What causes chest pain when breathing?

Common Causes of Chest Pain When Breathing

Chest pain that occurs during breathing can be associated with several conditions, including:

• Pleuritic Pain: This type of pain is caused by inflammation of the pleura, the membranes surrounding the lungs. Conditions such as pneumonia, pleurisy, or pulmonary embolism can lead to pleuritic chest pain, which is often sharp and worsens with deep breaths, coughing, or sneezing (Reamy et al., 2017).
• Musculoskeletal Issues: Strain or injury to the muscles or ribs can cause pain that is exacerbated by breathing. Conditions such as costochondritis (inflammation of the cartilage connecting the ribs to the sternum) can also lead to localized pain that worsens with movement or deep breaths.
• Respiratory Conditions: Conditions like asthma, chronic obstructive pulmonary disease (COPD), or bronchitis can cause chest discomfort or pain, particularly during breathing due to airway inflammation or obstruction.
• Cardiovascular Issues: While less common, chest pain related to breathing can also be associated with heart conditions, such as angina or myocardial infarction (heart attack). This pain may be accompanied by other symptoms like shortness of breath, sweating, or nausea.

Other Potential Causes

In addition to the common causes mentioned, other factors may contribute to chest pain when breathing:

• Gastroesophageal Reflux Disease (GERD): Acid reflux can cause chest pain that may mimic heart-related pain and can worsen with certain positions or after eating.
• Anxiety and Panic Attacks: Psychological factors can also lead to chest pain, often accompanied by feelings of anxiety, shortness of breath, and a racing heart.
• Infections: Viral or bacterial infections affecting the lungs or pleura can lead to chest pain, especially if accompanied by coughing or difficulty breathing.

When to Seek Medical Attention

If you experience persistent or severe chest pain, especially if it is accompanied by other concerning symptoms such as difficulty breathing, dizziness, or pain radiating to the arm or jaw, it is important to seek medical attention immediately. To help identify what might be causing your symptoms, you can start by taking our free AI-powered symptom checker for personalized insights. A healthcare provider can perform a thorough evaluation, including a physical examination and possibly imaging studies, to determine the underlying cause and recommend appropriate treatment.