Left Chest and Lower Back Pain: Possible Causes and Solutions

Q: Left Chest and Lower Back Pain: Possible Causes and Solutions

Hello： It seems that the discomfort in these two areas may not be related. <br>For gastrointestinal issues, please first consult a gastroenterologist. <br>For the pain on the left side of the chest, you should see a pulmonologist for an X-ray. <br>If there are no lung problems, i

Pain in the left chest and lower back?

Hello, doctor.
I usually have a habit of exercising every day, but recently, whenever I exercise (without increasing the intensity, and even reducing it), I experience pain on the outer left side of my chest (near the ribs) and in my left lower back.
The pain is vague, and I also have symptoms of chest tightness, difficulty breathing, and dizziness.
Sometimes, I just need to rest, but other times I have to lie down.
In the past few days, the discomfort on the left side of my chest and lower back has also been accompanied by symptoms of indigestion, bloating, and increased frequency of bowel movements.
I would like to ask the doctor what possible issues could be causing these combined symptoms.
(I have been taking Ezetimibe long-term, there is no family history of heart disease, and my health check-up a year ago showed no problems.)

Wang Lin, 20~29 year old female. Ask Date: 2021/10/16

Dr. Yang Wenda reply Pulmonology

Hello: It seems that the discomfort in these two areas may not be related.
For gastrointestinal issues, please first consult a gastroenterologist.
For the pain on the left side of the chest, you should see a pulmonologist for an X-ray.
If there are no lung problems, it may be muscle or nerve pain, and the doctor will prescribe medications to control the symptoms and relieve discomfort!

Reply Date: 2021/10/16

More Info

Understanding left chest and lower back pain can be complex, especially when accompanied by symptoms like shortness of breath, dizziness, and digestive issues. Given your active lifestyle and the fact that you have not increased the intensity of your workouts, it is essential to consider several potential causes for your symptoms.

1. Musculoskeletal Issues: The pain you are experiencing in the left chest and lower back could be related to musculoskeletal problems, such as muscle strain or rib dysfunction. If you have been engaging in activities that involve repetitive motions or improper posture, it could lead to muscle fatigue or strain in the intercostal muscles (the muscles between your ribs) or the muscles in your lower back. This could explain the localized pain and discomfort, especially during physical activity.

2. Costochondritis: This is an inflammation of the cartilage that connects a rib to the sternum. It can cause sharp pain in the chest area, which may worsen with certain movements or deep breaths. Given that your pain is located near the ribs, this could be a possibility.

3. Nerve Compression: Conditions such as a herniated disc or spinal stenosis can lead to nerve compression, which may cause pain radiating to the chest and back. If a nerve root is being compressed in the lower back, it could lead to referred pain in the chest area.

4. Gastrointestinal Issues: The symptoms of bloating, frequent bowel movements, and digestive discomfort could suggest a gastrointestinal issue, such as irritable bowel syndrome (IBS) or gastritis. Sometimes, gastrointestinal problems can manifest as chest pain due to referred pain from the digestive tract.

5. Cardiovascular Concerns: Although you mentioned having no family history of heart disease and a normal check-up a year ago, it is crucial to rule out any cardiovascular issues, especially since you are experiencing chest pain and shortness of breath. Conditions such as angina or even pericarditis (inflammation of the lining around the heart) can present with similar symptoms.

6. Anxiety and Stress: Psychological factors can also contribute to physical symptoms. Anxiety can lead to chest tightness, shortness of breath, and dizziness. If you have been under increased stress, this could be a contributing factor.

Recommendations:
- Medical Evaluation: Given the combination of symptoms, it is advisable to consult a healthcare professional for a thorough evaluation. This may include a physical examination, imaging studies (like X-rays or MRI), and possibly blood tests to rule out any serious conditions.

- Rest and Modify Activity: Until you can see a doctor, consider resting and modifying your exercise routine. Avoid activities that exacerbate your pain.

- Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help alleviate discomfort. However, consult with a healthcare provider before starting any medication.

- Breathing Exercises: If you are experiencing shortness of breath, practicing deep breathing exercises may help alleviate some discomfort and improve your breathing pattern.

- Monitor Symptoms: Keep a journal of your symptoms, noting when they occur, their intensity, and any associated activities. This information can be valuable for your healthcare provider.

In conclusion, while there are several potential causes for your left chest and lower back pain, a comprehensive evaluation by a healthcare professional is essential to determine the underlying issue and appropriate treatment. Your symptoms warrant attention, especially given the combination of pain, respiratory issues, and gastrointestinal symptoms.

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