Chest Pain: When to Seek Help for Intermittent Symptoms - Pulmonology

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Chest pain?


Hello Doctor, recently I have been experiencing a sharp pain near the center of my left chest, about one finger's length below the clavicle.
Sometimes it feels like a throbbing pain, but it is always in the same spot, occurring intermittently for two to three minutes several times a day.
Since I received the BNT vaccine at the end of September, I have had ongoing chest pain and other side effects that have not completely resolved.
However, this pain feels different from before; previously, I did not have a specific point of pain, but for the past two weeks, it has been localized.
I previously consulted a family physician who suggested it might be anxiety, and I have already finished the medication prescribed at that time.
I would like to know if I should see a pulmonologist for further examination regarding my current symptoms, or if it is just emotional distress.
If it is emotional distress, would it be necessary to consult a psychiatrist, as I have been feeling quite unwell lately?

Niming, 10~19 year old female. Ask Date: 2021/12/21

Dr. Wang Lanfeng reply Pulmonology


Hello: Based on your description, your condition appears to involve some nonspecific symptoms, which do not necessarily indicate that there is a problem with your body.
It is recommended that you first visit a pulmonology clinic for some basic examinations.
If the test results are normal, you can then monitor your condition further.
Thank you.

Reply Date: 2021/12/21

More Info


Chest pain can be a concerning symptom, and understanding its nature is crucial for determining the appropriate course of action. Based on your description, it seems that you are experiencing intermittent pain in a specific area of your left chest, which has changed in character since you received the BNT vaccine. This type of localized pain can arise from various causes, and it is essential to consider both physical and psychological factors.

First, it is important to recognize that chest pain can stem from a variety of sources, including musculoskeletal issues, gastrointestinal problems, and cardiovascular concerns. Given that your pain is localized to a specific point and has a stabbing or aching quality, it may be related to musculoskeletal strain or irritation, particularly if you have been engaging in activities that involve repetitive motion or poor posture. Conditions such as costochondritis, which is inflammation of the cartilage connecting the ribs to the sternum, can also cause localized chest pain.

However, since you mentioned that this pain began after receiving the BNT vaccine and that you have experienced other side effects, it is worth considering whether this could be a post-vaccination reaction. While most vaccine side effects are mild and transient, some individuals may experience more pronounced symptoms, including localized pain. It is also important to note that anxiety can manifest physically, leading to symptoms such as chest pain, especially if you have a history of anxiety or stress.

Given that your symptoms have persisted and are affecting your well-being, it would be prudent to seek further evaluation. Consulting a pulmonologist or a cardiologist could help rule out any serious underlying conditions, especially if there is any concern about your heart or lungs. Diagnostic tests such as an electrocardiogram (ECG), chest X-ray, or echocardiogram may be recommended to assess your heart's function and rule out any cardiovascular issues.

If the medical evaluation does not reveal any physical abnormalities, it may be beneficial to explore the psychological aspects of your symptoms. Anxiety and stress can lead to physical manifestations, including chest pain. If you feel that your emotional state is contributing to your symptoms, seeking help from a mental health professional may be beneficial. Cognitive-behavioral therapy (CBT) and other therapeutic approaches can help manage anxiety and improve your overall mental health.

In summary, while your symptoms may be related to anxiety or a post-vaccination reaction, it is essential to rule out any serious medical conditions. I recommend scheduling an appointment with a pulmonologist or cardiologist for a thorough evaluation. If the results are normal and you continue to experience symptoms, consider consulting a mental health professional to address any underlying anxiety or stress. Taking a proactive approach to your health will help you find relief and improve your overall well-being.

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