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Published on: 4/28/2025

What Could Be Causing My Chest to Feel Tight for Several Days?

Chest tightness lasting several days can stem from multiple causes, such as muscle or chest wall problems, digestive system issues, or lung conditions like asthma.

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Explanation

Chest tightness that persists for days can have several causes. One common reason is inflammation of the muscles or cartilage in your chest wall—a condition called costochondritis—where the joints between your ribs and breastbone become sore and inflamed. Chest muscles can also become sore or inflamed after strenuous lifting or physical activities. Digestive issues can also cause chest tightness. Acid reflux, for instance, may create a tight sensation in your chest, often accompanied by belching or regurgitation. Additionally, asthma attacks can cause chest tightness when airways constrict, making breathing difficult. Respiratory infections can cause similar chest tightness. Heart issues should always be considered as a possible cause of chest pain. A doctor can evaluate your symptoms and overall health to rule out serious cardiac conditions and recommend appropriate treatment. If the tightness persists—especially if new symptoms develop or you have health concerns—don't delay seeking medical advice.

(References)

  • https://www.ncbi.nlm.nih.gov/books/NBK416/
  • Johnson K, Ghassemzadeh S. Chest Pain. [Updated 2022 Dec 14]. In: StatPearls [Internet].

  • Zhang JX, Zhan XB, Bai C, Li Q. Belching, regurgitation, chest tightness and dyspnea: not gastroesophageal reflux disease but asthma. World J Gastroenterol. 2015 Feb 7;21(5):1680-3. doi: 10.3748/wjg.v21.i5.1680. PMID: 25663791; PMCID: PMC4316114.

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