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YSK about precordial catch syndrome: a recurring sharp, stabbing chest pain that worsens when you take a breath and only lasts a minute

2mon 9d ago by lemmy.world/u/chunes in youshouldknow from en.wikipedia.org

The good news is that (other than the pain) it is completely harmless.

The way it always felt to me is like someone wrapped a small wire around something tender in my chest, and if I tried to breathe or straighten my posture, they would yank on it. I'd get it anywhere from a couple times a week to once a month. Then one day in my mid-30s it just stopped.

From what I understand this is relatively common. I was so grateful for the person on reddit who dropped this nugget of wisdom several years ago. It was nice to know I wasn't dying or whatever.

Ahh, this is fun. Every time I'm like "Is this it? Is this the one?"

But no, it never is.

until it is

That's the spirit! Got to stay positive.

Gotta have something to look forward to!

And your body has been crying wolf for so long that you just ignore it

It was painless though. Speaking from experience.

OK wait on second thought I can't remember. So maybe it was. Damn!

But no, it never is.

Yet

Oh nice post. I totally have this.

Treatment: Reasurance

Its okay. You're not dying. Calm down.

The pain is agitated by expansion and contraction of the chest. Taking a deep breath and allowing the rib cage to fully expand can relieve the pain, however it will feel unpleasant initially. At the point of full expansion, it can feel like a rubber band snap in the chest, after which the initial pain subsides.

Oh I gotta try this.

Make sure to keep going until you feel and hear the snap.

I'm gonna need the tire inflator

At the point of full expansion, it can feel like a rubber band snap in the chest,

🤮

I often struggle with arythmia, angina, and palpitations, with up to several seconds between beats sometimes, and this sounds horrific. I'd rather double my heart problems than trade them for this

Yeah, this is how I used to deal with it. You just eat that stabbing pain for a few seconds and then it's gone.

I haven't had this in probably 15 or more years at this point, which seems to be consistent with the syndrome itself being most common in young adults, teens, and children.

I can also sometimes get it to snap by putting my left foream against a doorframe and twisting my torso rightward to stretch my chest. I've always thought it was "popping my sternum" but it only works/is necessary on the left side

The trick is doing it quickly, like gasping for air after jumping into cold water.

Holy fuck it has a name.

Of course it has a name ..... Of course I'm not the only one this happens to.

Ive had it since a teen when I got pneumonia, always assumed it was related to that, however it's actually this and it's a perfect description. It a bit of a mind blown moment

I had no idea they had a name!

I've had it as long as I can remember, though not very often. It would only be a few times a year I'd say...

I see legs and a dick in that drawing, not lungs.

It kinda looks like a dude bent over from behind, hangy balls flappin' in the breeze

That sexy lungs-shaped butt

Yeah that's what I saw at first as well lol

For me, the way to deal with this was to raise my arms above my head in a stretch. Made it stop every time.

Thought I was having a heart attack the first couple of times it happened.

As an adult, I still have them from time to time, but not anywhere as frequently, though still without any warning.

Same! Instead of raising my arms, I basically just take a very deep breath and try to expand my thorax as much as possible. Works quite well for me.

mine was sleeping on my back lying still, it alleviates it. also it was triggered by doing certain exercises, but that seems to help alleviate eventually. one time it lasted alot longer than usual

My god it has a name... and so many people here seem to have it? I thought i was a freak for having this. Nobody else ever said anything about having similar pains.

The first time it happened to me I was sleeping and the pain woke me up. I drank some whiskey and went back to bed to try to die in my sleep. Unfortunately I did not die peacefully.

You died in agony?

No, worse, I had to go to work in the morning.

Ugh, the worst.

Yeah....but he got better!

Before this comment, I thought my anecdote of "I had this a few years ago and decided to just let whatever it was kill me" was too bleak to post

Next time you have chest pain, take a couple of aspirin. That actually helps, you can drink whiskey too if you Watts but I do not think it helps much.

It was a "I guess this is it" drink and not a "I hope this fixes it" drink.

Isn't alcohol and aspirin pretty bad? Maybe in thinking of something else. Anyway, read the medicine bottle first.

Aspirin thins the blood, and as such helps heart attack victims, stroke victims, and also helps preserve organs for transplant if they don't make it. Medical professionals have said it's about the only meaningful thing you can do for a victim outside of getting help.

No, there is no particular interaction with alcohol and aspirin, aspirin is a very old medicine whose effects are well known. Alcohol doesn't mix well with anything really, but unless you have other issues going on, like already being on blood thinners, you want to take aspirin if you have chest pains, a heart attack, or a stroke.

