HomeAnswersCardiologymuscle spasmWhy is there a twitch or spasm in the upper left chest?

I have twitching in the upper left chest. Is it a matter of concern?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Ilir Sharka

Medically reviewed by

Dr. Divya Banu M

Published At April 20, 2019
Reviewed AtJanuary 25, 2024

Patient's Query

Hi doctor,

I have an unusual strange feeling system. There is a twitch or spasm in the upper left chest where the heart is. It has been twitching constantly on and off all day. I have not been sleeping well for the last 3 to 4 days and I am on Adderall 20 mg XR and 2 x 30 mg IR daily. I am sure the lack of sleep and the Aderall are the cause. Is there any reason for concern? It is annoying but there is no chest pain or angina. As of my last heart checkup about six months ago, I have a healthy heart. 34 years old and active but this fluttering or spasm thing is annoying and just want to make sure it is not the coronary artery or something like that.

Answered by Dr. Ilir Sharka

Hello,

Welcome to icliniq.com.

I passed carefully through your concern and would explain that your symptoms do not seem to be related to cardiac ischemia. These muscle twitching may be caused by possible water and electrolytes imbalances. This, in turn, is favored also by Adderall (Amphetamine) intake. I recommend checking your blood electrolytes level together with acid-base disorders. Trying some physical procedures, like warm massage over the affected area, in addition to any anti-inflammatory drug could be of value like Naproxen. Also, checking your ECG would be necessary for excluding any arrhythmic events or any feature that would indicate any hydro-electrolytic imbalances that may trigger the above symptoms. Sleeping not-well is an important contributor for generating muscle twitching and other issues. You should be careful with the drug intake and periodically check ECG and blood parameters to timely prevent further homeostatic abnormalities. You should discuss with your attending doctor on the above-mentioned issues.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ilir Sharka
Dr. Ilir Sharka

Cardiology

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