Sharp pain in chest/below it: possibly heart related?

Posted by emily @emilystewart30, 3 days ago

I posted in another group about this, and was recommended to post it here too.

I’m in my early 20s. Around last summer I started having a feeling of fullness right under my chest, and sometimes it almost felt like fat being pinched. Last spring/summer I started doing an exercise weekly, and I’m wondering if that started a feeling of fullness. I’ve also been constipated for several years, and am going but feel like I’m not getting everything out. I’ve wondered if I have something in the way like a blockage because sometimes I feel like I need to go more but can’t.

Around September or October last year, I started having what felt like chest pain, and it would radiate to my back at times. I was also really stressed around this time. Either in October, or a later month last year, I started feeling like I had a sharp pain either in my chest or right below it, and it was bad for several days. I think I should’ve gone somewhere to get it looked at, but I didn’t. I started thinking I was better and trying to ignore how I felt, and I didn’t really notice the pain, but I think inside I felt like something was still wrong.

Yesterday morning I was exercising, and after getting home I started having a feeling of sharp pain either in my chest or below my chest somewhere. I didn’t have the pain while working out. I feel like the pain comes and goes, like sometimes I feel okay but other times feel the pain again.

I feel like something’s wrong though, and at times have had a gut feeling like something isn’t right. I had X-rays done this week, and I’ve been hoping that would show something if there is a problem. I also have a doctor’s appointment this month, but it’s until later this month.

Could this be heart related?

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It sounds to me like it might be something related more to the transverse colon. Assuming you have no bleeding, no tears, no tumours, you might have periodic inflammation of the upper bowel. I also assume that you have no ischemia or arrhythmia, so it's not your heart.

If I were you, I would make it simple, by pre-arrangement, to go to an imaging facility and next time you are having a bout of 'whatever it is', get yourself to that facility and get imaged, almost certainly with an MRI.

With that, I'm tapped out...sorry.

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@emilystewart30 Hi Emily, when I was about your age I had some pain in my chest as well while playing basketball. Thank goodness it was not cardiac in nature. However, my family has a history of cardiac problems and it was concerning. I was also hypertensive.

My primary care physician referred me to a cardiologist who had a monitor put on me for 24 hours, a ECG, and a stress test. Everything was ok. My heart problems came later...in my 50s.

Chest pain can also be indicative of a musculoskeletal or gastrointestinal problem. So, in my novice opinion it can be any number of things. As a cautionary move, I would get this checked out. In the meantime, you may want to take it easy in your exercise routine.

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Could be acid reflux, cardiovascular, etc. Only a physician can respond you with the right answer after they examine you.

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Hello @emilystewart30,
Welcome to Mayo Clinic Connect.
Connect is a place to give and share information, but it should not be used in place of your own medical doctors input. All we can do here on Connect is guess what is causing your chest pain, or chest discomfort.
My advice would be to make an appointment and head straight to your doctor, which you have already done and have an appointment. Yay!
It would be easy to say that at your age chest pain could be related to some other condition, but then again, we are not doctors and cannot order tests or labs or diagnose you from the online confines of Connect!
You have received that same wise advice from several other members.
Don't torture yourself with wondering what this could be...keep that appointment! Your appointment is this month, and time goes by so fast it will be here before you know it!
This is a brand new year, you are young, start it off with putting your health above all else and make healthy choices with diet and exercise. Sounds like you are healthy other than these nagging chest and GI issues. Your doctor will go over the results of your X-Rays, and if those are negative, they may order more tests to figure this out.
Hang in there and if the chest pain or GI issues become severe...get to a walk in clinic or Emergency Room.
Be sure to write this all down so you have it handy for your appointment. Keep it simple and succinct, and try to remember timeframes and any link to symptoms. Like it happens when I am sleeping, or when I am exercising, or random...things like that. Also mention when these symptoms all seem to start like you have done here on Connect. Do you have periods? Is there any correlation time frame wise?