Oh yeah that happens to me since I'm a kid. I was told it was harmless but never had source.

Well thanks for sharing this. I've been getting this since forever. Now that I think about it though I don't think it's happened in a while.

Anyway, much appreciated!

I've had this since before I was a teenager...decades ago. Still happens from time to time. I've always considered it somewhat like a cramp in my diaphragm and so always breathe just deeply enough that it starts to hurt then relax and next breath try a bit deeper and keep that up until I "work through it."

Ah so it is a known thing and has a name, yay! Thanks for sharing.

See, I am unfortunate in that I know exactly where my chest pain comes from and it is from 6 of my ribs being broken and fused together from falling off a cruise ship and breaking them on a railing on the way down.

The interesting part is I didnt know I broke them until years later when I was hit by a car and the hospital doctor was just like "oh yeah you just hurt your broken ribs again, put some frozen peas on it and wait for the pain to go down"

Anyways, dont break your ribs unless you want to know when the weather is changing by pain.

Okay, you can't start a story like that and then not tell us the cruiseship story in full glory.

Ok, the quick version:

I am small waisted and was especially so when I was an underfed child of early teen years. My mother was going through her 4th? 3rd Husband and decided to get married on a cruise ship this time.
Well on the pool deck there was a water slide and a leak underneath said slide, I slipped on it and slid across the deck under the railing and over the side.

I didnt hit the water by the way. I hit the balcony railing of the first deck of cabins a couple floors below and bounced into the ship. I then not wanting to get in trouble bolted through the cabin saying something about a hat to the confused people, and told no one.

I ended up swimming to far on those broken ribs out at the beach in mexico and had to get saved by the coast guard who did not bring me onboard but drug me behind their boat via life preserver I was barely holding onto face down, so assumed the agonizing pain was that and I just sucked at swimming.
Also brought back Swine Flu on that trip and got my school shut down for handing out some shirts as souvenirs.

how the fuck do you fall off a cruise ship, break six ribs, have them fuse together, and never even realize it?

Do you just actively avoid going to speak to ANY medical professional unless forced by ambulance?

must be American.

And also yes

I'm american, with no insurance, and with a penchant for avoiding doctors/ERs when I should probably go.

if I fell off a fucking building equivalent, landed on a guard rail ribs first, and broke multiple ribs.. I'd be hopping in the back of that 10,000 dollar ambulance as fast as my shallow breathing, possibly punctured lungs could take me.

They posted the story here: https://lemmy.world/comment/23157488

Yes

I'd take this over proctalgia.

It's a spasm of the anal sphincter and it feels like someone jamming a hot knife into your asshole without warning.

lol, I told my wife about this post and she said "You might consider doing ones about Proctalgia Fugax and Exploding Head Syndrome too."

Yeah it's not fun. Also I'd heard about exploding head syndrome a few years back and then recently started experiencing it. I'm just glad they haven't both hit at the same time cause I'm pretty sure my body would take a screenshot then drop dead lmao

Exploding Head Syndrome doesn't hurt, at least.

Holy shiit that has a name?! Every once in a blue moon, I'll be just sitting minding my own business then BAM! Ass lightning like Thor stabbed me in the ass with a blade that has lightning wrapped around it. Then just as suddenly as it came, it's gone...

I've called it ass lightning for the past few years. At least I know I'm not alone!

That has a name? When did they give that a name.

back in the day everyone told me it was in my head

As I got older those random pains have me worried "is this a cardiac event?!" despite showing no other symptoms for one.

If you're able to access primary care they may be able to bill your insurance for an EKG yearly. Wouldn't catch everything but might notice if you pick up some a-fib or another lowkey issue that might snowball (although the main issue with afib is usually clots and afib clots usually hit the brain not the heart iirc).

Do it if you can. Afib is one of those things that can take years to diagnose, with most people thinking they're just unfit. Meanwhile, half their heart isn't working properly ...

So it's not a tiny London man coming to check if I got my stabbing license in order?

That would be the stabee license there guvna. Foine for you for nawt undahstandin ya roights.

I have experienced this many times in my life. Was always terrifying and painful til someone posted something just like this years ago. Now it's just painful. Still scares the crap out of my wife every time she sees it happen to me to though.

Oh good so it’s not just been me dealing with this random pain for the last 20 years…

The best way to get rid of it when it happens is to fill your lungs as much as you can, and then bear down lightly like you are pooping. After that it’s gone.

