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Published on: 11/18/2024

Why Do I Have Pain in the Middle of My Chest?

Pain in the middle of the chest can be caused by a variety of factors, ranging from benign conditions to serious medical issues. It is important to evaluate the symptoms carefully and seek medical attention if the pain is severe, persistent, or accompanied by other concerning symptoms.

answer background

Explanation

Common Causes of Chest Pain:

  • Musculoskeletal Issues: One of the most common causes of chest pain is related to the muscles, bones, or cartilage in the chest area. Conditions such as costochondritis (inflammation of the cartilage connecting the ribs to the breastbone) can cause sharp pain that may worsen with movement or deep breathing.
  • Gastrointestinal Problems: Gastroesophageal reflux disease (GERD) is another frequent cause of chest pain. It occurs when stomach acid flows back into the esophagus, leading to a burning sensation in the chest, often mistaken for heart-related pain. Other gastrointestinal issues, such as esophageal spasms or peptic ulcers, can also cause discomfort in the chest area.
  • Cardiac Conditions: While not as common, chest pain can be a sign of serious heart conditions, such as angina (chest pain due to reduced blood flow to the heart) or a heart attack. Symptoms associated with cardiac issues may include pressure or tightness in the chest, pain radiating to the arms, neck, or jaw, shortness of breath, and sweating.
  • Pulmonary Issues: Conditions affecting the lungs, such as pneumonia, pleuritis (inflammation of the lining of the lungs), or pulmonary embolism (a blood clot in the lungs), can also cause chest pain. These conditions may be accompanied by symptoms like coughing, difficulty breathing, or fever.
  • Anxiety and Stress: Psychological factors, such as anxiety or panic attacks, can lead to chest pain. This type of pain is often associated with feelings of tightness, rapid heartbeat, and shortness of breath.

When to Seek Medical Attention:

It is crucial to seek medical attention if you experience chest pain that is severe, persistent, or accompanied by other symptoms such as:

  • Shortness of breath
  • Sweating
  • Nausea or vomiting
  • Dizziness or lightheadedness
  • Pain radiating to the arms, neck, or jaw

These symptoms may indicate a serious condition that requires immediate evaluation and treatment.

(References)

  • Haasenritter J, Biroga T, Keunecke C, Becker A, Donner-Banzhoff N, Dornieden K, Stadje R, Viniol A, Bösner S. Causes of chest pain in primary care--a systematic review and meta-analysis. Croat Med J. 2015 Oct;56(5):422-30. doi: 10.3325/cmj.2015.56.422. PMID: 26526879; PMCID: PMC4655927.

  • Cayley WE Jr. Diagnosing the cause of chest pain. Am Fam Physician. 2005 Nov 15;72(10):2012-21. PMID: 16342831.

  • Yelland M, Cayley WE Jr, Vach W. An algorithm for the diagnosis and management of chest pain in primary care. Med Clin North Am. 2010 Mar;94(2):349-74. doi: 10.1016/j.mcna.2010.01.011. PMID: 20380960.

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Dr. Kenji Taylor

Family Medicine, Primary Care Roots Community Health Center, Hippo Education, Kameda Medical Center

Kenji Taylor, MD

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