Sudden Chest Pain: Sharp Breathing Discomfort - Cardiology

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Sharp pain during breathing?


Last month, I woke up in the middle of the night with sudden sharp pain while breathing, and it hurt to turn over.
It lasted for about five minutes before it went away.
Recently, it happened again without any vigorous exercise or apparent reason, with sudden sharp pain in the area around my heart.
The pain feels sharp and straight; I can breathe slightly, but deep breaths cause sharp pain.
Eventually, the pain also disappeared within ten minutes.
Both episodes occurred in the same location with identical symptoms.
I had asthma as a child, but it resolved as I grew up, and I exercise regularly.
Thank you for your help.

Niming, 10~19 year old female. Ask Date: 2019/05/10

Dr. He Dongjin reply Cardiology


Hello, you may be experiencing a neuromuscular issue or mitral valve prolapse.
If you continue to feel unwell, it is advisable to visit a cardiology clinic for further examination.
Changhua Hospital cares about your well-being.

Reply Date: 2019/05/10

More Info


Sudden chest pain, especially when accompanied by sharp discomfort during breathing, can be alarming and warrants careful consideration. Based on your description of experiencing sudden, sharp chest pain that resolves within a few minutes, there are several potential causes to consider.
Firstly, it is important to note that chest pain can arise from various sources, including musculoskeletal issues, gastrointestinal problems, and cardiac conditions. Given your history of asthma, it is possible that your symptoms could be related to a respiratory issue, such as bronchospasm or even a mild asthma exacerbation. Although you mentioned that you have outgrown asthma, it is not uncommon for individuals with a history of asthma to experience occasional respiratory symptoms, especially in response to triggers such as stress, allergens, or respiratory infections.

Musculoskeletal pain is another common cause of sharp chest pain, particularly if the pain is localized and worsens with movement or deep breathing. Conditions such as costochondritis, which is inflammation of the cartilage connecting the ribs to the sternum, can lead to similar symptoms. This type of pain is often reproducible with palpation of the affected area and may be relieved by changing positions or taking over-the-counter anti-inflammatory medications.

Gastroesophageal reflux disease (GERD) can also manifest as chest pain, particularly if the pain is associated with eating or lying down. This type of pain may mimic cardiac pain and can be sharp or burning in nature. If you notice that your symptoms correlate with meals or certain positions, GERD could be a contributing factor.

While your symptoms have resolved quickly and you have a history of asthma, it is crucial to rule out any serious cardiac conditions, especially given that the pain is located near the heart. Conditions such as angina or even a myocardial infarction (heart attack) can present with atypical symptoms, particularly in younger individuals or those with risk factors such as family history, smoking, or high cholesterol. Although it is less likely given your age and activity level, it is always better to err on the side of caution.

Given the recurrent nature of your symptoms, I strongly recommend that you consult a healthcare professional for a thorough evaluation. This may include a physical examination, an electrocardiogram (EKG), and possibly imaging studies such as a chest X-ray or echocardiogram to assess for any underlying cardiac issues. Additionally, a pulmonary function test may be beneficial to evaluate your respiratory status, especially considering your history of asthma.

In the meantime, you can take some steps to manage your symptoms. If you experience sharp chest pain, try to remain calm and avoid any activities that exacerbate the pain. Deep breathing exercises may help, but be cautious if they increase your discomfort. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can be used to alleviate musculoskeletal pain if that is suspected.

In conclusion, while your symptoms may be benign, it is essential to seek medical attention to rule out any serious conditions. Understanding the nature of your chest pain and its triggers will help you and your healthcare provider determine the best course of action for your health and peace of mind.

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