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Don’t know if you got a second or a third opinion.
You states you have trouble with being constipated. I would do everything I could to keep from constipated.
Write things down every day to see if there is a pattern. And take it with you when you go to a doctor.
Wish you the best.

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Agree with what everyone said above. Just commenting to stress to write down what you are experiencing, when it occurs, if it seems correlated with any activity, and any other details whether they seem related or not. The more detail you can provide to your physician the better - you won't be able to remember it all, so write it all down.
All the best to you.

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@gloaming

It sounds to me like it might be something related more to the transverse colon. Assuming you have no bleeding, no tears, no tumours, you might have periodic inflammation of the upper bowel. I also assume that you have no ischemia or arrhythmia, so it's not your heart.

If I were you, I would make it simple, by pre-arrangement, to go to an imaging facility and next time you are having a bout of 'whatever it is', get yourself to that facility and get imaged, almost certainly with an MRI.

With that, I'm tapped out...sorry.

Jump to this post

Sometimes I’ve wondered if it’s my transverse colon too, and I’ve had symptoms in that area like fullness and a pain at times.

There was a time last summer and a couple times in October, when I noticed what looked like blood in my stool. It wasn’t on the toilet paper when I wiped, but it was like a streak of blood on the stool. It wasn’t bright red, but it wasn’t dark red either.

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@karukgirl

Hello @emilystewart30,
Welcome to Mayo Clinic Connect.
Connect is a place to give and share information, but it should not be used in place of your own medical doctors input. All we can do here on Connect is guess what is causing your chest pain, or chest discomfort.
My advice would be to make an appointment and head straight to your doctor, which you have already done and have an appointment. Yay!
It would be easy to say that at your age chest pain could be related to some other condition, but then again, we are not doctors and cannot order tests or labs or diagnose you from the online confines of Connect!
You have received that same wise advice from several other members.
Don't torture yourself with wondering what this could be...keep that appointment! Your appointment is this month, and time goes by so fast it will be here before you know it!
This is a brand new year, you are young, start it off with putting your health above all else and make healthy choices with diet and exercise. Sounds like you are healthy other than these nagging chest and GI issues. Your doctor will go over the results of your X-Rays, and if those are negative, they may order more tests to figure this out.
Hang in there and if the chest pain or GI issues become severe...get to a walk in clinic or Emergency Room.
Be sure to write this all down so you have it handy for your appointment. Keep it simple and succinct, and try to remember timeframes and any link to symptoms. Like it happens when I am sleeping, or when I am exercising, or random...things like that. Also mention when these symptoms all seem to start like you have done here on Connect. Do you have periods? Is there any correlation time frame wise?

Jump to this post

I don’t notice anything that causes me to feel worse and notice the pain, but the other day it seems like doing an exercise started it.

I’m having periods, but they’ve been irregular and I’ve gone months in between them and skipped some.

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@emilystewart30

I don’t notice anything that causes me to feel worse and notice the pain, but the other day it seems like doing an exercise started it.

I’m having periods, but they’ve been irregular and I’ve gone months in between them and skipped some.

Jump to this post

If you are not perimenopausal or fully menopausal, so under....44?...mebbe?...give or take whatever the typical variance is in the female population in general, and you have irregular periods, this suggests a possible hormone/endocrine issue and it might be worth checking it out with your physician.
I'm not diagnosing, just giving examples of what it might be, and of things that bear some investigation and correction if it is warranted...again, see your PCP for that. Cushing's Disease and Grave's Disease. My aim here is to help you to accept that there are known conditions, disorders, diseases, that can be well-managed or even eliminated, and they have names, and that your care providers would probably welcome a chance to put you right.

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I had the same thing happening to me i freaked out and went to hospital after they said heart was good they done an ultrasound of my gallbladder and found out I had Sludge in it ,so I had it taken out very minimal procedure, and no more problems.
Praying you find out soon 🙏.
But ask for an ultrasound. On Gallbladder.

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