Diagnosis unclear: In a 25 year old female, sudden pain like that which you describe is usually due to inflammation (often due to a viral or bacterial infection or underlying inflammatory disorder) of the lining around the heart (aka pericarditis). Inflammation of the gut wall (peptic ulcer or esophagitis) or lung lining (pleuritis) or chest wall (costochondritis) are other possible causes. You should consult an MD
Answered 4/29/2015
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