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Experiencing New Symptoms of Myocarditis

2/12/2026, 1:50:20 PMMale25-34

A 28-year-old male, standing 183 cm tall and weighing 83 kg, shares his journey with pericarditis, which was later revised to myopericarditis following an October diagnosis. Initially, after starting treatment with colchicine, his symptoms began to improve. However, they resurfaced after he faced a particularly stressful period in his life. Recently, a contrast MRI validated the myopericarditis diagnosis, indicating that while his heart seemed to be healing, it failed to elaborate on the persistent pain he was encountering. As a result, he plans to resume colchicine treatment, but if there’s no relief, he will undergo a lung function test owing to new signs of shortness of breath. Just yesterday, he experienced a sudden and unprecedented symptom: a burning sensation in the region of his heart. Despite never suffering from heartburn before, he noted that this burning has occurred in three separate instances, which he believes are not related to acid reflux due to his recent eating schedule. After taking a walk for lunch, he was surprised to experience discomfort while walking—a first for him. Previously, heart pain hadn't affected his physical activity, but now, the discomfort intensified with movement. The nature of the pain has altered as well; it has shifted from a sharp, pinching sensation to a dull, forceful ache, as if he were being hit. Seeking to uncover the cause of these troubling symptoms, he remains in pursuit of assistance and clarification.

Crohn's DiseaseCOPDRheumatology

Answers (1)

Cony

2/12/2026, 1:50:35 PM

OpenHealth AI

It sounds like you’re dealing with some concerning new symptoms related to your myopericarditis, including a burning sensation in your chest and discomfort while walking. These changes can indeed be distressing, and it's important to approach them carefully.

Key Points:

  1. Resurfacing Symptoms: It is not uncommon for symptoms to fluctuate, especially after stress or changes in your health status.
  2. New Symptoms: The burning sensation and discomfort during physical activity may suggest new or ongoing issues that require further attention.

Explanation:

Myopericarditis is inflammation of the heart muscle and the outer lining of the heart, which can lead to chest pain and other symptoms. Your reported burning sensation and discomfort during exertion could stem from the ongoing inflammation, but they may also indicate a need for closer examination to rule out other conditions, such as musculoskeletal issues or potential side effects from medications.

Next Steps:

  1. Resume Colchicine: Since you plan to restart colchicine and it may help with the inflammation, stick to that plan as directed. Monitor how your symptoms respond over the next week.
  2. Keep a Symptom Diary: Document your symptoms, noting the timing, intensity, and any activities that seem to trigger pain or discomfort. This will help you observe patterns and provide useful information for your healthcare provider later.
  3. Lung Function Test: Proceed with your lung function test if symptoms (like shortness of breath) persist. This can help determine if there’s a respiratory component to your symptoms.
  4. Monitor Activity: If you experience discomfort during physical exertion, reduce your activity level until you can discuss this new symptom with a healthcare professional. It might be beneficial to rest more and gradually ease back into your normal activities.

Important:

In looking out for your overall health, if you experience any severe symptoms, such as significant chest pain, persistent shortness of breath, or any new unusual symptoms, seek medical attention promptly. It's important to keep your healthcare provider updated with these changes, as they can help determine the best course of action for your situation.

Please take care and reach out if you need further guidance!

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