I hope that helps to answer your question a little bit. But again, there's no way for us to tell for sure. Gravity allows food to go back up the esophagus, which the body takes exception to.Ĥ) Musculoskeletal causes - this includes "precordial catch," muscle strains, costochondritis, rib fractures, among others.ģ and 4 are the most common causes of intermittent pain in young patients (i.e., <35 years old, which I assume you are). It can also present frequently at nighttime, when the stomach is full after a meal and then you lie down. These DO tend to come and go more frequently than not, and are often, but not always, related to eating. A chest x-ray can evaluate for some of these causes, although in intermittent chest pain, these are less likely.ģ) GI causes - including GERD (reflux), esophagitis (inflammation of the esophagus), or esophageal spasm. Most other causes of chest pain (pericarditis, aortic problems, effusions) will not typically cause pain that comes and goes, but again, everyone presents differently.Ģ) Pulmonary causes - could include pleurisy (inflammation of the lining of the lung), pulmonary emboli (blood clots, less likely to come and go), pneumonia, among other things. However, "unstable angina" can also present at rest. Angina is chest pain that comes with exertion and goes away with rest. Having a normal EKG can be expected a lot of the time if patients only have angina. And /u/80andsunny, I know you weren't asking for a diagnosis, so I'll tell you the potential causes of chest pain that comes and goes.ġ) Cardiac causes - angina can present like this. My heart attack might feel like your reflux which might feel like someone else's anxiety attack which might feel like someone else's pulmonary embolism. Here's the thing that makes medicine so fascinating (and fun and difficult at the same time) - everyone's condition presents differently. Hi there! A lot of people in this thread are related your pain to their own, stating that it is just like the pain they had. Please note: Flair is not used as professional verification. Have an idea for the subreddit? Want flair? Message the moderators! You will never be mocked for anything you ask (unless you are, in which case, please message the moderators so we can take care of that problem)ħ. If you've wondered something, chances are many others have as well! Don't be shy. Have fun, and ask away! This subreddit was intended to be a safe place to ask anything you've ever wondered about medicine, no matter how trivial, or how silly the questions might seem. Questions about the use of illicit substances or illegal activities are subject to removal.Ħ. Mocking, name-calling, or using profanities will not be tolerated.ĥ. Occasionally, people will be wrong, including the moderators. We are all here to help others, or seek help ourselves, in understanding medicine and health. If you have questions along those lines, you should contact your healthcare provider to seek further guidance.Ĥ. We cannot tell you if or when you should be seen by a healthcare provider. Asking if you should be seen for certain symptoms also qualifies as medical advice. If you're seriously ill, seek treatment by someone in person.ģ. Oftentimes, questions can go for hours without a response. If you're having an emergency, this is not the place to ask about it. This subreddit is not, and was not designed to be, a substitute for an in-person evaluation by or a discussion with a healthcare provider.Ģ. Additionally, medications may occasionally be suggested, but the decision to take any medications should be based on conversations had between you and your healthcare provider. As a result, answering a question does not create or constitute a physician/patient relationship. No one on this subreddit can accurately diagnose your condition, or give you accurate treatment advice - it would be dangerous for both the providers and the patients to expect otherwise. It is for sharing medical information, and for education. This subreddit is not for medical advice. Before posting or commenting, please click here to view the welcome thread RULESġ. A forum dedicated to answering your questions about medicine and health.
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