Any insights would be greatly appreciated!
Answers (1)
12/16/2025, 4:20:45 PM
OpenHealth AI
It sounds like you are dealing with persistent chest discomfort that has become concerning for you, particularly given its duration and the varying factors you’ve mentioned. It's essential to take your symptoms seriously, especially since the nature of chest pain can be complex.
Main Points:
- Chronic Chest Pain Overview: Your chest pain, which has been assessed extensively, has led to a diagnosis of anxiety and potential costochondritis. It's good that you’re monitoring the pain and noticing how it responds to activity.
- Current Situation: You have ongoing discomfort but it appears stable and manageable at the moment. Yet, it’s crucial to maintain awareness of changes in your symptoms.
Explanation:
Chest pain can be influenced by various factors, including anxiety and musculoskeletal issues like costochondritis, which is inflammation of the chest wall. The nature of your pain, especially when it doesn't worsen during activity and is rated as mild currently, is reassuring. However, continued symptoms warrant attention, especially given your visits to the ER.
Next Steps:
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Monitor Symptoms: Keep a daily log of any changes in your chest pain, noting the intensity, triggers, and any accompanying symptoms. This will help identify patterns that you can discuss with your healthcare provider.
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Practice Relaxation Techniques: Since anxiety has been a factor, consider incorporating relaxation strategies such as deep breathing, meditation, or yoga. These can help reduce tension and potentially alleviate your discomfort.
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Stay Active: Continue engaging in your regular activities as long as they don't trigger pain. Exercise can be beneficial for both physical and mental health.
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Follow Up on Your Referral: Stay proactive with your pain management appointment. Contact the clinic to check on your referral status or express the urgency of your situation, especially with how discomfort is affecting your life.
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Seek Immediate Care if Symptoms Worsen: If you experience significant changes like increasing pain, new symptoms (like shortness of breath, significant sweating, or collapse), or if your pain becomes more severe, seek medical attention promptly.
It’s important to take care of yourself and stay proactive in seeking help. You’re not alone in this, and managing your symptoms is key. Please feel free to reach out for further support or advice!
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