Happens to me about 3x/yr and always has.

Once you get used to doing this you don’t even need to buy additional spare underwear anymore

IBS people hate this one weird trick?

Does the turtle have to peek it's head out?

Oh, good, I’m not dying.

Yet.

Thanks ! Didn't know that was harmless. And people call me mad..

Oh hey.. I used to get those all the time as a kid!

Eventually I worked out that it could be made to instantly go away if I stopped breathing and just stretched my shoulders back and twisted in the same direction that the cramp was on

It always felt like a stabby, stabby muscle twinge right under my rib bones.

I was sure the image was of buttcheeks and hanging dong

Yeah man, I’ve had this shit since I was a kid. Doctors never told me about this, couldn’t ever figure it out.

I don’t really get these anymore like I used to, but man they suck. As an adult it might hit me once a year and I’ll just be like oh yeah forgot about this. It’s just this crazy sharp pain in your chest, you can’t take deep breaths, just gotta pause and breathe shallowly till it passes.

My favorite time was when I was climbing a ladder up a roof, like really? Now?

Jesus. Thanks for posting this.

Does anyone know the name for the sensation where you stretch and suddenly your innards feel all wrong, almost like being on the verge of a cramp but not and you suspect that if you don't return relatively quickly but gently to an unstretched position that something may go badly wrong inside?

No, but I'd guess you have some scar tissue or a twist or something and to take those feelings seriously.

I've definitely had some work done in the abdominal region, it's not common or painful and does get checked annually. Thank you.

most surgeons, if they have had to pull anything (like a kidney or liver) out in order to do the surgery properly, they just toss it back in and expect it to settle back into place. it's usually fine, happens without complication. that's what i'd guess happened. probably a blood vessel or scar tissue getting snagged before settling back in.

There's also pleuritic chest pain, which cen resemble precordial catch but is more severe, can cause the pain to radiate to.your arm or jaw, and gets worse when you inhale. It can happen when you've got the flu or some other lung infection and feels an awful lot like a heart attack. In young/healthy people it may not be cause for concern, especially if it only happens once while you're recovering. But it can also be a sign of severe pneumonia, pulmonary embolism, aortic dissection, lung cancer, and pericarditis. I meant for this to be a fun fact but now I'm realizing it's more existential horror and health anxiety than educational. Get your chest pain checked out folks

So it doesn't mean I'm low key having a heart attack?

Thank god.

heart attacks come in many different forms. even silent ones.

my dad had a major heart attack at 51. when they evaluated him he had had three previous heart attacks that he never knew about.

How are they able to tell how many you've had?

the heart muscle dies. they can tell via EKG

Thanks for this revelation. It has a name! All my siblings got these and they told me "it's a gas in your lung" which i ran with for years, haha. Once, still as a kid, i got it for 6 hours so we called a doctor. She diagnosed it as intercostal neuritis triggered by high and unusual physical excertion the previous day. Prescribed nothing

Sounds kinda similar to costochondritis, it is central chest pain. I thought it was a heart attack when I had it and went to the ER. Fortunately it was just costochondritis.

I've always heard it referred to as "wind pain"

are you fucking kidding me

Wtf! I literally had this happen to me right before I scroll down to this post.

a first timer! how do you like it? that "pop" sensation?

Nah not the first time tbh, just never cared enough to look into it xD.

I was kind of hoping it was terminal so I never told anyone

SO THAT'S WHAT IT IS?!

harmless

Crashed on a bicycle because of it. Broke nothing, but a few scars on my face still there

What the fuck?? I had this as a teenager. Nobody could ever find out what the fuck it was.

Concerns about the condition may result in anxiety, with sufferers often fearing that the pain is a sign of a more serious condition. Similar anxieties in those who experience the syndrome on a regular basis may manifest as a worry of the syndrome itself happening, with patients feeling scared to take fuller breaths in fear of triggering a spell.

damn anxiety a sunuvabitch

I even went to the doctor once because I had it a few times a week some years ago.

Me, too. Used to have it quite often. GP said it comes from bad posture. So I changed that, and also started working out more. It went away for good.

I think for me it had to do with bad mental health

I wonder if it's genetic, or just very common. All five of my siblings and I have had this.

It's possible. I found this on the talk page of the wiki article.

This thing haunts me every few months since always. You can usually stop it by exhaling deeply and relaxing muscles in affected areas.

I haven't had it in so many years, but I eventually got to the point where I'd just take a deep breath and it would seem to pop away. It would hurt, but then it would stop.

