Recent Back and Chest Pain: Is It Heart-Related?

Recent frequent back pain and sharp pain near the heart on the left side of the chest?

Hello Doctor: I am 175 cm tall and weigh 70 kg.
About a month ago, I first experienced pain in the area of my back near the spine.
A week later, I started having chest pain and difficulty breathing.
Another week later, I began to feel a sensation of pressure in my neck and head, which was uncomfortable.
Recently, I have been experiencing sharp pain near my heart on the left side of my chest, as well as sharp pain under my left armpit.
Additionally, I have noticed that my heart rate feels faster than usual.
I have searched online for information but have been unable to make sense of it all.
Since I have never experienced these symptoms before and my lifestyle has not changed significantly, I would like to ask if these symptoms could be related to heart disease.
If I need to seek medical attention, which specialty should I consult? Thank you!

Ben, 20~29 year old female. Ask Date: 2024/04/26

Dr. He Dongjin reply Cardiology

Hello, it sounds more like a neuromuscular issue leading to autonomic nervous system dysfunction rather than being related to heart disease.
Please start with some stretching and flexibility exercises, and monitor your condition.
If you still feel unwell, consider visiting a cardiology clinic for further evaluation.
Changhua Hospital cares about your well-being.

Reply Date: 2024/04/26

More Info

Based on your description of symptoms, it is understandable to be concerned about the possibility of heart-related issues. The symptoms you mentioned, including back pain, chest pain, difficulty breathing, and sensations of tightness or pain in the left side of your chest and under your left arm, can indeed be alarming. However, it is essential to consider various factors before jumping to conclusions about heart disease.

Firstly, while chest pain is often associated with heart problems, it can also stem from a variety of non-cardiac causes. These can include musculoskeletal issues, gastrointestinal problems (such as gastroesophageal reflux disease, or GERD), anxiety, and even conditions affecting the lungs. For instance, muscle strain or inflammation in the chest wall can lead to pain that may mimic heart-related discomfort. Similarly, issues like GERD can cause chest pain that feels similar to angina but is actually related to acid reflux.

Given that you have experienced back pain followed by chest pain and other symptoms, it is crucial to approach this systematically. The fact that your symptoms have escalated over the past month warrants a thorough evaluation. While your symptoms may not necessarily indicate a severe heart condition, they should not be ignored, especially since they are new and persistent.

In terms of medical evaluation, it would be advisable to consult a cardiologist, as they specialize in heart-related issues and can conduct appropriate tests, such as an electrocardiogram (ECG), echocardiogram, or stress tests, to assess your heart's function and rule out any significant problems. Additionally, if your symptoms are accompanied by anxiety or stress, it may also be beneficial to speak with a mental health professional, as anxiety can exacerbate physical symptoms and create a cycle of worry.

You mentioned that your heart rate feels faster than usual. This could be due to various factors, including anxiety, physical activity, or even caffeine intake. It is essential to monitor your heart rate and any associated symptoms, such as palpitations or dizziness, and report these to your healthcare provider.

In summary, while your symptoms could be related to heart issues, they could also stem from other causes. It is essential to seek medical advice to determine the underlying cause of your symptoms. A cardiologist would be the most appropriate specialist to consult initially, but do not hesitate to seek further evaluations from other specialists if necessary. Remember to keep track of your symptoms, including their frequency, duration, and any triggers, as this information can be invaluable for your healthcare provider in making an accurate diagnosis. Your health and peace of mind are paramount, so taking these steps is crucial for your well-being.

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