Pain in Lower Left Chest: Possible Causes and What to Know - Breast and Thyroid

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Pain upon palpation in the lower left side of the chest?


Hello Doctor, currently I am experiencing pain on the lower left side of my chest, which feels similar to a bruise when pressed.
I can also feel something that resembles swollen lymph nodes, like when I have a cold.
I'm not sure if it qualifies as a lump.
The painful area hasn't changed, and I don't feel pain during normal activities; it only hurts when pressed.
It's not close to my menstrual period, and it doesn't feel like the usual premenstrual bloating or pain.
I appreciate your help in clarifying this.
Thank you.

Xiao Ming, 20~29 year old female. Ask Date: 2021/07/13

Dr. Yuan Tianmin reply Breast and Thyroid


Just go for an ultrasound examination.
I think it could be a condition of some normal tissue.

Reply Date: 2021/07/13

More Info


Pain in the lower left chest can be concerning, and it's essential to understand the potential causes and implications of such symptoms. Based on your description, it seems you are experiencing localized pain that feels similar to a bruise when pressed, along with the presence of a lump that resembles a swollen lymph node. This situation can arise from various factors, and I will outline some possible causes and considerations.

1. Musculoskeletal Issues: One of the most common causes of localized chest pain is musculoskeletal strain or injury. This can occur due to overexertion, poor posture, or even sleeping in an awkward position. The pain may feel bruised or tender to the touch, and you might notice discomfort when pressing on the area. If you have recently engaged in physical activity that could have strained your muscles, this could be the reason for your pain.

2. Costochondritis: This condition involves inflammation of the cartilage that connects a rib to the sternum. It can cause sharp pain in the chest, especially when pressing on the affected area. Costochondritis is often exacerbated by movement or certain positions and can mimic the sensation of a bruise.

3. Lymphadenopathy: The lump you describe could be a swollen lymph node, which may indicate an underlying infection or inflammation. Lymph nodes can swell in response to infections, such as viral or bacterial illnesses, and can be tender to the touch. If the swelling persists or is accompanied by other symptoms like fever, fatigue, or unexplained weight loss, it would be prudent to seek medical evaluation.

4. Gastrointestinal Issues: Sometimes, pain in the chest area can be referred from gastrointestinal problems, such as acid reflux or gastritis. These conditions can cause discomfort that may be felt in the chest, particularly if there is pressure or irritation in the upper abdomen.

5. Cardiac Concerns: While your symptoms may not immediately suggest a heart-related issue, it is crucial to rule out any cardiac causes, especially if the pain is new or has changed in character. Conditions like angina or pericarditis can present with chest pain, although they are typically accompanied by other symptoms such as shortness of breath, sweating, or radiating pain.

Given that your pain is localized and only occurs upon pressure, it seems less likely to be a serious cardiac issue. However, it is essential to monitor your symptoms closely. If the pain worsens, becomes more persistent, or is accompanied by other concerning symptoms (such as difficulty breathing, dizziness, or radiating pain), you should seek medical attention promptly.

In conclusion, while your symptoms may suggest a musculoskeletal issue or lymphadenopathy, it is essential to consider all potential causes. If the pain persists or if you have any doubts about your symptoms, consulting a healthcare professional for a thorough evaluation is always the best course of action. They may recommend imaging studies or further tests to determine the exact cause of your discomfort and provide appropriate treatment.

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