I have pain in my left chest?
Doctor, may I ask if I am sick? I have noticed that the area just below my left breast (about 3 centimeters below the center of my breast, above the left side of my stomach) has been painful for the past few days.
It feels like a bruise.
When I press on it, I don't see any bruising.
In the past, if I felt pain in that area and saw a bruise, it would be fine.
However, now when I press, I don't see any bruising, and it only hurts when I touch or press it, but there is no lump.
My sitting, eating, and sleeping patterns have been irregular, and sometimes I feel dizzy.
Occasionally, I experience a sensation of jolting awake, as if I were shocked.
The day before yesterday, I stayed up late and then slept too long, and the next morning I had a headache and dizziness.
Yesterday, I felt pain in the area below my chest when I touched it, which made me anxious.
What could this be? Should I go to the hospital, or will it resolve itself after some time?
Liang Yun, 20~29 year old female. Ask Date: 2003/09/06
Dr. Lai Lunxiang reply Neurology
Based on your description, I believe you may be experiencing a left-sided rib and shoulder muscle strain due to long-term work fatigue.
My recommendation is to maintain a regular schedule of work, exercise, and rest.
Typically, the pain may last for several days (3 to 5 weeks).
If you frequently feel pain that is unbearable, please visit our clinic for treatment.
Thank you.
Sincerely, Lai Lun-Hsiang 92.09.09
Reply Date: 2003/09/06
More Info
Understanding left chest pain can be quite complex, as it can stem from various causes, some of which may require immediate medical attention. Based on your description, it seems you are experiencing localized pain in the left chest area, specifically below the breast and above the stomach. This pain is reminiscent of a bruise, but you have not observed any visible bruising. You also mentioned that the pain is elicited by touch or pressure, and you have experienced some dizziness and unusual sensations during sleep.
First and foremost, it is essential to recognize that chest pain can be associated with several conditions, ranging from benign musculoskeletal issues to more serious cardiac or gastrointestinal problems. Given the location of your pain, it could potentially be related to musculoskeletal strain, such as costochondritis, which is inflammation of the cartilage connecting the ribs to the sternum. This condition often presents as localized pain that worsens with palpation or movement.
However, the presence of dizziness and the sensation of being "shocked" or "electrified" during sleep raises some concerns. These symptoms could indicate a neurological issue or even a cardiovascular problem, particularly if they are accompanied by other symptoms such as shortness of breath, palpitations, or radiating pain to the arm or jaw. It is crucial to consider the possibility of conditions such as anxiety, which can manifest with physical symptoms, including chest pain and dizziness.
In your case, the fact that the pain is reproducible with touch and does not present with visible bruising suggests a musculoskeletal origin, but it is essential to rule out other potential causes. The dizziness you mentioned could be related to several factors, including dehydration, fatigue from lack of sleep, or even anxiety. However, if the dizziness persists or worsens, it would be prudent to seek medical attention.
Given your symptoms, I recommend the following steps:
1. Monitor Your Symptoms: Keep track of when the pain occurs, its intensity, and any associated symptoms (like dizziness or changes in sleep patterns). This information will be helpful for your healthcare provider.
2. Rest and Avoid Strain: If you suspect that the pain may be related to muscle strain, try to avoid activities that exacerbate the pain. Resting can help alleviate symptoms.
3. Seek Medical Attention: If the pain persists, worsens, or if you experience additional concerning symptoms (such as significant dizziness, shortness of breath, or pain radiating to other areas), it is crucial to seek medical evaluation. A healthcare provider may perform a physical examination and potentially order imaging studies or other tests to rule out serious conditions.
4. Consider Lifestyle Factors: Evaluate your recent lifestyle changes, such as sleep patterns and stress levels. Poor sleep and stress can contribute to physical symptoms, including chest pain and dizziness.
In conclusion, while your symptoms may suggest a benign cause, the combination of localized chest pain and dizziness warrants a thorough evaluation by a healthcare professional. It is always better to err on the side of caution when it comes to chest pain, as timely intervention can be critical in addressing any underlying issues. If you feel uncertain or anxious about your symptoms, do not hesitate to visit a healthcare facility for further assessment. Your health and peace of mind are paramount.
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