Is chest pain in a 27-year-old female dangerous?

Hello,

Welcome to icliniq.com.

I understand your query and concern.

Did you undergo a vitamin D3 test? Did the pain worsen on taking normal or deep breathing?

I have gone through your reports (attachments are hidden to protect the patient's identity), and they are all fine. The first thing is that you need to convince yourself that there is nothing to be worried about and that these are unlikely to be cardiac symptoms. Firstly, the cardiac cause is less likely at this age in females and usually occurs on exertion and relieves with rest, which is not the case with you, and you get symptoms quite randomly. Changes would have certainly appeared on TMT (treadmill test) had it been cardiac pain. So, considering your symptoms and normal investigations, the probability of heart disease is very low, and there is a need to find alternative explanations for these symptoms. Regarding the probable causes, there can be multiple noncardiac causes for chest pain. Anxiety can also worsen the symptoms either by causing such symptoms or by heightened awareness of such symptoms. The first time, the pain might have been due to acid reflux (the pain that occurred during eating), which has caused anxiety, so you became more aware now to pick such non-cardiac pain. Musculoskeletal pain due to muscle strain, costochondritis (very common in young females like you and increase on pressing over the chest), and low vitamin D levels can cause chest and left arm pain. All these, except vitamin D deficiency, may not be picked on investigations. So, you should undergo vitamin D levels also. You might have become more aware of such random pain now. Sometimes, a viral infection can cause chest pain, especially if the pain is occurring during deep breathing. Such infections are self-limiting and settle in a few weeks. There is nothing to worry about a high pulse rate as it can be due to anxiety and lack of physical activities in life. You should engage in mind-relaxing activities like yoga, meditation, and regular physical activities. You should avoid oily, spicy, and heavy meals and have some walks after each meal.

Hope this helps you.

Get back if you have any more doubts or more information to share.

Kind regards.

Hi,

Welcome back to icliniq.com.

I understand your concern.

Cardiac pain is more during exercises and not during when you relax, as in your case. The probability of cardiac pain is quite low. You need not have any ECG as of now till you develop any new symptoms. Repeat cardiac evaluation with ECHO (echocardiogram) and TMT may be undertaken if there are any new symptoms or at the age of 40 years.

I hope this helps.

Kind regards.

Hello,

Welcome back to icliniq.com.

I understand your concern.

I saw your reports (attachments are hidden to protect the patient's identity). Your vitamin D3 and B12 are low, and rest parameters are normal. You will be required to take supplements for the same. Also, check the hemoglobin in your CBC report, as it is not attached here. Check whether it is normal or not. You should consult a local general practitioner for the same. For low vitamin D3, you will need to take supplements like tablet Uprise D3 (vitamin D3) or Calcirol sachets (Cholecalciferol granules) once every week in the morning with milk for eight weeks, then after finishing eight weeks, once a month for the next six months. For low vitamin B12, you will be required to take supplements like tablet ME12 (methylcobalamin, vitamin B6, and folic acid) once daily for four weeks, then recheck vitamin B12. Also, modify the diet to have a vitamin B12-rich diet according to your suitability.

Hope this addresses your concern.

Regards.

Hello,

Welcome back to icliniq.com.

I understand your concern.

Alright, your hemoglobin is normal. Your pain might be related to low vitamin D. However, it is unlikely to be related to low vitamin B12. You can take vitamin D with water as well. Pain during arm movements is usually noncardiac and likely due to musculoskeletal causes (which may be due to low vitamin D). Considering the history of heart disease in the mother, you need to take precautions like a healthy lifestyle, including healthy food, regular physical activities, regular lipid profile, etc. And after the age of 40, you should also undergo CT CAG (computerized tomography coronary angiogram).

I hope this helps.

Regards.