Brief Chest Pain: When to Seek Medical Attention - Internal Medicine

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Mild stabbing pain in the chest?


Hello Dr.
Lee, during work today I suddenly experienced a brief episode of chest pain, located around the epigastric area.
The sensation was a mild stabbing pain that lasted about one minute and occurred with inhalation.
My family medical history includes hypertension and diabetes, and I have a history of gastroesophageal reflux disease.
Additionally, I was in a car accident at the end of January where I sustained a head impact (no concussion, but I did not have a CT scan).
Although the chest pain symptoms disappeared after about a minute, I would like to know if I need to undergo any tests, or if I can just monitor my lifestyle.
Thank you!

Sylvia, 20~29 year old female. Ask Date: 2016/03/23

Dr. Li Zhiyao reply Internal Medicine


Hello: It is recommended that you first consult a gastroenterologist to determine if this symptom is caused by gastroesophageal reflux disease (GERD), and then decide if further treatment is necessary.

Reply Date: 2016/03/23

More Info


Hello! Thank you for reaching out with your concerns about the brief chest pain you experienced. It’s understandable to be worried, especially given your family history of hypertension and diabetes, as well as your personal history of gastroesophageal reflux disease (GERD) and a recent car accident.

First, let’s break down the symptoms you described. A brief, sharp pain in the chest that lasts for about a minute and is associated with inhalation can have various causes. Given your history of GERD, it’s possible that the pain could be related to acid reflux, which can cause discomfort in the chest area. This is often described as a burning sensation, but it can also present as sharp pain.
However, it’s crucial to consider other potential causes of chest pain, especially since you have risk factors such as family history of cardiovascular diseases. While the pain you experienced was short-lived and resolved quickly, it’s important to be vigilant about any recurrent symptoms.
Here are some key points to consider regarding when to seek medical attention for chest pain:
1. Duration and Severity: If the chest pain lasts longer than a few minutes, is severe, or is accompanied by other symptoms such as shortness of breath, sweating, nausea, or radiating pain to the arm, jaw, or back, you should seek immediate medical attention. These could be signs of a heart attack.

2. Recurrent Symptoms: If you experience similar episodes of chest pain, even if they are brief, it is advisable to consult a healthcare professional. Recurrent symptoms warrant further investigation to rule out any underlying conditions.

3. Associated Symptoms: Pay attention to any additional symptoms that accompany the chest pain. For instance, if you experience dizziness, palpitations, or a feeling of impending doom, these could indicate a more serious issue.

4. Risk Factors: Given your family history of hypertension and diabetes, along with your recent head injury, it would be prudent to discuss these factors with your doctor. They may recommend tests such as an electrocardiogram (ECG) or echocardiogram to assess your heart health.

5. Lifestyle Considerations: While monitoring your symptoms and making lifestyle changes can be beneficial, it’s essential to have a healthcare provider evaluate your condition, especially after a recent head injury. Even if you did not experience a concussion, trauma can sometimes lead to delayed symptoms.

In summary, while a brief episode of chest pain that resolves quickly may not be cause for alarm, it’s essential to remain vigilant. Given your medical history and risk factors, I recommend scheduling an appointment with your healthcare provider to discuss your symptoms in detail. They may suggest further evaluation or monitoring to ensure your heart health is not compromised.
Remember, it’s always better to err on the side of caution when it comes to chest pain. Your health and peace of mind are paramount, so don’t hesitate to seek medical advice if you have any concerns. Thank you for your question, and I hope you find this information helpful!

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