Chest Pain: Possible Causes and When to Seek Help

Chest issues

This morning, I experienced pain in the area near my right armpit (it doesn't feel like muscle pain) that was severe enough to wake me up.
What could be the reason for this?

Cheng, 20~29 year old female. Ask Date: 2018/10/06

Dr. Chen Jili reply Cardiology

It is recommended to visit a medical facility for examination.
Wishing you good health.

Reply Date: 2018/10/06

More Info

Chest pain can be a concerning symptom, and understanding its potential causes is crucial for determining when to seek medical help. The pain you described, located near the right side under your armpit, can arise from various sources, and it's essential to consider both musculoskeletal and internal causes.

1. Musculoskeletal Causes: One of the most common reasons for pain in the chest area, especially if it is localized and sharp, is musculoskeletal strain. This could be due to overexertion, poor posture, or even sleeping in an awkward position. Activities that involve repetitive motions or heavy lifting can lead to muscle strain, which may not feel like typical muscle soreness but can still cause significant discomfort.

2. Nerve-related Issues: Conditions such as intercostal neuralgia, where the nerves between the ribs become irritated, can also cause localized pain. This type of pain may be sharp and can be exacerbated by movement or certain positions.

3. Cardiac Causes: While less common, it is essential to rule out cardiac issues, especially if the pain is severe, accompanied by shortness of breath, sweating, nausea, or radiating pain to the arm, jaw, or back. Conditions such as angina or even a heart attack can present with atypical pain, including discomfort in the chest that may be felt in various locations.

4. Pulmonary Causes: Conditions affecting the lungs, such as pneumonia or a pulmonary embolism, can also cause chest pain. If the pain is associated with difficulty breathing, coughing, or fever, it is crucial to seek immediate medical attention.

5. Gastrointestinal Causes: Sometimes, gastrointestinal issues such as acid reflux or esophageal spasms can mimic chest pain. If the pain is related to eating or is accompanied by heartburn, it may be worth considering these causes.

Given your description of the pain waking you up, it is essential to monitor the symptoms closely. If the pain persists, worsens, or is accompanied by any alarming symptoms (such as those mentioned earlier), it is advisable to seek medical attention promptly. A healthcare provider may perform a physical examination, take a detailed history, and possibly order diagnostic tests such as an EKG, chest X-ray, or blood tests to rule out serious conditions.

In summary, while your pain may be due to a benign cause such as muscle strain, it is crucial to remain vigilant and seek medical advice if the symptoms do not improve or if you experience any concerning signs. Early intervention can be key in managing potential health issues effectively.

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