Pain in Right Chest During Deep Breathing: Possible Causes and Solutions - Pulmonology

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Experiencing pain in the right chest during deep breathing?


Due to long-term work in a barbecue restaurant, I usually grill meat with both hands, but only my right chest has this condition.
Raising my right arm does not cause pain, but taking a deep breath does hurt, although I can't pinpoint the exact location of the pain.

Paggy, 20~29 year old female. Ask Date: 2020/10/02

Dr. Huang Yiwen reply Pulmonology


Dear Paggy: The cause of your chest pain may be related to the pain location, duration, and nature of the pain you described.
Based on your description, I personally believe it could be due to respiratory obstruction.
I recommend that you visit the hospital for a pulmonary function test.
Changhua Hospital is concerned about your well-being.

Reply Date: 2020/10/02

More Info


Experiencing pain in the right chest during deep breathing can be concerning, especially when the pain is not localized to a specific point and is exacerbated by certain movements or positions. Given your background of working in a barbecue restaurant, there are several potential causes for your symptoms that should be considered.


Possible Causes
1. Musculoskeletal Issues: Given that you work in a physically demanding environment, it is possible that your pain is related to musculoskeletal strain. This could include muscle strain or tension in the intercostal muscles (the muscles between the ribs) or the pectoral muscles. Repetitive movements, such as lifting heavy trays or reaching for items, can lead to muscle fatigue and strain, which may not always be tender to touch but can cause pain during deep breathing or certain movements.

2. Costochondritis: This is an inflammation of the cartilage that connects a rib to the sternum. It can cause sharp pain in the chest, particularly when taking deep breaths, coughing, or moving the upper body. Costochondritis is often benign and can be treated with rest, anti-inflammatory medications, and physical therapy.

3. Pleurisy: This is an inflammation of the pleura, the membranes surrounding the lungs. It can cause sharp chest pain that worsens with deep breathing, coughing, or sneezing. Pleurisy can be caused by infections, autoimmune diseases, or other underlying conditions. If you have any accompanying symptoms such as fever or a persistent cough, it would be wise to seek medical evaluation.

4. Pulmonary Issues: Although less likely given your description, it is important to rule out any pulmonary conditions such as a pulmonary embolism or pneumonia, especially if you experience shortness of breath, coughing up blood, or significant changes in your breathing pattern. These conditions can present with chest pain and require immediate medical attention.

5. Gastroesophageal Reflux Disease (GERD): Sometimes, chest pain can be related to gastrointestinal issues. GERD can cause pain that mimics cardiac pain and can be exacerbated by certain positions or activities. If you notice that certain foods or lying down worsen your symptoms, this could be a contributing factor.


Recommendations
Given the duration of your symptoms and the specific nature of your pain, it is advisable to seek medical attention. A healthcare provider can perform a thorough evaluation, which may include a physical examination, imaging studies (like a chest X-ray), and possibly pulmonary function tests to rule out any serious conditions.

In the meantime, consider the following self-care strategies:
- Rest: Avoid activities that exacerbate your pain, especially heavy lifting or repetitive motions.

- Ice Therapy: Applying ice to the affected area may help reduce inflammation and alleviate pain.

- Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help manage pain and inflammation.

- Posture Awareness: Pay attention to your posture while working. Ergonomic adjustments can help reduce strain on your chest and back muscles.


Conclusion
While the pain you are experiencing during deep breathing in your right chest could be due to a variety of causes, it is essential to consult with a healthcare professional for an accurate diagnosis and appropriate treatment. Early intervention can prevent further complications and help you return to your normal activities without discomfort.

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