Chest Pain: Common Causes & When to Worry

Chest Pain: Common Causes & When to Worry

Experiencing chest pain? Understand common causes, from heart and lung issues to digestive problems and other potential factors, plus learn when to seek immediate medical attention.


Okay, so chest pain, huh? It’s something most of us, if not all, have felt at some point. But when should you shrug it off, and when should you be concerned? Maybe it’s just heartburn. Maybe it’s something worse. I know, I’ve been there, Googling symptoms at 2 AM, wondering if I should head to the ER.

We’re going to take a closer look at the causes and what to do about it.

Chest pain can feel like a squeezing sensation, tightness, or even a sharp stabbing feeling. Sometimes, you might even think it’s just a little indigestion, only to find yourself wondering if it could be something way more serious. Let’s break down some of the possible causes behind that discomfort in your chest.

Causes of Chest Pain

There are tons of reasons why you might feel pain in your chest. Here are some of the most common:

Heart-Related Causes

When it comes to chest pain, the heart is often the first thing that comes to mind. And rightly so. Here are some heart conditions that can cause it:

  • Angina:

Angina happens when your heart muscle doesn’t get enough blood. This can cause chest pain that feels like pressure or squeezing. The pain can also show up in your shoulder, arm, neck, or jaw. It often comes on with physical activity or emotional stress.

    • Pain in the arm, neck, or jaw.
    • Chest tightness.
    • Pain in the left arm or shoulder.
    • Fast heartbeat.
    • Shortness of breath.
    • Cold sweats.
    • Nausea.
  • Coronary Artery Disease:

This is caused by a build-up of plaque inside the arteries that supply blood to your heart. This build-up narrows the arteries, making it harder for blood to reach your heart. This can cause chest pain or discomfort, especially during physical activity.

  • Pericarditis:

Pericarditis is usually caused by a viral infection. It’s an inflammation of the sac around the heart. Symptoms include sharp, stabbing chest pain that can get worse when you breathe or lie down.

  • Cardiomyopathy:

Cardiomyopathy refers to the enlargement or thickening of the heart muscle. The subsequent chest discomfort often stems from diminished blood circulation. Initially felt in the front chest or upper back area, the discomfort might also spread to other areas, accompanied by symptoms like fatigue and swelling.

  • Aortic Dissection:

This is a tear in the wall of the aorta, the main artery that carries blood from your heart. This condition causes sudden, severe chest or upper back pain, often described as a tearing sensation.

  • Other heart problems:

Other less common heart conditions that can cause chest pain include:

    • Heart valve problems.
    • Heart defects.
    • Inflammation of the heart muscle.
    • Irregular heartbeat.

Lung-Related Causes

Turns out, your lungs can also be behind that ache in your chest:

  • Pulmonary Embolism:

Caused by a blood clot that travels to the lungs, often resulting in chest pains during deep breaths.

  • Pleurisy:

Inflammation of the lining around the lungs, resulting in sharp chest pain while breathing, coughing, or sneezing, accompanied by fever, shortness of breath, and coughing with phlegm.

  • Pulmonary hypertension:

It is elevated blood pressure in the arteries that supply the lungs, which causes pain in the chest that increases with fatigue, plus other symptoms like swollen legs, and bloody coughing.

  • Chest injury:

Usually happens when you experience a heavy blow to your chest. The impact may damage some of the nearby nerves, resulting in chest pain that worsens when you breathe.

  • Other lung problems:

Other respiratory illnesses that may result in chest pain:

    • Pneumonia.
    • Asthma.
    • Pulmonary hypertension.
    • Collapsed lung.
    • Lung cancer.

Digestive-Related Causes

Turns out that pain in your chest can also be related to digestive issues, check these common causes:

  • Esophageal Spasm:

Causes heartburns and chest pains especially after eating meals or drinking alcohol.

  • Esophageal Rupture:

It causes chest pain especially when the food is spicy.

  • Gallstones:

The pain will be present immediately after eating especially if the meal had high levels of fat.

  • Inflammation of the pancreas or gallbladder.
  • Swallowing problems.
  • Hiatal hernia.
  • Heartburn.

Other Causes

Other less common causes of chest pain:

  • Panic attack; it causes chest pain accompanied by dizziness and shortness of breath.
  • Shingles; This can cause chest pain on one side of the body.
  • Injury or sprain in the chest muscles.
  • Muscle pain.
  • Anxiety.

Common Questions

Can gas cause chest pains?

Yes, it can, but it’s usually mild, and it usually comes along with other symptoms like bloating or a sharp pain in the abdomen.

How do you treat chest pains in the upper and lower chest?

Treatment depends on your condition and the reasons behind the pain in your chest. For instance, your doctor may prescribe:

  • Proton pump inhibitors if you’re experiencing heartburn.
  • Anti-clotting medications if the cause is a blood clot.
  • Anti-anxiety drugs to relieve chest pain caused by stress.

Your doctor may recommend surgery in cases of esophageal rupture.

Are chest pains different in women?

No, chest pains are similar for men and women. But women are more likely to experience angina.

Okay, so we’ve covered a lot of ground here. We’ve gone over the big scary heart stuff, the lung stuff, even digestive issues. But what about the in-between? What about things that might mimic heart or lung problems, or even make them worse? I’m talking about things like, you know, sleep apnea, chronic stress, or even just bad posture. These things might not directly cause a heart attack, but they can definitely ramp up your risk factors or make existing conditions feel a whole lot worse. We’re definitely diving deeper into those areas.

Key takeaways

  • Chest pain can be caused by heart problems, lung problems, digestive problems or other causes.
  • If you experience chest pain along with other symptoms like shortness of breath, dizziness, or sweating, it is important to seek medical attention immediately.
  • Treatment for chest pain will depend on the underlying cause.

FAQ, Myth & Facts

Is all chest pain a heart attack?

No. While chest pain *can* be a sign of a heart attack, it has a multitude of causes. But hey, it’s always best to get it checked out, just in case.

Can stress cause chest pain?

Yep, stress can definitely trigger chest pain. Stress hormones can cause your muscles to tighten up, and that includes the muscles in your chest. Plus, stress can worsen conditions like heartburn, which can also cause chest pain.

Is chest pain always on the left side?

Nope. While heart-related chest pain is often felt on the left side, pain from other causes, like muscle strain or heartburn, can occur anywhere in your chest.

Here’s what a few people had to say:

I thought I was just having a bad case of indigestion. Turns out it was angina. I’m so glad I didn’t brush it off. Got it checked out and got on the right medication. Now I’m feeling great.

I had this sharp pain in my chest whenever I coughed. I thought I pulled a muscle, but it turned out to be pleurisy. A course of antibiotics cleared it right up. So glad I went to the doctor.

I get chest pain when I’m super stressed out. I didn’t realize stress could cause it. I started practicing meditation, and it helps. The pain is almost gone now.

So, where does all this leave us? Well, for me, it’s a reminder that our bodies are complicated machines, and sometimes, they send us signals we need to pay attention to. Next time you feel something off, don’t just dismiss it. Listen to your body, and when in doubt, get it checked out. It’s always better to be safe than sorry, and taking care of your health is the best investment you can make.

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