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Боль в правой части груди при дыхании
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General Health
Question #20676
91 days ago
197

Боль в правой части груди при дыхании - #20676

Дильноза

Мне 16 лет. Уже некоторое время беспокоит боль в правой части груди. Боль усиливается при глубоком вдохе и при движении, бывает резкая и колющая, иногда ощущается сжатие в груди. Температуры, кашля и одышки нет, травм не было. Раньше такого не было, симптомы появились после сильного стресса (смерть бабушки). Подскажите, с чем это может быть связано и нужно ли очно обращаться к врачу или делать обследования.

Боль в груди
Дыхание
Колющая боль
Стресс
Подросток
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Doctors' responses

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
90 days ago
5

Based on your age, symptoms, and the circumstances in which they started, the pain you are experiencing is most likely musculoskeletal chest pain, possibly intercostal muscle strain or costochondritis, strongly triggered and amplified by emotional stress.

The pain being:

Sharp, stabbing, and localized

Worse with deep breathing and movement

Without fever, cough, shortness of breath, or injury

makes serious heart or lung conditions very unlikely, especially in a healthy 16-year-old. Intense emotional stress can cause muscle tension, altered breathing patterns, and chest wall inflammation, which can produce exactly these sensations.

The feeling of chest tightness can also be part of a stress or anxiety-related response, especially after a significant emotional loss.

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
89 days ago
5

Hello dear I think it is muscular strain only. Iam suggesting some medication for improvement Tablet Voveron xr 50 mg twice a day for 5 days Diclofenac sodium gel topical application twice a day for 2 weeks Crave bandage application Warm clothing topical application In case of no improvement consult orthopedic surgeon for better clarity Regards

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Боль в правой части груди, усиливающаяся при глубоком вдохе и движениях, может иметь несколько причин, особенно учитывая ваш возраст и отсутствие температуры, кашля и одышки. Возможно, это связано с болью в мышцах или скелетными структурами, известной как костохондрит, которая часто усиливается при движении и может быть связана со стрессом. Другая возможная причина — плеврит, раздражение плевральных оболочек вокруг легких, хотя было бы необычно не иметь связанных с ним симптомов, как одышка или кашель. Учитывая стрессовую ситуацию, в которой вы находитесь, нельзя исключать психосоматический компонент, когда стресс и тревога могут приводить к физическим симптомам.

Однако диаметрально исключать все более серьезные причины без осмотра врача было бы неразумно. Рекомендуется посетить врача для клинического осмотра. Врач может прослушать легкие, провести пальпацию грудной клетки для выявления точного места боли и уточнения условий ее появления. В некоторых случаях могут понадобиться дополнительные обследования, такие как рентгенография грудной клетки или электрокардиограмма (ЭКГ), чтобы исключить редкие, но потенциально серьезные состояния.

До визита к врачу рекомендуется избегать движения, которые усиливают боль, пытаться управлять стрессом через дыхательные упражнения или методы расслабления, такие как медитация или йога, если такое возможно. Прием противовоспалительных препаратов, таких как ибупрофен, может временно облегчить дискомфорт, если нет аллергии или противопоказаний. Однако, опять же, лучше всего обсудить медикаменты с врачом. Важно внимательно наблюдать за любыми изменениями в симптомах, особенно если они будут усугубляться или появляться новые признаки, как, например, затрудненное дыхание.

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