Back Pain, Chest Discomfort, and Possible Depression Symptoms

Back pain, back discomfort, chest pain, chest tightness?

1.
Recently, I have been experiencing back pain, chest pain, and a feeling of tightness.
Sometimes I feel dizzy, and I have difficulty breathing, as if I can't get enough air.
I can also feel my heart racing at times, and my neck and shoulders are very sore and painful.
Pressing on my left chest or doing certain activities also causes pain.
Although I can hear out of my left ear, it feels like I can't hear properly.
2.
Lately, I suspect that I might be suffering from depression.
I don't feel like talking to others, including my family, and I seem to be more irritable than usual.
My mood has been low and sad for a long time, but I still manage to smile.
However, recently I have lost interest in everything.
Can you help me determine if I have any medical conditions? Also, could you assess whether I might be experiencing depression? Thank you :)

Yun, 10~19 year old female. Ask Date: 2016/02/06

Dr. Jiang Junyi reply Neurology

Based on your description, the diagnosis for depressive mood is as follows: 1.
The melancholic emotional response persists for more than two years.
In children or adolescents, it manifests as irritability or agitation for at least one year.
2.
At least two of the following symptoms are present: (1) poor appetite or overeating (2) insomnia or hypersomnia (3) fatigue or loss of energy (4) low self-esteem (5) difficulty concentrating or making decisions (6) feelings of helplessness.
3.
During the two-year period (one year for children or adolescents), symptoms from 1 and 2 must persist for at least two months.
As for the diagnosis of Major Depressive Disorder: 1.
Five or more of the following symptoms have been present during the same two-week period, representing a change from previous functioning; at least one of the symptoms must be either a depressed mood or a loss of interest or pleasure: (1) Depressed mood most of the day, nearly every day, as indicated by subjective feelings of sadness, emptiness, or observable crying (Note: Children or adolescents may express this through irritability).
(2) Markedly diminished interest or pleasure in all, or almost all, activities.
(3) Significant weight loss when not dieting, weight gain, or decrease or increase in appetite (a change of more than 5% in body weight in a month), or nearly every day having an increase or decrease in appetite (Note: Children's weight may not meet expected growth patterns).
(4) Insomnia or hypersomnia nearly every day.
(5) Psychomotor agitation or retardation nearly every day (observable by others).
(6) Fatigue or loss of energy nearly every day.
(7) Feelings of worthlessness or excessive or inappropriate guilt (not merely self-reproach or guilt about being sick).
(8) Diminished ability to think or concentrate, or indecisiveness, nearly every day.
(9) Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt, or a specific plan for committing suicide.

2.
The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
3.
The symptoms are not attributable to the physiological effects of a substance (e.g., drug abuse, medication) or another medical condition (e.g., hypothyroidism).
However, diagnosing these issues requires professional evaluation by a psychiatrist.
Recommendations for maintaining a regular routine, engaging in regular exercise, and ensuring adequate sleep can help reduce the occurrence of depressive moods.
It is advisable to consult a psychiatrist for evaluation and diagnosis.
Wishing you health, peace, and joy.

Reply Date: 2016/02/06

More Info

It sounds like you are experiencing a complex combination of physical and emotional symptoms that are understandably concerning. Let's break down your symptoms and explore the potential connections between them, particularly focusing on back pain, chest discomfort, and signs of depression.

Physical Symptoms
1. Back Pain and Chest Discomfort: Back pain can arise from various causes, including muscle strain, poor posture, or even underlying conditions such as herniated discs or spinal issues. Chest discomfort, especially if it is accompanied by pain on exertion or pressure, should be evaluated promptly, as it can sometimes indicate cardiovascular issues. The sensation of tightness or pain in the chest can also be related to anxiety or panic attacks, which can mimic heart-related symptoms.

2. Dizziness and Breathing Difficulties: Feeling dizzy or lightheaded, along with difficulty breathing, can be linked to anxiety or panic attacks. These symptoms can create a cycle of fear and discomfort, leading to further anxiety. It's important to note that if you experience severe dizziness or shortness of breath, you should seek immediate medical attention.

3. Heart Palpitations: An increased heart rate can be a response to stress, anxiety, or panic. It can also occur in conjunction with physical exertion or emotional distress.
4. Neck and Shoulder Pain: Tension in the neck and shoulders is common, especially in individuals who experience stress or anxiety. This tension can lead to discomfort and pain, which may exacerbate feelings of unease.

