Chest Tightness and Pain Near the Anus Before Menstruation - Obstetrics and Gynecology

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Experiencing chest tightness before arrival?


Hello, doctor: I would like to ask if it is normal to feel chest tightness and a slightly increased heart rate before my period comes, even though it hasn't started yet.
Additionally, I have a skin tag near my anus that hurts.
I have shown it to a proctologist, who said it is leftover tissue from a previous pilonidal cyst removal and that it is not a concern.
However, it still hurts, especially after having a bowel movement.
What should I do, doctor?

huanzhe, 40~49 year old female. Ask Date: 2014/02/07

Dr. Lin Wenbin reply Obstetrics and Gynecology


You need to see a proctologist for an examination to better understand your condition.

Reply Date: 2014/02/07

More Info


Understanding the symptoms of chest tightness and pain near the anus before menstruation can be complex, as these symptoms may arise from various physiological and psychological factors.
Firstly, it is not uncommon for women to experience a range of physical symptoms in the days leading up to their menstrual period, often referred to as premenstrual syndrome (PMS). Symptoms can include mood swings, bloating, breast tenderness, and even changes in heart rate or feelings of tightness in the chest. The hormonal fluctuations that occur during the menstrual cycle, particularly the rise and fall of estrogen and progesterone, can lead to increased sensitivity in the body, which may manifest as chest tightness or palpitations. While some women may experience these symptoms mildly, others may find them more pronounced. If the chest tightness is accompanied by severe pain, shortness of breath, or other concerning symptoms, it is crucial to seek medical attention to rule out any serious cardiac issues.

Regarding the pain near the anus, it is important to consider the context of your previous medical history. If you have had a skin tag or excess tissue removed in that area, it is possible that the residual tissue could cause discomfort, especially during bowel movements. This discomfort may be exacerbated by straining or the passage of stool, leading to pain or irritation. If the pain persists or worsens, it may be beneficial to consult with a colorectal specialist or a gastroenterologist for further evaluation. They may recommend treatments such as topical medications to reduce inflammation or pain, dietary changes to ease bowel movements, or even further surgical options if necessary.

In summary, while experiencing chest tightness and anal discomfort before menstruation can be common, it is essential to monitor the severity and frequency of these symptoms. If they interfere with your daily life or cause significant concern, do not hesitate to reach out to your healthcare provider for a thorough evaluation. They can help determine whether these symptoms are part of a normal premenstrual experience or if they warrant further investigation. Additionally, maintaining a healthy lifestyle, including regular exercise, a balanced diet, and stress management techniques, can help alleviate some of the discomfort associated with PMS and other related symptoms.

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