Chest Rash and Rib Pain: Symptoms and Seeking Help

Q: Chest Rash and Rib Pain: Symptoms and Seeking Help

Hello from Taipei to Vienna： For items 2 and 4, there may be inflammation of the muscles and cartilage; please pay attention to whether your bra is too tight or if the underwire is causing pressure. <br>For items 1, 5, and 6, please consult an otolaryngologist to check for pharyn

Rash under the left breast along the bra line and behind the bra clasp, with pain in the lower left rib area?

1.
Recently, I've been feeling low on energy and easily fatigued, with a slight discomfort in my throat.
2.
My neck feels stiff and uncomfortable, similar to a stiff neck, possibly due to prolonged smartphone use.
I've been using topical pain relief patches.
I thought about going for a run outside; before the pandemic, I used to exercise regularly, but I haven't since it started.
The recent hot and humid weather has made me sweat more during exercise than when I was inactive.
A few days ago, after sweating, 3.
I experienced a sudden prickling and itching sensation along my back near the spine, extending to the area where my bra fastens, and also at the lower edge of my left breast.
I scratched it, but there were no rashes that day.
The next day, I noticed a red, itchy rash at the lower edge of my chest, and the day after that, the previously prickly and itchy area on my back began to develop rashes as well.
Initially, I thought it might be an allergy or related to my home environment (recently, ants have appeared and I’ve been bitten) or having a cat (which has been itchy for five to six years, but this is new; I have air purifiers and regularly change the filters, and I keep the environment clean, plus I recently shaved my cat).
I also wondered if it could be due to newly changed bed linens (could clean linens have dust from being stored in a bag? I also used a dust mite vacuum).
I considered whether it was time to have someone come to sanitize and clean the washing machine.
I have an appointment for this Sunday.
While waiting for the technician to clean the washing machine, the rashes have become less itchy and swollen, and they are starting to shrink, but they are still present.
4.
However, I have started to feel a dull pain in the rib area beneath my left breast, which also hurts when pressed (it seems that the initial thoughts about allergies and the environment may not be related).
5.
Sometimes, my body feels warm, and I thought I might have a fever, but I don't; at least, my skin surface doesn't feel hot, though I do feel warm.
This warmth persists even with the air conditioning on, and it takes a while before I feel the coolness of the air conditioning (but the AC is actually very cool; I bought it just a year ago).
6.
I have done rapid tests, all of which were negative.
I don’t go out often and always wear a mask and wash my hands frequently.
This is my observation of my physical condition over the past few days.
The message is quite long (please, doctor, put on your glasses and magnifying lens to read my lengthy message).
I’m unsure which specialty to consult, especially during the pandemic, as I prefer not to rush to the hospital.
I’m a bit worried and wanted to ask the doctor which department I should visit.
I hope to receive a prompt response, as I am somewhat anxious about the situation affecting my health.
Thank you very much, and take care.

Taipei Vienna, 40~49 year old female. Ask Date: 2022/08/04

Dr. Cai Dongqi reply Family Medicine

Hello from Taipei to Vienna: For items 2 and 4, there may be inflammation of the muscles and cartilage; please pay attention to whether your bra is too tight or if the underwire is causing pressure.
For items 1, 5, and 6, please consult an otolaryngologist to check for pharyngitis or viral infection.
For item 3, if it's itchy but not painful, it could be eczema or allergic dermatitis; if it is itchy and painful, it may be herpes zoster, so please see a dermatologist for evaluation.

Reply Date: 2022/08/04

More Info

It sounds like you are experiencing a complex set of symptoms that are causing you significant discomfort and concern. Based on your description, you have a combination of physical symptoms including a rash, rib pain, discomfort in your neck, and feelings of fatigue. Let's break down your symptoms and discuss potential next steps.

1. Understanding Your Symptoms:
- The chest rash you described, particularly the red, itchy spots that developed after sweating, could be a sign of several conditions. It might be a heat rash, which occurs when sweat gets trapped in the pores, or it could be an allergic reaction to something in your environment, such as dust mites or pet dander, especially since you mentioned having a cat.
- The rib pain you are experiencing, particularly in the area near the left chest, could be musculoskeletal in nature, potentially related to poor posture or muscle strain, especially if you have been spending a lot of time on your phone or not exercising regularly.
- The fatigue and throat discomfort could be related to a viral infection, allergies, or even stress. Given that you have been less active during the pandemic, your body might be reacting to changes in activity levels and environmental factors.

2. Seeking Medical Help:
- Given the variety of symptoms, it would be advisable to consult a primary care physician first. They can perform a comprehensive evaluation, including a physical examination, and may refer you to a specialist if necessary.
- If the rash worsens or if you develop additional symptoms such as fever, difficulty breathing, or significant swelling, you should seek immediate medical attention.
- For the rib pain, a visit to a musculoskeletal specialist or a physiotherapist could be beneficial, especially if the pain persists or worsens. They can assess for any underlying issues related to muscle strain or posture.

3. Potential Tests and Treatments:
- Your doctor may recommend allergy testing if they suspect an allergic reaction. They might also suggest a skin examination to determine the nature of the rash.

- For the rib pain, imaging studies like an X-ray or MRI may be necessary if there is concern about structural issues.

- Treatment for the rash could include topical corticosteroids or antihistamines if it is determined to be allergic in nature. For muscle pain, physical therapy, stretching exercises, and possibly anti-inflammatory medications could be recommended.

4. Self-Care and Monitoring:
- In the meantime, keep track of your symptoms, noting any changes in the rash, pain levels, or new symptoms. This information will be helpful for your healthcare provider.

- Ensure you stay hydrated, maintain a balanced diet, and consider gentle stretching or light exercise to help with muscle tension.

- If you suspect that your environment is contributing to your symptoms, continue to clean and maintain your living space, and consider using hypoallergenic bedding.

5. Conclusion:
- It’s understandable to feel anxious about your symptoms, especially in the context of the ongoing pandemic. However, addressing these concerns with a healthcare provider is the best course of action. They can help you navigate your symptoms and provide appropriate treatment options.
Remember, your health is paramount, and seeking professional advice is always a wise decision when you are unsure about your symptoms. Take care, and I hope you find relief soon!

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