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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Chest Tightness, Heaviness And Lightheaded In Mornings. Cause?

Been experiencing chest tighthness, heaviness and light headedness in the morning. I can still breathe but my lung capacity doesnt feel right. Only noticed it affecting me at work and on the bus to work. Had slight heaviness last night in bed. Taking off my bra helps but i dont think the bra is the cause as i wear them at other times and dont experience this. What could this be...its been happening for about 3 weeks
Sat, 25 May 2013
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General & Family Physician 's  Response
Hi, thanks for using healthcare magic

Chest pain or discomfort can be related to any structure in the chest from the skin inwards.

Skin: persons with a history of skin rashes such as shingles can experience severe chest pain if the rash is in this area

Muscle and soft tissue- Any inflammation of the soft tissue can present with chest pain. This pain would usually be worse on movement in certain directions depending on which muscles are involved.

Ribs and Sternum: the sternum is the bone in the center of the chest to which the ribs attach. There can be inflammation at this joint. This pain is normally worse on movement as well.

Heart: this main is normally worse on activity when the heart works harder. This may be associated shortness of breath and palpitations.

Lungs: infections, inflammation or blockage of blood vessels can affect the lungs and cause pain

Anxiety can also cause chest pain or tightness.

Esophagus- gastroesophageal reflux or spasm of the esophagus can cause pain.

If the pain seems cardiac , it may be best to be evaluated for this. This would involve examination and investigations such as ECG.

I hope this helps
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Have Chest Tightness, Heaviness And Lightheaded In Mornings. Cause?

Hi, thanks for using healthcare magic Chest pain or discomfort can be related to any structure in the chest from the skin inwards. Skin: persons with a history of skin rashes such as shingles can experience severe chest pain if the rash is in this area Muscle and soft tissue- Any inflammation of the soft tissue can present with chest pain. This pain would usually be worse on movement in certain directions depending on which muscles are involved. Ribs and Sternum: the sternum is the bone in the center of the chest to which the ribs attach. There can be inflammation at this joint. This pain is normally worse on movement as well. Heart: this main is normally worse on activity when the heart works harder. This may be associated shortness of breath and palpitations. Lungs: infections, inflammation or blockage of blood vessels can affect the lungs and cause pain Anxiety can also cause chest pain or tightness. Esophagus- gastroesophageal reflux or spasm of the esophagus can cause pain. If the pain seems cardiac , it may be best to be evaluated for this. This would involve examination and investigations such as ECG. I hope this helps