What could cause sharp chest pain?

Question

Hello doctor,

I am a 40-year-old female with a BMI of 17. I am a recovering eating disorder patient and also suffer from GERD, generalized anxiety disorder (GAD), and low blood pressure (105/60 mmHg). I saw a cardiologist two years ago and was cleared at that time. Recently, I developed a burning, sharp chest pain, which is more intense than my usual GERD pain, located in the upper-left sternum just below the manubrium. This pain sent me to the ER. X-rays, blood tests, and an ECG came back normal. I was prescribed Omeprazole and an anti-inflammatory medication.

However, I am still experiencing constant pain that varies in intensity and improves when I stand. A few days prior, I lifted a heavy rock and now feel a slight crunching sensation when I move. I am really anxious about ischemic heart disease or something more serious, even though I have no accompanying symptoms other than this pain. Does this sound like costochondritis, or should I be more concerned?

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I carefully reviewed your question and would like to explain that your symptoms are not typical of any cardiac disorder. They could suggest costochondritis or gastroesophageal reflux. Is the pain triggered by deep breathing or pressure in the chest area? If so, this would further support the possibility of costochondritis. In this case, it is necessary to perform inflammation tests such as PCR (polymerase chain reaction), ESR (erythrocyte sedimentation rate), and a complete blood count.

If the pain is triggered by heavy meals or bending over, this would indicate gastroesophageal reflux. In that case, a fibro gastroscopy would be necessary. I would also rule out any potential heart issues, considering your clinical symptoms; I suggest performing an exercise cardiac stress test to reassure you that your symptoms are not related to your heart.

So, just relax and try not to worry about it.