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On and off chest pain

Answered by: Dr Nur Syuhada binti Zulkifli

Last Updated: February 12, 2022 1:06 PM

Anonymous 4 months

I’m a woman turning 30 years old this year.

My lifestyle: moderate frequency of sugar in drinks and food, rarely work-out, BMI reading shows I’m overweigh. I’m a non-smoker and rarely become the secondary smoker. I have cats and keep them indoor all the time. I have migraine history, and my period timeline is irregular.

Since the end of Year 2021, I experienced below symptoms on and off:

  1. Chest ache, attack mostly while sleeping and lasts till the next day. My chest feels like being pressed and I’m unable to move a lot when this happen. It gets extra painful whenever I moved.

  2. My left breast, especially the area near to my chest feels painful whenever my chest hurt.

  3. Unable to breath properly, my breath feels a bit stuck and can’t breath deeply without hurting my chest.

Went to see a doctor and got my ECG result, the doctor said it was abnormal and referred me to a specialist. However, the specialist asked me to do the chest x-ray only and said my chest was hurting just because of muscle… He did not prescribed me anything afterwards.

My chest still hurts a lot even though it’s an on and off basis…

Dr Nur Syuhada binti Zulkifli 4 months
General Practitioner

Hello and good afternoon.
Thank you for your question.

Based on your question, I understand that you are worried about your problem. I will try to help you.

Based on your description, the symptoms you are experiencing can be due to several factors such as:

1.Injury to the Chest Wall

If the muscles and bones of your chest wall have been strained or injured in some way, any type of movement of your torso can cause pain. As a result, you may experience chest pain while you are sleeping, particularly if you frequently change positions or fall asleep on your chest.

  1. Acid Reflux

Also referred to as gastroesophageal reflux disease, acid reflux can cause a burning sensation in the chest. This occurs when stomach acid flows backward into the esophagus. The chest pain can worsen while sleeping as the amount of acid produced increases and backflows into the esophagus.

  1. Pleuritis

Pain in the left or right areas of the chest is a typical symptom of pleuritis, an illness that can cause fluid to build up around the lungs. Being in a flat position while sleeping can worsen the pain caused by inflammation of the lining around the lung. The pain can be significantly worse while you are lying down on the unaffected side.

  1. Angina
    Angina pectoris is a condition in which the coronary arteries, which carry blood to the heart muscles, become constricted or narrowed. This causes damage to the heart muscle, which forces the heart to work harder, even while you are asleep.

  2. Anxiety attacks
    Nighttime (nocturnal) panic attacks can occur with no obvious trigger and awaken you from sleep. As with a daytime panic attack, you may experience sweating, rapid heart rate, trembling, shortness of breath, heavy breathing (hyperventilation), flushing or chills, and a sense of impending doom

In order for us to provide you with an accurate choice of treatment and management, we need additional details to explore further into your current complaints.

Therefore, I strongly encourage you to consult a doctor for proper treatment. You can contact our doctor online for further information and treatment.

I hope this answer helps you. Thank you.

Click here to speak to a doctor

Last Updated: Sat Feb 12 2022 13:06:50 GMT+0800 (Malaysia Time)
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