Since you seem to be offline, ill leave a response here which we can discuss later on
Well from what you are describing, it sounds like that the pain which you have can be due to a couple of conditions. The first one which i would like to rule out is a heart issue, although given the nature of the pain it is less likely that this due to the heart but even then it should be ruled out with a simple EKG. i think if you develop the other symptoms like sweating and shortness of breath or even raidation of the pain to the arm and jaw, then you should IMMEDIATELY go to the ER and get a EKG done otherwise you can afford to wait until you go in to see your doctor.
Now as to the more likely causes here, the first one is that you could have a condition which is knwon as costochondritis. This is a condition in which the cartilages of the ribs are inflammed which leads to pain which an be needle like and stabbing in nature. It can also worsen on deep breathing or even on coughing. The diagnosis is made clinically and the treatment is with simple OTC anti inflammatory agents like ibuprofen or naproxen.
Another cause for these symptoms can be related to the stomach. Simple acid reflux can sometimes present in this manner and cause a heaviness on the chest or burning sensation in the chest and abdomen, metallic taste in mouth, excessive burping etc. If this is the case then a simple clinical examination would help a lot and if needed an endoscopy can be done later on. But for now OTC prilosec is more than enough to control the symptoms.
Lastly this sort of pain can also be related to simple muscle spasms which can cause a needle like pain etc. This would be corrected with increased intake of water as well as with electrolyte rich fluids. At the same time using OTC painkillers like motrin or aleve would be extremely usefull.
Now i would suggest that if you have sweating, shortness of breath, radiation of the pain to the arm and jaw then you should immediately proceed to the ER to get an EKG done, if not then you can use OTC motrin or aleve alongwith OTC prilosec for now. If the pain worsens at any time then again you should go to the ER. Otherwise you can see your doctor in a day or two for further workup.
Do you have any more questions?
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