25-Year-Old Female Experiencing Unilateral Chest Discomfort
A 25-year-old female has been experiencing unilateral chest discomfort, which began approximately five hours ago. Current medications include Zyrtec, Pepcid, nadolol, montelukast, contraceptives, and ketotifen. Weight: 130 lbs Height: 5’ 7” The discomfort commenced during lunchtime as a dull ache localized on the right side of her rib cage, roughly seven inches below her armpit. It originated from the exterior of her ribs and has been characterized by intermittent episodes of intensified pain that subside for a few moments. Since that time, the pain has fluctuated, particularly aggravating after taking a warm shower, where it radiated toward her back and across her chest. However, upon sitting down after the shower, the intensity of the pain decreased and reverted to its previous state. Respiratory function remains unaffected, and her heart rate is stable. No exacerbation of pain occurs with deep breaths or when pressure is applied to the area. She has an important work presentation scheduled for the next day, which may contribute to her anxiety; however, the discomfort initiated suddenly without any prior stress at work. Should she be worried about this symptom? Would applying ice provide any relief?
Answers (1)
2/12/2026, 1:27:01 AM
OpenHealth AI
It's understandable to feel concerned about chest discomfort, especially when it comes on suddenly. In your case, the unilateral nature of the chest discomfort, the characteristics of the pain, and the absence of significant respiratory distress or heart rate changes suggest it may not be related to a heart issue. It could be musculoskeletal in nature, potentially linked to muscle strain, anxiety, or even costochondritis (inflammation of the cartilage connecting the ribs), especially given the variation in pain with activity.
Explanation:
The discomfort you described—is intermittent, localized, and does not worsen with deep breaths or pressure—points more towards muscular or tension-related causes rather than serious cardiac issues. Common factors that can contribute to such pain include:
- Muscle strain, possibly from posture or physical activities.
- Costochondritis, which can occur without a direct injury.
- Anxiety, particularly as you mentioned the upcoming presentation might be a stressor, though it is not directly related to the onset of your pain.
Next Steps:
- Apply Ice: Yes, applying ice to the affected area can help reduce inflammation and provide relief. Use an ice pack wrapped in a cloth for about 15-20 minutes every hour as needed.
- Rest & Manage Stress: Take breaks to relax and practice deep breathing exercises to help manage anxiety, which may contribute to muscle tension.
- Monitor Symptoms: Keep an eye on your symptoms. If the pain changes significantly, worsens, or if you develop any new symptoms such as shortness of breath, persistent pain, or changes in your heart rate, it would be important to seek professional assistance.
- Gentle Stretching: Engaging in gentle stretches or movements may help alleviate muscular tension; avoid any movements that increase the pain.
- Stay Hydrated and Nourished: Keeping yourself hydrated and well-nourished can also help your body manage stress and tension better.
If the discomfort persists beyond a few days, or if it worsens, consider following up for further evaluation to ensure that no other underlying issues are present.
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