Left Chest Numbness and Pressure: Sleep-Related Symptoms - Psychiatry

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Left chest numbness with a feeling of pressure?


Hello, doctor! For the past four weeks, my sleep has been inconsistent at night.
Sometimes, when I try to fall asleep, I experience a tingling and pressure sensation in my left chest, and I can occasionally feel my heart beating.
After about 3 to 4 minutes, the tingling in my left chest subsides, but I remain unable to fall asleep for the entire night.
The next night, I can fall asleep immediately without waking up due to discomfort in my left chest.
At work, I sometimes feel something unusual in my left chest, and even when I rub it, there is no improvement.
I visited a clinic a few weeks ago, and the doctor prescribed medication for a muscle strain, but I do not experience pain while breathing, and there is no shortness of breath.
The discomfort in my left chest only occurs when I lie flat and prepare to sleep.
Should I go to the hospital for an examination? This symptom started when the weather turned cold.
Is this a sign of heart disease?

Zhuang Xiansheng, 20~29 year old female. Ask Date: 2020/12/28

Dr. Lin Mianzhang reply Psychiatry


Hello Mr.
Chuang: Since your discomfort is primarily in the chest area, especially occurring during colder weather, it is important to prioritize the consideration of heart-related diseases.
I recommend that you first visit a cardiologist for an evaluation to determine if your symptoms are related to a heart condition.
If necessary, an electrocardiogram (ECG) may be required.
If the discomfort persists, please seek medical attention as soon as possible to avoid any delays.
Wishing you a speedy recovery!

Reply Date: 2020/12/28

More Info


Left chest numbness and pressure, especially when associated with sleep, can be concerning and warrants careful consideration. Your symptoms, which include a tingling sensation and pressure in the left chest while lying down, may have several underlying causes. It's important to approach this issue holistically, considering both physical and psychological factors.

Firstly, let's discuss the potential physical causes. The heart is located on the left side of the chest, and any discomfort in this area can understandably lead to concerns about cardiac issues. However, the fact that you experience these symptoms primarily when lying down and not during other activities may suggest that the issue could be related to your posture or the position of your body during sleep. When lying flat, the weight of the body can sometimes compress certain nerves or blood vessels, leading to sensations of numbness or pressure. This could be exacerbated if you have any underlying musculoskeletal issues, such as muscle strain or tension in the chest area.

Additionally, your description of the symptoms starting when the weather turned colder could indicate a possible connection to anxiety or stress. Cold weather can sometimes trigger anxiety symptoms in individuals, leading to physical manifestations such as chest tightness or discomfort. It's also worth noting that anxiety can lead to hyperventilation, which may cause sensations of numbness or tingling in various parts of the body, including the chest.

Another consideration is the possibility of gastroesophageal reflux disease (GERD), which can cause chest discomfort that mimics cardiac pain. If you have a history of acid reflux, lying down could exacerbate these symptoms, leading to discomfort in the chest area.

Given that you have already consulted with a physician who prescribed medication for muscle strain, it may be beneficial to follow up with a healthcare provider for further evaluation. A thorough examination, including an electrocardiogram (ECG) and possibly imaging studies, can help rule out any serious cardiac conditions. Additionally, a referral to a sleep specialist may be warranted to assess whether your symptoms could be related to sleep disorders, such as sleep apnea or positional sleep issues.

In summary, while your symptoms may not immediately suggest a serious heart condition, they should not be ignored. It is advisable to seek further medical evaluation to rule out any underlying issues and to explore potential treatments that can improve your sleep quality and overall well-being. Addressing both the physical and psychological aspects of your symptoms will be key to finding relief and ensuring your health.

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