Sudden Chest Pain: When to Seek Medical Attention - Pulmonology

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Chest pain?


Yesterday afternoon, I suddenly felt a sharp pain in my chest that radiated to my back, but it only lasted for a moment and then went away.
Sometimes, when I do a small stretch to reach for something, the pain starts again.
After the pain, I feel a tightness in my chest, but it also only lasts for a moment.
Should I go to the hospital for an examination?

Hong, 10~19 year old female. Ask Date: 2020/11/03

Dr. Zhang Ziyan reply Pulmonology


Dear Hong, the symptoms are manageable, but if you experience persistent pain, shortness of breath, or more severe chest tightness, you should go to the emergency room or consult a pulmonologist.
Changhua Hospital cares about you.

Reply Date: 2020/11/03

More Info


Experiencing sudden chest pain can be alarming, and it's essential to understand when to seek medical attention. Based on your description of the symptoms, including sharp pain that radiates to your back and feelings of tightness in the chest, it is crucial to consider several factors before deciding on the next steps.

First and foremost, chest pain can have various causes, ranging from benign to life-threatening conditions. Common causes of chest pain include musculoskeletal issues, such as muscle strain or costochondritis, which can occur after physical activity or stretching. These types of pain are often sharp and can be triggered by movement or certain positions, similar to what you described. However, it’s important to rule out more serious conditions, such as cardiac issues.

Cardiac-related chest pain can manifest in different ways. It may feel like pressure, squeezing, or a sharp pain and can be accompanied by other symptoms such as shortness of breath, sweating, nausea, or pain radiating to the arms, neck, or jaw. Given that your pain is intermittent and seems to be triggered by movement, it may be less likely to be cardiac in nature, but this does not completely rule it out.

Considering your symptoms, here are some recommendations:
1. Monitor Symptoms: Keep track of when the pain occurs, its duration, and any accompanying symptoms. If the pain becomes more frequent, lasts longer, or is accompanied by other concerning symptoms (like those mentioned above), seek medical attention promptly.

2. Rest and Avoid Strain: If you suspect that the pain is related to muscle strain, try to avoid activities that exacerbate the pain. Resting and applying heat to the affected area may help alleviate discomfort.

3. Consult a Healthcare Professional: If the pain persists or worsens, it is advisable to consult a healthcare provider. They may recommend diagnostic tests such as an electrocardiogram (ECG), chest X-ray, or even blood tests to rule out cardiac issues.

4. Emergency Care: If you experience severe chest pain, especially if it is sudden and accompanied by other symptoms like difficulty breathing, dizziness, or fainting, seek emergency medical care immediately. These could be signs of a heart attack or other serious conditions.

5. Follow-Up: If you have a history of heart disease or other risk factors (such as high blood pressure, diabetes, or a family history of heart disease), it is even more critical to seek medical advice sooner rather than later.

In summary, while your symptoms may suggest a musculoskeletal issue, it is essential to remain vigilant and not dismiss any chest pain lightly. If you are ever in doubt, it is always better to err on the side of caution and consult a healthcare professional. Your health and safety should always come first.

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