Upper Back Pain and Intermittent Heart Palpitations in Young Men - Cardiology

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Left upper back pain, intermittent palpitations, occasional twitching of the right nostril, and intermittent pain in the left calf?


Dear Doctor, I am a 27-year-old male, 180 cm tall and weighing 120 kg.
My symptoms include pain in the upper left back that feels like a muscle strain, which is triggered by specific movements (it also hurts when I turn over while lying down).
Additionally, I experience mild numbness and tightness from the back of my neck to the upper shoulders, intermittent palpitations, occasional twitching of the right nostril, and sporadic pain in the left calf.
However, the palpitations, twitching, and calf pain are not severe and only last for a few seconds.
What could be wrong with me? Are these symptoms indicative of any underlying condition?

Tim, 20~29 year old female. Ask Date: 2019/11/25

Dr. He Dongjin reply Cardiology


Hello, specific movements cause pain, turning over is painful, and there is tightness and soreness from the neck to the shoulder.
Additionally, there are cramps in the left calf, which are symptoms of muscle and nerve pain.
Doing some stretching and flexibility exercises, as well as consuming B vitamins and bananas, may help.
Changhua Hospital cares about your well-being.

Reply Date: 2019/11/25

More Info


Understanding your symptoms of upper back pain, intermittent heart palpitations, and other associated discomforts is crucial, especially at your age. At 27 years old, while it's less common for young individuals to experience serious heart conditions, it's essential to consider various factors that could contribute to your symptoms.


Upper Back Pain
The pain you're experiencing in your upper back, particularly when moving or lying down, could be related to muscular strain or tension. This is often caused by poor posture, especially if you spend long hours sitting at a desk or using electronic devices. Muscle strain can lead to discomfort that feels like a pulling or aching sensation. Additionally, stress and anxiety can contribute to muscle tension, leading to pain in the neck and upper back areas.

Intermittent Heart Palpitations
Intermittent heart palpitations can be concerning, but they are often benign, especially in young individuals without a history of heart disease. Palpitations can be triggered by various factors, including anxiety, caffeine intake, dehydration, or even certain medications. Given that your palpitations are not severe and last only a few seconds, they may not indicate a serious underlying condition. However, it’s essential to monitor their frequency and any accompanying symptoms, such as dizziness or shortness of breath.


Other Symptoms
The right side of your nose twitching and the occasional pain in your left calf could be related to muscle spasms or nerve irritation. These symptoms are often benign and can be exacerbated by stress, fatigue, or dehydration.

Recommendations
1. Posture and Ergonomics: Evaluate your posture, especially if you work at a desk. Consider ergonomic adjustments to your workspace to reduce strain on your back and neck.

2. Stress Management: Since stress can contribute to both muscle tension and palpitations, incorporating relaxation techniques such as deep breathing, meditation, or yoga may help alleviate your symptoms.

3. Physical Activity: Regular exercise can improve muscle strength and flexibility, which may help reduce back pain. Aim for a balanced routine that includes cardiovascular, strength, and flexibility training.

4. Hydration and Nutrition: Ensure you are well-hydrated and maintain a balanced diet. Dehydration can lead to muscle cramps and palpitations.

5. Caffeine and Stimulants: If you consume caffeine or other stimulants, consider reducing your intake to see if it affects your palpitations.

6. Medical Evaluation: Given your symptoms, it would be prudent to consult with a healthcare professional for a thorough evaluation. They may recommend tests such as an electrocardiogram (ECG) or echocardiogram to assess your heart's health, especially if your symptoms persist or worsen.


Conclusion
While your symptoms may not indicate a serious condition, they warrant attention and lifestyle adjustments. It's essential to listen to your body and seek medical advice if you have concerns about your heart health or if your symptoms change. Remember, early intervention can often lead to better outcomes, and addressing lifestyle factors can significantly improve your overall well-being.

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