Chest Pain While Breathing: Causes and Concerns - Cardiology

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Experiencing sharp pain in the heart while breathing?


Please consult a physician regarding why there is chest pain during breathing, especially when hugging the chest with the arms or when squatting and curling the body, which causes a sharp pain during breathing.
However, this pain does not occur when the arms are extended or when lying flat.
This symptom has been present for almost six months, and although it was initially thought to resolve on its own, the condition has not improved.

Mr. Lai, 20~29 year old female. Ask Date: 2017/05/24

Dr. He Dongjin reply Cardiology


Hello, chest pain caused by a change in posture may be related to muscular or neurological issues.
If discomfort persists, it is recommended to visit the thoracic medicine outpatient clinic at Changhua Hospital for further evaluation.

Reply Date: 2017/05/24

More Info


Chest pain while breathing can be a concerning symptom that may arise from various underlying causes. It is essential to understand that the chest is a complex area containing the heart, lungs, ribs, muscles, and nerves, and pain in this region can stem from any of these structures. Given your description of the pain being exacerbated by certain positions, such as hugging your chest or squatting, it suggests that the discomfort may be related to musculoskeletal issues rather than a direct cardiac problem.

One common cause of chest pain that worsens with movement or certain positions is costochondritis, which is inflammation of the cartilage connecting the ribs to the sternum. This condition can cause sharp pain that may mimic heart-related issues but is typically benign and resolves with time and conservative treatment, such as rest and anti-inflammatory medications.

Another possibility is that the pain could be related to muscle strain or tension. If you have been under stress or have engaged in physical activities that may have strained your chest muscles, this could lead to pain that feels sharp or stabbing, especially when you breathe deeply or change positions.
Anxiety and panic attacks can also manifest as chest pain and discomfort while breathing. When you are anxious, your body may react with muscle tension, which can lead to sensations of pain in the chest area. Additionally, hyperventilation, which often accompanies anxiety, can cause a range of symptoms, including chest pain, shortness of breath, and a feeling of tightness in the chest.

Given that you have experienced this symptom for six months without improvement, it is crucial to seek further evaluation from a healthcare professional. While your symptoms may not indicate a severe condition, it is essential to rule out any serious issues, such as heart disease, pulmonary problems, or gastrointestinal issues like acid reflux, which can also cause chest pain.

In the meantime, consider the following recommendations:
1. Posture Awareness: Pay attention to your posture when sitting, standing, or lying down. Maintaining good posture can help alleviate some of the discomfort.

2. Breathing Exercises: Practice deep breathing exercises to help relax your chest muscles and reduce anxiety. Techniques such as diaphragmatic breathing can be beneficial.

3. Physical Activity: Engage in gentle physical activities, such as walking or stretching, to help improve muscle flexibility and reduce tension.

4. Stress Management: If anxiety is a contributing factor, consider exploring stress management techniques such as mindfulness, yoga, or therapy.

5. Follow-Up: Since you have already scheduled an appointment with a cardiologist, ensure that you communicate all your symptoms clearly. They may recommend tests such as an EKG, chest X-ray, or even a CT scan to rule out any serious conditions.

In conclusion, while chest pain while breathing can be alarming, it is often related to musculoskeletal issues, anxiety, or other benign causes. However, given the duration and persistence of your symptoms, it is essential to pursue a thorough evaluation to ensure your health and peace of mind.

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