Unexplained Right Chest Pain: When to Seek Medical Help - Pulmonology

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There is a painful spot on my right chest that feels strange?


Hello Doctor, I started experiencing sudden pain in my right chest two nights ago.
At first, I thought stretching might help relieve it, but then I figured it was just fatigue and went to sleep.
However, since last night, I've felt a sharp pain when taking deep breaths.
I did yoga at home three times last night (I practice three times a week) and just started learning through video.
I wondered if the stretching movements caused this, as I felt instant relief during the full-body stretches.
But when I woke up in the middle of the night, the pain returned with every breath.
I would like to ask the doctor how I can determine if I need to seek medical attention immediately or if there could be other reasons for this.
I usually like to explain my daily habits clearly to help the doctor make a better assessment.
In the morning, I noticed I had a runny nose and some moisture in my right shoulder, which has been a long-term issue.
I also have a slight hunchback.
Could this be related to my yoga practice? I don't feel pain when lying flat, but my left leg has been numb after sitting cross-legged for a while, which has never happened before! During this critical time, I hope the busy doctor can see this message.
Thank you for your hard work.

Maggie, 30~39 year old female. Ask Date: 2021/06/19

Dr. Lu Mingzhi reply Pulmonology


Hello: You can first visit the pulmonology or cardiology department for evaluation.

Reply Date: 2021/06/19

More Info


When experiencing unexplained right chest pain, it is essential to approach the situation with caution and awareness of potential underlying issues. Chest pain can arise from various causes, some of which may require immediate medical attention. Here are some considerations to help you determine whether to seek medical help.


Understanding Your Symptoms
1. Nature of the Pain: You mentioned that the pain started suddenly and is exacerbated by deep breathing. This could indicate a musculoskeletal issue, especially if you recently engaged in yoga or stretching exercises. However, it is crucial to differentiate between musculoskeletal pain and pain that could be related to more serious conditions, such as cardiac or pulmonary issues.

2. Associated Symptoms: You noted that you have nasal congestion and a feeling of wetness in your right shoulder. While these symptoms may suggest a respiratory issue, they could also be related to tension or strain in the upper body. The presence of numbness in your left leg after sitting cross-legged could indicate nerve involvement, which may warrant further investigation.

3. Duration and Intensity: If the pain persists or worsens, or if you experience additional symptoms such as shortness of breath, dizziness, or radiating pain to the arm or jaw, it is crucial to seek medical attention immediately. These could be signs of a heart attack or other serious conditions.


When to Seek Medical Help
- Immediate Attention: If you experience severe chest pain, especially if it feels like pressure or squeezing, or if it is accompanied by sweating, nausea, or lightheadedness, call emergency services right away. These symptoms could indicate a heart attack.

- Persistent Symptoms: If the pain does not improve with rest or over-the-counter pain relief, or if it continues to interfere with your daily activities, it is advisable to consult a healthcare professional.
- New or Worsening Symptoms: If you develop new symptoms such as difficulty breathing, a rapid heartbeat, or if the pain spreads to other areas, seek medical attention promptly.


Possible Causes of Right Chest Pain
1. Musculoskeletal Issues: Given your recent yoga practice, it is possible that you may have strained a muscle or irritated a rib. This type of pain is often sharp and may worsen with certain movements or deep breaths.

2. Respiratory Conditions: Conditions such as pleuritis (inflammation of the lining of the lungs) or pneumonia can cause localized chest pain, especially if it is aggravated by breathing.

3. Cardiac Concerns: Although less common in younger individuals, it is essential to rule out cardiac issues, especially if there are risk factors such as a family history of heart disease.

4. Gastrointestinal Issues: Sometimes, gastrointestinal problems like acid reflux or esophageal spasms can present as chest pain.


Recommendations
- Monitor Your Symptoms: Keep track of when the pain occurs, its intensity, and any associated symptoms. This information will be helpful for your healthcare provider.

- Rest and Avoid Strain: If you suspect the pain is related to recent physical activity, consider resting and avoiding strenuous movements until you have a clearer understanding of the cause.

- Consult a Healthcare Provider: If the pain persists or if you have any concerns, schedule an appointment with a healthcare provider. They may recommend diagnostic tests such as an EKG, chest X-ray, or blood tests to rule out serious conditions.

In conclusion, while it is possible that your right chest pain is related to recent physical activity, it is essential to remain vigilant and seek medical attention if symptoms worsen or if you experience new concerning signs. Your health and safety should always be the priority.

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