Chest Pain: Causes and When to Seek Help - Pulmonology

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Chest pain


It's been almost a week...
When I swallow saliva, it feels like there's a protrusion in my esophagus, and every morning when I lift heavy objects at work, I experience significant chest pain...
It's a bit hard to breathe...
By the afternoon or evening, the pain is not as severe, but I still feel quite uncomfortable...
What could be the cause of this?

Er, 20~29 year old female. Ask Date: 2017/04/13

Dr. Yang Wenda reply Pulmonology


Hello: Chest pain can range from superficial pain in the skin to deeper pain in the muscle layer (often related to heavy lifting, twisting of the chest, or movements that expand the chest).
It can also be related to the esophagus within the thoracic cavity (which may worsen with swallowing or be associated with symptoms like acid reflux or stomach pain).
This information is provided for your consideration in deciding whether to see a pulmonologist or a gastroenterologist!

Reply Date: 2017/04/13

More Info


Chest pain can be a concerning symptom, and understanding its potential causes is crucial for determining when to seek medical help. Based on your description, it seems that you are experiencing chest pain that is exacerbated by physical activity, particularly when lifting heavy objects. This type of pain can arise from various sources, and it is essential to consider both musculoskeletal and internal organ-related causes.

One common cause of chest pain related to physical activity is musculoskeletal strain. If you are lifting heavy objects, it is possible that you may have strained the muscles in your chest or back, leading to discomfort that can feel like chest pain. This type of pain is often localized and can be reproduced by specific movements or pressure on the affected area. It may also be accompanied by soreness or stiffness in the surrounding muscles.

Another possibility is that the pain could be related to the respiratory system. Conditions such as pleuritis (inflammation of the lining of the lungs) or even a respiratory infection can cause chest discomfort, particularly when taking deep breaths or coughing. If you notice that the pain worsens with breathing or is associated with symptoms like coughing or shortness of breath, it may warrant further evaluation.

However, it is crucial to consider the potential for cardiac-related issues, especially if the pain is accompanied by other symptoms such as shortness of breath, sweating, nausea, or radiating pain to the arms, neck, or jaw. Conditions such as angina (chest pain due to reduced blood flow to the heart) or even a heart attack can present with chest pain, particularly during physical exertion. While you may not have mentioned these additional symptoms, it is essential to be aware of them.

Given that your symptoms have persisted for almost a week and are triggered by specific activities, it is advisable to consult a healthcare professional for a thorough evaluation. A doctor may perform a physical examination and, if necessary, order diagnostic tests such as an electrocardiogram (ECG), chest X-ray, or blood tests to rule out any serious underlying conditions.

In summary, chest pain can arise from various causes, including musculoskeletal strain, respiratory issues, or cardiac conditions. If you experience persistent or worsening symptoms, especially those associated with shortness of breath or other concerning signs, it is essential to seek medical attention promptly. Early evaluation can help identify the cause of your symptoms and guide appropriate treatment, ensuring your health and well-being.

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