Can COVID-19 Cause Pain Below the Breastbone?

Chest Pain and Discomfort

• Inflammation: COVID-19 can lead to inflammation in various parts of the body, including the lungs and pleura (the lining around the lungs). This inflammation can cause chest pain, which may be felt below the breastbone.
• Muscle Strain: Coughing, which is common in COVID-19, can lead to muscle strain in the chest area, resulting in pain that may be perceived as being located below the breastbone.

Gastrointestinal Symptoms

• Gastroesophageal Reflux Disease (GERD): COVID-19 can exacerbate gastrointestinal symptoms, including acid reflux, which can cause pain or discomfort in the chest area, often mistaken for heart-related pain.
• Direct Viral Effects: The virus may affect the gastrointestinal tract, leading to symptoms such as nausea, vomiting, and abdominal pain, which can sometimes be felt in the chest area.

Post-COVID Conditions

• Post-Acute Sequelae of SARS-CoV-2 Infection (PASC): Some individuals experience lingering symptoms after recovering from COVID-19, known as "long COVID." This can include chest pain or discomfort, which may be due to ongoing inflammation or other complications related to the virus.

Cardiovascular Complications

• Myocarditis or Pericarditis: COVID-19 has been associated with inflammation of the heart muscle (myocarditis) or the lining around the heart (pericarditis), which can present as chest pain. This pain may be felt below the breastbone or in the chest more generally.

When to Seek Medical Attention

If you experience persistent or severe pain below the breastbone, especially if it is accompanied by other concerning symptoms such as:

• Shortness of breath
• Dizziness or lightheadedness
• Rapid or irregular heartbeat
• Nausea or vomiting

It is important to seek medical attention promptly. A healthcare provider can evaluate your symptoms, perform necessary tests, and determine the underlying cause of the pain.