It's more common in young adults and children, and I'm approaching middle age here unfortunately, but the upside is no more precordial catch.

I think that might be pleurisy instead.

I had that several times some years ago and eventually it went away. It's very anxiety inducing. Just above that thing when you get a cramp in your toes and they get stuck together for what feels like eternity.

Hey, I know this one. I've had it since I was a small child but didn't quite know the name.

I had it when I was a teenager. When I stopped playing Trumpet it seemed to go away. Maybe the larger lung capacity caused it?

probably cramping from playing the trumpet. i got this from doing various exercises, or doing a wierd position.

Oh so there is a proper name for this ! I have had those once in a while since I was a kid, and still get them well into my forties.

I do still remember the anxiety the first time it happened.

Yep, always fix by slowly breathing in as soon as I feel resistance I stop and hold my breath for a bit then try to add more air to my lungs. Eventually it would go away.

Know anything about a kinda dull pain in the sternum that comes and goes, which lasts a week or month, then is gone for a few weeks or months before it comes back. Has been going on for a few years at this point. Got all kinds of scans and tests done the first year but everything showed normal. I at least don't think I'm gonna die anymore but it sucks.

Pleurisy, costochondritis, gerd, or referred pain from radiculopathy, maybe. Especially if you have a sedentary lifestyle or back trauma

I never know what people mean by sedentary lifestyle but I have been getting more exercise since it started and it hasn't helped.

It means do you sit or lie around most of the day. Do you have an office job where you sit at a computer all day then go home and play on your phone or whatever until you go to bed? That’s sedentary. If you exercise that’s good but if it’s something like a radiculopathy you’d benefit from seeing a physical therapist who can target the section of the back that is impacted (though you may need to start with primary care or orthopedic and mri). If it’s the other stuff treatment is generally medications and varies from stuff like NSAIDs or proton pump inhibitors (though if it’s gerd and you treat with NSAIDs that may worsen things)

Basically go see a doctor

Oh wow I'm glad I'm not alone in this. I turned 30 and it happens from time to time and I couldn't figure out what it was. Granted I was a little too worried to look into it

I get these, I thought it was the front and back of my lung touching and behaving like universal velcro, which explained why breathing in hurt, but also why taking a full breath made it go away (fully separated.) I guess not?

right near the xyphoid process?

Oh, same, never had it since about 30.

I just figured it was related to my digestive system pressure because it would go away after releasing some gas.

I have this, randomly and only when sleeping on the back. one time it was more longer lasting them before.

Now, teach us about the precordial thump. (No longer used). Bummer šŸ˜‰

Amazing that percussive maintenance works on humans.

Now look up Proctalgia Fugax

Huh. I always thought this was part of my asthma since exercise-induced asthma is a thing and I usually get this after an intense cardio-heavy session.

I've had something like this. Mostly as a teenager. Like once a week or left I'd feel a sharp pain and it would be so bad I couldn't operate but it'd restrict my operation for like a week.

Description is pretty spot on, but it's on the opposite side for me. Are my innards flipped?

It's possible. Very small chance but it does happen.

Would that make it more likely for me to be left handed? Because I'm very much right handed.

Ah fuck I just assumed I had random muscle cramps in my chest from a fight I had in highschool. Always third rib from the bottom,on the left, about 45 degrees off center

I have one where my lung diaphragm gets pinched between my lung and ribs, it's really not fun, and you have to bend backwards + inhale before it gets better

I'm not sure if it's the same thing or not, but I have a condition where sometimes my chest hurts because of a bone in a strange place. I've been to the hospital a few times thinking I might have heart problems. Then I get prescribed painkillers.

Samesies. I popped a rib out a while back and now I seem to have recurring bouts of costochondritis right over my heart where that rib attaches to my sternum. Definitely thought I was dying for a bit.

Crazy this just popped io as I just started experiencing something like this just this week.

We moved our living took around and the way the couch is positioned I tend to lay on my left side and propr myself up on my elbow.

Recently when I do this and breathe in I get a sharp pain right where the arrow is in the picture.

I have to stand up and breathe through it for it to stop. After a few occurrences, I noticed that if I press in the area it's mildly soar. I have to really feel for it to find it.

I have no other breathing problems so it really scared me that I had a broken rib. Although I haven't done anything that could have broken my rib.

I think we call this a ā€œstitchā€ in the UK

Nah, a stitch is side cramp when doing exercise

I wonder if that's what my producer and I have, considering that we have this type of pain too.