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

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Sharp pain on the left side of the chest?


Two months ago, I experienced a sharp pain on the left side of my chest once.
Today, while sitting in a chair, it happened again when I stood up.
It felt like an invisible needle was piercing the area where the heart and lungs overlap on the left side.
However, after sitting back down and lying down for about three seconds, the pain subsided.
I am quite thin and usually produce a lot of phlegm.
I can reach the top of a mountain (under 200 meters elevation) without issue.
I am unsure if the pain is related to my lungs, heart, or being too thin.
I would like to ask the doctor for advice.
Thank you.

Yiren, 10~19 year old female. Ask Date: 2022/01/21

Dr. Zhang Youzheng reply Pulmonology


Hello: The common causes of chest pain can be categorized into three types: (1) caused by cardiac diseases, (2) caused by thoracic diseases, and (3) caused by neuropathic pain.
It is recommended that you undergo an electrocardiogram (ECG) and related cardiac examinations, as well as a chest X-ray.
If both of these tests show no issues, the likelihood of neuropathic pain is the highest, and you should visit a hospital for further evaluation to confirm.

Reply Date: 2022/01/21

More Info


Understanding left chest pain can be quite complex, as it may stem from various causes, ranging from benign to potentially serious conditions. Based on your description, it seems that you are experiencing sharp, stabbing pain on the left side of your chest, which occurs intermittently and resolves quickly when you change positions. This type of pain can be concerning, especially when it is located near the heart and lungs, as it may lead to anxiety about underlying health issues.


Possible Causes of Left Chest Pain
1. Musculoskeletal Issues: One of the most common causes of left-sided chest pain is musculoskeletal strain or injury. This can occur due to poor posture, muscle strain from physical activity, or even sleeping in an awkward position. The pain may worsen with certain movements or positions and improve with rest.

2. Costochondritis: This is an inflammation of the cartilage that connects a rib to the sternum. It can cause sharp pain in the chest, which may be exacerbated by certain movements or palpation of the affected area.

3. Gastroesophageal Reflux Disease (GERD): Acid reflux can cause a burning sensation or sharp pain in the chest, often mistaken for heart-related pain. This is typically accompanied by other symptoms such as heartburn or regurgitation.

4. Cardiac Issues: Although your symptoms may suggest a musculoskeletal origin, it is crucial to consider cardiac causes, especially if the pain is new or has changed in character. Conditions such as angina or even a heart attack can present with left-sided chest pain. Symptoms may include shortness of breath, sweating, nausea, or pain radiating to the arm, jaw, or back.

5. Pulmonary Issues: Conditions affecting the lungs, such as pneumonia, pleuritis, or a pulmonary embolism, can also cause chest pain. If you have a history of respiratory issues or if the pain is associated with difficulty breathing, this should be evaluated promptly.

6. Anxiety and Panic Attacks: Psychological factors can also manifest as physical symptoms, including chest pain. Anxiety can lead to hyperventilation and muscle tension, contributing to discomfort in the chest area.


When to Seek Medical Help
Given the potential seriousness of some causes of chest pain, it is essential to know when to seek medical attention. You should consider seeing a healthcare provider if:
- The pain persists or worsens over time.

- You experience additional symptoms such as shortness of breath, dizziness, sweating, or nausea.

- The pain radiates to other areas, such as the arm, neck, or jaw.

- You have a history of heart disease or risk factors such as high blood pressure, diabetes, or smoking.


Conclusion
While your symptoms may suggest a benign cause, such as musculoskeletal pain or GERD, it is vital to approach left-sided chest pain with caution. If you continue to experience these symptoms or if they change in nature, it is advisable to consult with a healthcare professional for a thorough evaluation. They may recommend diagnostic tests such as an electrocardiogram (ECG), chest X-ray, or blood tests to rule out any serious conditions. Remember, it is always better to err on the side of caution when it comes to chest pain.

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