Left Chest Pain: Causes and When to Seek Help - Pulmonology

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There is often a dull pain in the left chest (near the inner side)?


Hello, I have been using e-cigarettes, and recently I have been experiencing frequent pain between my chest.
Sometimes it feels like a sharp stabbing pain, similar to being cut with a knife, and at other times it feels like a muscle strain (as I can clearly identify where the pain is when pressed).
The location of the pain often changes, with the left side of my chest hurting more frequently, and sometimes I also feel a sense of tightness.
I am wondering if this issue might be related to my tendency to be more anxious.
I would like to ask the doctor what I should do.

No content, 10~19 year old female. Ask Date: 2021/02/07

Dr. Wu Yingxun reply Pulmonology


Hello: Please return for a follow-up appointment with the pulmonology department for an examination.
Also, please refrain from using e-cigarettes.

Reply Date: 2021/02/07

More Info


Left chest pain can be concerning, especially when it presents with varying sensations such as sharp stabbing pain or a feeling akin to muscle strain. Given your description, there are several potential causes for this discomfort, and it’s crucial to approach the situation with caution.


Possible Causes of Left Chest Pain
1. Musculoskeletal Issues: Since you mentioned that pressing on the area exacerbates the pain, it could be related to a musculoskeletal issue. Conditions such as costochondritis (inflammation of the cartilage connecting the ribs to the sternum) or muscle strain can cause localized pain that may feel sharp or tender when touched.

2. Anxiety and Stress: You noted that you tend to be more anxious, which can contribute to chest pain. Anxiety can lead to muscle tension and hyperventilation, both of which can manifest as chest discomfort. Panic attacks, in particular, can cause sharp chest pain, often mistaken for heart-related issues.

3. Cardiac Concerns: While less likely given your description, it’s essential to rule out any cardiac issues, especially if the pain is new, persistent, or associated with other symptoms such as shortness of breath, sweating, or radiating pain to the arm or jaw. Conditions like angina or even myocardial infarction (heart attack) can present with chest pain, although they typically have additional warning signs.

4. Gastrointestinal Issues: Sometimes, gastrointestinal problems such as acid reflux or esophageal spasms can cause chest pain that mimics cardiac pain. If you notice that certain foods or positions exacerbate the pain, this could be a contributing factor.

5. Pulmonary Issues: Conditions affecting the lungs, such as pleuritis (inflammation of the lining of the lungs) or pulmonary embolism, can also cause chest pain. These conditions are usually accompanied by other symptoms like difficulty breathing or coughing.


When to Seek Help
Given the complexity of chest pain, it’s crucial to know when to seek medical attention. Here are some guidelines:
- Immediate Attention: If you experience severe chest pain, especially if it feels like pressure or squeezing, or if it radiates to your arm, neck, or jaw, seek emergency medical help immediately. This is particularly important if you have risk factors for heart disease (such as smoking, high blood pressure, or a family history of heart issues).

- Persistent Symptoms: If the pain persists for more than a few days, worsens, or is accompanied by other symptoms like shortness of breath, dizziness, or nausea, it’s advisable to consult a healthcare professional.

- Routine Check-Up: If the pain is mild but recurrent, consider scheduling an appointment with your primary care physician. They can perform a thorough evaluation, including a physical examination and possibly imaging studies or blood tests, to rule out any serious conditions.


Management Strategies
In the meantime, here are some strategies you might consider to manage your symptoms:
- Stress Management: Since you mentioned anxiety, incorporating stress-reduction techniques such as deep breathing exercises, yoga, or meditation may help alleviate some of the tension contributing to your pain.

- Posture and Ergonomics: Pay attention to your posture, especially if you spend long hours sitting or using electronic devices. Poor posture can lead to muscle strain and discomfort.

- Physical Activity: Engaging in regular, moderate exercise can improve overall cardiovascular health and reduce anxiety levels. However, listen to your body and avoid activities that exacerbate your pain.

- Avoiding Triggers: If you notice that certain activities or situations trigger your pain, try to avoid them when possible.

In conclusion, while left chest pain can stem from various causes, it’s essential to approach it with a careful mindset. Monitoring your symptoms and seeking medical advice when necessary can help ensure that any underlying issues are addressed appropriately. Always prioritize your health and well-being, and don’t hesitate to reach out to a healthcare professional for guidance.

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