What is the reason for chest pain that occurs with deep breath and pressing?

Hello,

Welcome to icliniq.com.

I read your query and understood your concern. Based on the information you provided, there are two possibilities to consider in your case. First is musculoskeletal pain, which originates from the muscles and bones due to coughing and strain on them. The second possibility is a viral infection, which commonly occurs after such exposures. This can lead to inflammation of the pleura and pericardium (lining of the lungs), known as pleuritis or pericarditis. Both types of pain can worsen with deep breathing. I guess you do not have any fever, cough, or runny nose, although these symptoms may or may not be present. Did you have a history of heavy weight lifting or chest trauma? It is unlikely that this pain is caused by heart blockages and does not seem worrisome. However, considering your history of pericarditis last month, I suggest you undergo a complete blood count with ESR (erythrocyte sedimentation rate), ECG (echocardiography), chest X-ray, and troponin test, especially if the symptoms persist. Additionally, you should also get your vitamin D levels checked, as vitamin D deficiency is common and can contribute to musculoskeletal pain. We also need to rule out other lung infections because such exposures often lead to infections, and the above-mentioned investigations will help determine the cause. I suggest you use Diclofenac gel or spray topically for symptom relief. In conclusion, the first possibility is musculoskeletal pain, which should likely improve within three to four days and does not appear worrisome, but it should be evaluated. You may require vitamin D supplements based on the test results. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Hello,

Welcome back to icliniq.com.

I read your query and understood your concern. Based on your symptoms, I believe it would be appropriate for you to wait until your next appointment. However, if you experience any new symptoms such as shortness of breath, severe worsening of pain, leg swelling, or any other warning signs, which are unlikely to occur in your case, it is important to visit the emergency room. Overall, the current situation does not indicate anything serious. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Hello,

Welcome back to icliniq.com.

I read your query and understood your concern. Do you still experience any pain, or has it subsided? Firstly, the episode you had was likely a pleuroperimyocarditis, involving the pleura, pericardium, and myocardium, as indicated by the elevated troponin levels. It was likely caused by a viral infection. The infection has resolved without leaving any residual damage. Therefore, there is no need to worry about it at present. There may be a risk of reinfection, particularly if you are exposed to a similar environment again. However, there is a chance that your body will clear it more efficiently next time, and the symptoms may not manifest in the same way. So, there is no need to be overly concerned about it at this time. Nevertheless, it is advisable to take precautions such as using a mask or cloth to prevent dust exposure. Regarding the use of aspirin, since your angiogram showed clear results, there was initially no need for aspirin. However, it may be acceptable to continue it for a certain period. Therefore, I do not believe there is currently a requirement for aspirin. If you have the angiogram report, review it to check if any minor plaques or slow flow were mentioned. Nevertheless, considering the low dosage, the risk of bleeding is minimal, and it is further reduced when taken with omeprazole, so you may continue using it. However, I do not see any immediate need for it unless there were minor pathologies identified in the angiogram, which I assume is not the case. Overall, the situation does not appear worrisome. I do not think there is a necessity for aspirin, but taking it in this dosage along with omeprazole is generally considered safe.I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Hi,

Welcome back to icliniq.com.

I read your query and understood your concern. Please take Vitamin D supplements, maybe after a week as you have been advised. And in my opinion, there is no need for extended use of Aspirin in your case. Additionally, concerning infections, the body is better equipped to handle them now due to immune memory and may eliminate them without causing any symptoms. However, please try to minimize your exposure to potential sources of infection as much as possible. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Hello,

Welcome to icliniq.com.

I read your query and understood your concern. High-sensitivity C-reactive protein (hs-CRP) is important in two scenarios for you. Firstly, it is used to assess pericarditis, but the level is too low to suggest active pericarditis. In cases of pericarditis, much higher levels are expected. Therefore, this result is not significant in relation to pericarditis. The second scenario where hs-CRP is used is to predict the risk of future atherosclerosis due to inflammation in the blood vessels. Typically, a level above three indicates high risk individuals, while a level above two is considered significant. Therefore, in my opinion, this result is insignificant and there is no need to worry about it. Regarding Aspirin, it does not have a role in treating pericarditis. However, it is possible that your doctor is continuing it as a precautionary measure to address the small possibility of blockages in your arteries and to ensure the absence of coronary artery disease. There is no harm in continuing the aspirin until your doctor is fully convinced of its necessity. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Hello,Welcome back to icliniq.com.

I have not received any attached reports here. I suggest you retry attaching them.

Thank you.

Hello, Welcome back to icliniq.com.

I have reviewed your reports (attachment removed to protect the patent's identity) and both reports are relatively similar. Your heart function was within normal limits in the previous echocardiogram, and it remains normal in the current one as well. Furthermore, the current echocardiogram shows slightly improved function. However, this slight difference could be attributed to variability between different observers or even variability when the findings are noted by a single observer at different times. Therefore, both results indicate that your heart function is within normal limits, and it could be considered slightly better. Based on these findings, it appears that there is no residual damage, and we can conclude that there was a previous episode of pericarditis/myocarditis that has fully recovered. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Hello,

Welcome back to icliniq.com.

I read your query and understood your concern. Firstly, I would like to inform you that atypical chest pain indicates that it does not align with a cardiac cause. Your MRI (magnetic resonance imaging) results are normal, with normal end-diastolic and end-systolic volumes. Additionally, your ejection fraction is normal, indicating normal heart contraction. Normally, the heart retains some blood at the end of diastole, which is then pumped out during systole (heart contraction). The volumes mentioned, such as end-diastolic volume and end-systolic volume, would increase if there was any cardiac dysfunction present. So, the MRI results show no abnormalities, which was the expected outcome. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Hello, Welcome back to icliniq.com.

I read your query and understood your concern. The most important factor to consider is the presence or absence of symptoms. If you experience symptoms prior to receiving the notifications, it suggests an abnormality. However, if you do not have any symptoms, it is likely that the high heart rate is due to panic or anxiety. Symptoms that may indicate abnormalities include palpitations, dizziness or loss of consciousness, shortness of breath, and chest pain. Additionally, if you experience persistent high tachycardia despite attempting to calm down, it may be a cause for concern. Pathological palpitations typically have a sudden onset and offset, rather than a gradual change. They tend to appear and disappear abruptly within a few seconds. Furthermore, it would be helpful to obtain an electrocardiogram from your smartwatch during a period of very high heart rate, such as around 140 to 150 beats per minute. This can aid in determining the benign nature of the palpitations. Palpitations without the above-mentioned symptoms are unlikely to be significant, however, it is still important to confirm that the high heart rate during moments of anxiety is benign, which is likely the case. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.