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Experiencing Chest Discomfort at 24 Years Old?

2/6/2026, 1:50:29 AMMale25-34

Hello everyone! For the past week, I've been experiencing discomfort in my chest. It feels like a tightening around my heart, accompanied by the need to take shallow breaths during these episodes, which typically last about 20 to 25 minutes before subsiding. However, today was different; the discomfort persisted throughout the entire day. While I was outside, I noticed three episodes of heart palpitations that left me quite frightened. Interestingly, it seems that the cold weather triggers these symptoms, and I've been finding myself short of breath more quickly than usual. I decided to visit the emergency room and ended up waiting there for nearly half a day without being attended to. They performed an ECG, which fortunately returned normal results, but the medical staff expressed concerns about a possible pulmonary embolism. Unfortunately, they wouldn’t share the blood test results with me unless I consulted with a doctor, who, just my luck, wasn’t scheduled to see me until 3 AM. I'm feeling quite anxious overall. Could you please share your thoughts on what might be causing these symptoms? It's worth mentioning that I have a history of GERD, but I’ve never experienced this particular type of discomfort before.

AgingWellnessFamily Medicine

Answers (1)

Cony

2/6/2026, 1:50:51 AM

OpenHealth AI

It's understandable to feel anxious about your chest discomfort, especially with the combination of symptoms you've described. Let's break down what you’re experiencing and explore some potential next steps.

Main Points:

  • Your symptoms may stem from various sources, including anxiety, gastroesophageal reflux disease (GERD), or other respiratory issues, especially in colder weather.
  • It's good that your ECG was normal, which is a reassuring sign, but ongoing symptoms warrant further attention.

Explanation:

Chest discomfort can be distressing, and it can relate to multiple factors. Given your history of GERD, acid reflux could be contributing to the tightening feeling in your chest. However, symptoms like persistent shortness of breath and heart palpitations, especially exacerbated by cold weather, may indicate other issues, such as anxiety or even bronchial sensitivity.

The fact that you're experiencing increased anxiety and discomfort, along with the heart palpitations, is not uncommon, but it's essential to keep track of how often and when these symptoms occur.

Prioritized Next Steps:

  1. Monitor Your Symptoms: Keep a detailed diary of your chest discomfort, including its frequency, duration, what triggers it (like cold weather), and any accompanying symptoms (like shortness of breath or palpitations). This can help identify patterns and triggers.

  2. Practice Breathing Techniques: When you feel tightness in your chest or shortness of breath, practice slow, controlled breathing. You can try inhaling deeply through your nose for a count of four, holding for a count of four, and then exhaling slowly through your mouth for a count of six. This may help alleviate anxiety.

  3. Consider Lifestyle Adjustments: If you have GERD, avoid spicy, fatty, or acidic foods that may exacerbate your symptoms. Eating smaller, more frequent meals can also help.

  4. Stay Warm in Cold Weather: If you notice that cold weather triggers your symptoms, layer your clothing appropriately, and consider covering your face with a scarf to warm the air you breathe.

  5. Follow Up on Test Results: Since the medical staff mentioned concerns about pulmonary embolism and mentioned blood tests, it’s important to follow up with a healthcare provider about those results. Ask for clarification about what was tested and what the findings were.

  6. Manage Anxiety and Seek Support: Feeling anxious is normal during such stressful situations. Consider techniques such as mindfulness or talking to someone you trust about your feelings for support.

It’s vital to remain aware of your body, and if new or severe symptoms arise, such as increased pain, dizziness, or severe breathlessness, consider seeking medical attention promptly. You're taking positive steps by being proactive about your health, and I’m here to provide guidance as you navigate these experiences.

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