What can cause a sharp pain either in my chest or right below it?

Posted by emily @emilystewart30, 5 days ago

I’m 22. I’ve been constipated for several years, and I’m going but I feel like there’s stool that I can’t get out. Since around summer or fall last year, I’ve been having a feeling of fullness right under my chest. In September 2024, I also felt like I started having chest pain or pain right below my chest that would radiate to my back. It gets better at times and I don’t really notice it, but other times I feel like something’s wrong. Today I was exercising, and not too long afterwards, maybe 30-60 minutes, I started having a sharp pain either in my chest or right below it, and it’s radiated to my back at times. I felt tired today too, and like I want to go into a deep sleep but if I rested I don’t know if I’d go into a deep sleep. What could be causing this feeling, and could it be something serious?

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@baguette

I agree about your efforts to seek medical attention to determine what is happening. I just read an article that teen-agers are getting kidney stones now, so don't think just because you are young you can't have problems that previously were considered just for older folks. I hope they also check you for heart issues since chest pain is involved. You probably suspect digestive issues may be a factor, which is why you posted here. While waiting for answers from real doctors would it make sense to experiment for two weeks with OTC h2 blocker like Pepcid or proton pump inhibitor like omeprazole and see if that helps? Or cut out high acid, fatty foods and ultra processed food for a couple of weeks and see if that helps? Also if you are afraid of sleeping deeply could you get an app that would track your sleep and maybe do an alert if you stop breathing? I don't know if such a thing exists with the alarm function but maybe. Good luck in your search. You are doing the right thing by doing your homework so you can better advocate for yourself. Don't be afraid to ask questions or press for more information or tests if you think it reasonable. Please update us when you know more!

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Thank you for responding. I could look into Pepcid, I don’t really know what that does. I haven’t really been eating ultra processed foods, but I could try and limit clementines. I thought about tracking my sleep with a watch, but I’m not sure what all that’ll tell me. I had X-rays done this week, and I was hoping if there’s a problem it would show up on the X-ray, but I don’t know if it will. I’ve been feeling this way off and on for several months though, and sometimes I’ll feel better physically and don’t really feel a sharp pain, but I feel like I’m not going into a deep sleep when I’m dreaming. I’ve also been stressed too, and that doesn’t help anything.

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@judithclark

You should see a doctor and not go by those in this group. That being said, your may have a tortuous colon and this could be gas. A tortuous colon is an extra long colon that is under the ribs and around the back. The extra twists and turns makes for painful gas. I have this.

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Thank you for responding. If it’s alright to ask, do you have a sharp pain near or under your chest? I don’t really think I have painful gas though.

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@emilystewart30

It feels like it’s in the center. Sometimes it doesn’t really feel like chest pain and like it’s lower, but other times it feels like it’s near my chest. Sometimes it’ll radiate to my back, and it’s almost like at times it’s in the same place on my front side as it is in my back.

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Yes, the change is your gas traveling through your intestines.

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@judithclark

Yes, the change is your gas traveling through your intestines.

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Do you mean the change of it going from my front side to back side, and like it’s radiating?

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Another thing I didn’t add in my post, is sometimes I feel like there’s pressure near my ribs/or on my ribs on both sides. I don’t know if they’re sore from exercising and if it only happens after doing an exercise, or if it happens even not after exercising.

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@emilystewart30

Do you mean the change of it going from my front side to back side, and like it’s radiating?

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Yes, and sometimes the gas gets stuck along with the poop. I don’t know if this is what you have, but it is a good guess!

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@emilystewart30

Another thing I didn’t add in my post, is sometimes I feel like there’s pressure near my ribs/or on my ribs on both sides. I don’t know if they’re sore from exercising and if it only happens after doing an exercise, or if it happens even not after exercising.

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Don’t exercise for a couple of days and see if you feel it. I did the same thing and found it wasn’t exercise.

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@emilystewart30

Thank you for responding. I could look into Pepcid, I don’t really know what that does. I haven’t really been eating ultra processed foods, but I could try and limit clementines. I thought about tracking my sleep with a watch, but I’m not sure what all that’ll tell me. I had X-rays done this week, and I was hoping if there’s a problem it would show up on the X-ray, but I don’t know if it will. I’ve been feeling this way off and on for several months though, and sometimes I’ll feel better physically and don’t really feel a sharp pain, but I feel like I’m not going into a deep sleep when I’m dreaming. I’ve also been stressed too, and that doesn’t help anything.

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Pepcid and omeprazole both reduce the production of stomach acid, omeprazole much more so than Pepcid, which is an older generation drug. They both come in two week packages, with warnings not to take beyond those two weeks without seeing a doctor. If you try them and see relief, then that would point toward reflux as causing, or at least contributing, to your problems. If they don't do anything, then you probably need to look elsewhere (unless you have laryngopharyngeal reflux, also known as silent reflux. But the symptoms for that usually are hoarseness, shortness of breath, postnasal drip, ears/balance being off. You could ask about hiatal hernia. Sliding hernias may not show up on an x-ray if they have slid into place at the time of the test. When they slide into the chest cavity it causes chest pain. Someone else brought up gas as a possibility. You could try the low FODMAP diet for two weeks and see if that improves anything.

The liver is under the chest. I would think a PCP would start with a full blood panel and full metabolic panel to see if that gives clues. Common cardiac tests are EKG, echocardiogram, stress test.

There are probably half a dozen likely possibilities to run down. If you feel stressed try breathing exercises or meditation and see if that makes a difference. Do you use white noise while sleeping? I leave the TV on for the noise background but wear an eye mask to avoid the light. If you don't do anything like that give it a try, you can get white noise on free apps. Again it might help you get more info while awaiting an appointment with doctor. The other thing is to post in the heart section of Mayo Connects.

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@judithclark

Yes, and sometimes the gas gets stuck along with the poop. I don’t know if this is what you have, but it is a good guess!

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Could gas cause chest pain too, or pain/fullness below my chest? It’d be kind of relieving if it is gas and not something worse

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@emilystewart30

Could gas cause chest pain too, or pain/fullness below my chest? It’d be kind of relieving if it is gas and not something worse

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Yes it could, but check with your doctor.

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