Chest Pain: When to Seek Medical Attention - Pulmonology

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Chest pain issues?


Hello Doctor: The night before last, I had a slight cough due to an itchy throat, and then I started to feel a tight pain in my left chest.
The pain persisted throughout the next day, but it seemed to be more pronounced with certain positions.
This morning when I woke up, the pain was almost gone.
Should I see a doctor? Is there a possibility of a pneumothorax? (I have never experienced a pneumothorax before) Thank you!

Tony, 30~39 year old female. Ask Date: 2017/11/02

Dr. Zhou Ziguang reply Pulmonology


Hello: If there are no symptoms, no asthma, the likelihood of a pneumothorax is quite low.
However, to rule out the possibility of a pneumothorax, a chest X-ray is still necessary.

Reply Date: 2017/11/02

More Info


Chest pain can be a concerning symptom, and understanding when to seek medical attention is crucial for your health. Based on your description, it seems that you experienced left-sided chest discomfort that was more pronounced with certain positions and improved significantly by the next morning. While this may suggest a less serious issue, it is essential to consider several factors before determining whether you should see a doctor.

Firstly, chest pain can arise from various causes, ranging from benign to serious conditions. Common causes include musculoskeletal pain, which can occur due to muscle strain or inflammation, especially if the pain is positional. This type of pain is often exacerbated by movement or certain postures and can be relieved by rest or changes in position.

However, chest pain can also be indicative of more serious conditions, such as cardiac issues (like angina or myocardial infarction), pulmonary problems (like pneumonia or pulmonary embolism), or gastrointestinal issues (like acid reflux or esophageal spasm). Given that you mentioned a history of throat irritation and coughing, it is possible that your symptoms could be related to a respiratory condition, such as bronchitis or even pleuritis, which can cause chest pain that worsens with deep breaths or coughing.

The concern about pneumothorax (collapsed lung) is valid, especially if you have risk factors such as a history of lung disease, smoking, or if you are tall and thin. However, pneumothorax typically presents with sudden, sharp chest pain and difficulty breathing, and it usually does not resolve quickly as you described. If you had experienced sudden onset of severe pain, shortness of breath, or if the pain worsened instead of improving, it would warrant immediate medical evaluation.

In your case, since the pain improved significantly by the next morning and was not accompanied by other alarming symptoms (such as severe shortness of breath, dizziness, or radiating pain to the arm or jaw), it may not be necessary to seek immediate medical attention. However, if you experience any recurrence of the pain, especially if it becomes severe, persistent, or is accompanied by other concerning symptoms, you should definitely consult a healthcare professional.

It is also advisable to monitor your symptoms closely. If you notice any changes, such as the pain returning or worsening, or if you develop new symptoms like fever, persistent cough, or difficulty breathing, do not hesitate to seek medical care. A healthcare provider can perform a thorough evaluation, which may include a physical examination, imaging studies (like a chest X-ray), or other diagnostic tests to rule out serious conditions.

In summary, while your symptoms may not currently seem alarming, it is always better to err on the side of caution when it comes to chest pain. If in doubt, or if your symptoms change, seeking medical advice is the best course of action. Your health and peace of mind are paramount, and a healthcare professional can provide the reassurance and care you need.

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