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Pain in middle chest part
Hello doctor,
My 26-year-old male friend has been experiencing pain in the center of the chest (not on the left side). He goes to the gym regularly. The pain is not muscular or due to movement. It increases when he’s in cold environments (like AC or fan). He has no prior history of heart disease.
There is no difficulty in breathing or fever.
Can this be due to cartilage inflammation or any gastric issue? Should he consult a general physician or a cardiologist?
Please guide. Thank you.
Answers (23)
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It's likely this is not a chest pain, instead a heaviness over chest. If so, it might be a lung issue that you are dealing with and then you should consult a Pulmonologist.
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Mostly it would be GERD, stomach acid reflux into oesophagus can feels chest pain, and dry air from fan or ac causes irritation and feels chest discomfort
Next Steps
visit physician for further evalution
Health Tips
Avoid eating junk and fired food, increse carbs in diet, avoid smoking, avoid spices, dring lot water, keep rehydration of body
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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Need few more details
Kindly connect.
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Mostly it's due costochondritis ,the type of pain you have described.However he should take a 12 lead ECG,as any type of chest pain is not to be overlooked.He can consult a physician in your area for a clinical examination and appropriate treatment.
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Connect
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Hello,
For ePrescription please pay and consult or contact me at WhatsApp at +91959508739nine .
Take a glass of milk daily.
Thanks.
Dr Praful Mahamuni,
Family Doctor ,
MBBS .
Health is wealth.
Jai hind . 🇹🇯
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Epigastric pain.
Meftal spas ds two times a day after food for five days
Nexpro RD40 ONE IN EMPTY STOMACH FOR ten days. Mucain gel10 ml without water nothing by mouth till 30min can be taken 3to 4times.
It's safe no harm
CHANGE LIFE STYLE N DIET PLAN DRASTICALLY.
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Based on your friend’s symptoms — central chest pain, no relation to exertion or movement, worsened in cold environments, and no associated breathing difficulty or fever — the most likely cause is costochondritis, which is a benign inflammation of the cartilage connecting the ribs to the sternum (breastbone).
This condition is common in young adults, especially those who engage in regular gym activity or upper body strain. Cold air can exacerbate the discomfort by increasing chest wall sensitivity or causing mild muscle tension.
Advise:
NSAIDs (like ibuprofen or diclofenac) for pain relief and inflammation
Warm compresses (especially after cold exposure)
Avoid heavy lifting or exercises that strain the chest temporarily
Consider physiotherapy if pain persists or recurs frequently
Next Steps
Consult if you require further assistance and help with management
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It is unlikely to be cartilage inflammation as that would increase on movement or deep breathing. Gastric pain would be related to meals. Kindly consult with me and share full history for proper diagnosis and prompt treatment. Kindly consult here or at 9999 x 104 x 408.
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Mohit Pawar
General Physician
4 yrs exp
New Delhi
Get ecg done and review
Next Steps
Consult
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Dr. Zaheer Ahmad
General Physician
9 yrs exp
Bareilly
Consult with general physician first to r/ gastritis along with GERD
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Gastritis.
Avoid spicy food.
Avoid coffee and tea in empty stomach.
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried food and spicy food
Water intake more
Green leafy vegetables and fruits
Fiber meal
Do connect and consult
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Dr. Yuvraj Arora Monga
General Physician
28 yrs exp
Delhi
Dear Practo User.
Thanks for sending across your query.
We can help you but first we need to evaluate your concern in detailed which we need the medical history of him.
It would be better if you come for an online consultation so we can proceed further.
Next Steps
For further details you can consult with me in Dr. Monga medi clinic or consult me directly by taking a consultation on Practo.
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Please do an ECG
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Dr. Shaikh Huzaif
General Physician
18 yrs exp
Aurangabad
Please consult
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Dr. Sunil Nagar
General Physician
17 yrs exp
Rewa
Connect
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Anjali Christina D
General Physician
9 yrs exp
Madurai
The chest pain described could be due to costochondritis (inflammation of chest wall cartilage) or cold-induced musculoskeletal sensitivity, especially since it worsens with AC exposure and isn’t related to exertion or breathing. Another possibility is acid reflux (GERD), which can sometimes mimic chest discomfort.
The fact that there's no breathing difficulty, fever, or cardiac history is reassuring.
Next Steps
A consultation with a general physician is the right first step. As we can assess and rule out common causes and refer to a cardiologist only if needed. So you can consult me here at practo
Health Tips
Helpful Tip:
Avoid cold air directly hitting the chest and track the pain pattern after meals or exercise.
Word of Caution:
Chest pain should never be ignored entirely—please advise him to consult in person to ensure a safe and accurate diagnosis.
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Its nerve problem
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