Chest Pain: When to Seek Help for Heart Issues - Cardiology

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Cardiac issues


Hello doctor, since June of this year, I have been experiencing sudden chest pain on the left side.
Sometimes it lasts for one or two seconds, and other times it is a dull ache that can last from 10 minutes to an hour.
I would like to ask the doctor how to handle this situation.
I also have a history of gastrointestinal issues.

Cai Xiansheng, 10~19 year old female. Ask Date: 2011/12/06

Dr. He Dongjin reply Cardiology


Hello, there are many causes of chest pain.
Given your age, mitral valve prolapse, gastroesophageal reflux disease (GERD), or musculoskeletal pain are quite common.
It is advisable for you to visit a cardiology clinic for further evaluation.
Changhua Hospital cares about your health.

Reply Date: 2011/12/06

More Info


Chest pain can be a concerning symptom, and understanding its potential causes is crucial for determining when to seek medical help. Given your description of left chest pain that occurs suddenly and varies in intensity and duration, it is important to consider several factors that could be contributing to your symptoms.

Firstly, chest pain can arise from various sources, including cardiac (heart-related), gastrointestinal (digestive), musculoskeletal (muscle or bone-related), or psychological (stress or anxiety-related) issues. In your case, since you mentioned having gastrointestinal problems, it is possible that your chest pain could be related to digestive issues such as acid reflux or gastritis. These conditions can cause discomfort that may be felt in the chest area, often mimicking heart-related pain.

However, it is essential to take chest pain seriously, especially if it is new, persistent, or accompanied by other symptoms such as shortness of breath, sweating, nausea, or pain radiating to the arm, jaw, or back. These could be signs of a heart condition, such as angina or even a heart attack, which require immediate medical attention.

Given your symptoms, here are some steps you can take:
1. Monitor Your Symptoms: Keep a detailed record of your chest pain episodes, noting the duration, intensity, triggers (such as physical activity or stress), and any accompanying symptoms. This information can be valuable for your healthcare provider.

2. Seek Medical Evaluation: Since your symptoms have been ongoing since June, it is advisable to consult a healthcare professional. They may perform a physical examination, take a detailed medical history, and recommend diagnostic tests such as an electrocardiogram (ECG), chest X-ray, or echocardiogram to assess your heart's health.

3. Consider Gastrointestinal Factors: If your healthcare provider suspects that your chest pain may be related to gastrointestinal issues, they might recommend tests such as an upper endoscopy or a trial of medications to reduce stomach acid.

4. Lifestyle Modifications: Regardless of the cause, adopting a healthier lifestyle can benefit both your heart and digestive health. This includes regular exercise, a balanced diet rich in fruits and vegetables, maintaining a healthy weight, and managing stress through relaxation techniques or counseling.

5. Know When to Seek Emergency Care: If you experience severe chest pain, especially if it feels like pressure or squeezing, or if it is accompanied by symptoms like difficulty breathing, dizziness, or fainting, seek emergency medical help immediately.

In conclusion, while your symptoms may be related to gastrointestinal issues, it is crucial to rule out any serious heart conditions. Prompt evaluation by a healthcare professional can help determine the underlying cause of your chest pain and guide appropriate treatment. Remember, it is always better to err on the side of caution when it comes to chest pain.

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