5. Ear Sensation: The feeling of not being able to hear properly, despite having normal hearing, could be related to stress or anxiety. Sometimes, stress can cause a sensation of fullness in the ears or even lead to tinnitus (ringing in the ears).

Emotional Symptoms
1. Signs of Depression: Your feelings of irritability, low mood, and lack of interest in activities you once enjoyed are classic signs of depression. The fact that you are withdrawing from social interactions, even with family, and feeling persistently sad or low indicates that you may be experiencing depressive symptoms.

2. Difficulty Expressing Emotions: It’s common for individuals with depression to put on a façade of happiness while internally struggling. This can lead to emotional exhaustion and a feeling of being overwhelmed.

Recommendations
Given the complexity of your symptoms, it is crucial to approach this situation holistically. Here are some steps you can take:
1. Seek Professional Help: It is essential to consult with a healthcare professional who can evaluate both your physical and mental health. A primary care physician can conduct a thorough examination, including blood tests and possibly imaging studies, to rule out any underlying medical conditions. They can also refer you to a mental health professional if needed.

2. Consider Therapy: Cognitive Behavioral Therapy (CBT) and other forms of psychotherapy can be very effective for treating depression and anxiety. A therapist can help you develop coping strategies and work through your feelings.

3. Medication: If a healthcare provider diagnoses you with depression, they may discuss medication options, such as antidepressants, which can help manage your symptoms.

4. Lifestyle Changes: Incorporating regular physical activity, a balanced diet, and adequate sleep can significantly impact both physical and mental health. Mindfulness practices, such as meditation or yoga, can also help reduce stress and improve your overall well-being.

5. Support System: While you may feel like withdrawing, maintaining connections with friends and family can provide essential support. Consider reaching out to someone you trust to share your feelings.

6. Monitor Symptoms: Keep a journal of your symptoms, both physical and emotional. This can help you identify patterns and triggers, which can be useful information for your healthcare provider.

Conclusion
Your symptoms warrant a thorough evaluation by a healthcare professional. It’s important to address both the physical and emotional aspects of what you are experiencing. Remember, seeking help is a sign of strength, and there are effective treatments available that can help you feel better. You are not alone in this, and with the right support, you can work towards recovery.

Similar Q&A

Understanding Back Pain: Stress, Heart Health, and Medication Effects

I'm sorry to hear that you've been feeling unwell due to stress. It sounds like you've been experiencing discomfort throughout your body, along with gastroesophageal reflux. Last Saturday, you underwent an electrocardiogram and ultrasound, which indicated mild hype...

Dr. Wu Xueming reply Cardiology
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. Additionally, your symptoms are not typical of heart disease. It is recommended that you consult with an orthopedic or neurosurgery specialist.

Understanding Mental Health: Signs of Anxiety and Emotional Distress

Recently, I've been experiencing lower back pain and headaches, along with dizziness and nausea. I prefer to be alone and don't enjoy interacting with others (family is fine). I push myself to lose weight to a specific point, regardless of my physical condition. I have ...

Dr. Huang Huiqun reply Psychiatry
Dear "Seven," based on your description of the situation, you have been experiencing significant symptoms of depression and anxiety recently. I am also concerned about the possibility of an eating disorder. I recommend that you visit a mental health clinic to discuss an...

Understanding Anxiety and Depression: Symptoms and Treatment Options

Hello Dr. Lin: I often experience stiffness in my neck, back, and shoulders, along with chest tightness and discomfort while driving or dining with clients. Once, when I made a wrong exit while driving and felt anxious, these symptoms worsened to the point where I could not conti...

Dr. Lin Yanhong reply Psychiatry
Hello: Based on your description, the onset of symptoms appears to be sudden, particularly in certain situations or after a heavy meal, with chest tightness and neck stiffness. These symptoms are more likely to occur during states of anxiety, which may suggest a possibility of pa...

The Physical Effects of Anxiety and Depression on Your Health

Hello Dr. Ding, I have been experiencing some anxiety and depressive tendencies recently due to certain factors, which have caused discomfort and a feeling of pressure on both sides of my temples. Yesterday, due to some issues, my anxiety and depressive tendencies intensified, a...

Dr. Ding Shuyan reply Psychiatry
Hello, the sensation of chest tightness and stabbing pain is a common physical symptom in individuals with anxiety and depression. The primary cause usually stems from the skeletal muscles of the chest wall rather than issues with the heart or lungs. Of course, it is always safes...