Right Chest Pain: Causes, Symptoms, and Specialist Recommendations - Pulmonology

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Pain near the upper right chest, which occurs in certain positions?


Hello, doctor.
Recently, I've been experiencing a slight stabbing pain in the upper right side of my chest, near the center, which occurs when I stand up, bend over, or raise my arms.
Just before this, I had a back strain, and I also have gastroesophageal reflux, with occasional throat discomfort.
I've been feeling a lot of stress lately and I'm not sure if there's any connection.
What specialty do you recommend I see?

uu, 30~39 year old female. Ask Date: 2022/07/12

Dr. Yang Wenda reply Pulmonology


Hello: The back strain, gastroesophageal reflux, and recent high stress you described may be related to the chest pain.
It is recommended to address these underlying issues and take antacids, which should lead to improvement.

Reply Date: 2022/07/12

More Info


Understanding right chest pain can be quite complex, as it can stem from various causes, ranging from musculoskeletal issues to gastrointestinal problems or even cardiac concerns. Based on your description, it seems that your symptoms may be related to a combination of factors, including a recent back injury, gastroesophageal reflux disease (GERD), and increased stress levels.


Possible Causes of Right Chest Pain
1. Musculoskeletal Issues: Given that you mentioned a recent back injury, it is possible that the pain you are experiencing in your right chest is related to muscle strain or injury. Movements such as bending, lifting, or even certain postures can exacerbate this type of pain. Musculoskeletal pain is often sharp and can be reproduced by specific movements or palpation of the affected area.

2. Gastroesophageal Reflux Disease (GERD): GERD can cause discomfort in the chest area, often mistaken for heart-related pain. Symptoms of GERD include heartburn, regurgitation, and discomfort that can radiate to the chest. The fact that you have experienced throat discomfort could also indicate that acid reflux is contributing to your symptoms.

3. Anxiety and Stress: High levels of stress can lead to muscle tension, which may manifest as pain in various areas, including the chest. Anxiety can also cause symptoms that mimic chest pain, such as tightness or discomfort, often accompanied by other symptoms like shortness of breath or palpitations.

4. Cardiac Concerns: While less likely given your description, it is essential to consider 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.

Recommendations for Evaluation
Given the multifactorial nature of your symptoms, it is advisable to consult with a healthcare professional who can perform a thorough evaluation. Here are some recommendations on which specialists to consider:
1. Primary Care Physician: Start with your primary care doctor, who can assess your symptoms, perform a physical examination, and determine if further testing is necessary. They can also provide referrals to specialists if needed.

2. Gastroenterologist: If GERD is suspected to be a significant contributor to your symptoms, a gastroenterologist can evaluate your digestive health and recommend appropriate treatments, such as dietary changes or medications to manage acid reflux.

3. Orthopedic or Physical Medicine Specialist: If musculoskeletal pain is a concern, seeing an orthopedic specialist or a physical medicine and rehabilitation doctor can help address any underlying injuries or strains. They may recommend physical therapy to strengthen the affected muscles and improve posture.

4. Psychiatrist or Psychologist: If stress and anxiety are significant factors in your symptoms, consulting with a mental health professional can be beneficial. They can provide strategies for managing stress and anxiety, which may alleviate some of your physical symptoms.


Conclusion
In summary, your right chest pain could be attributed to a combination of musculoskeletal strain, GERD, and stress. It is crucial to seek medical advice to rule out any serious conditions and to receive appropriate treatment for your symptoms. Early intervention can help prevent the progression of any underlying issues and improve your overall well-being. Remember to communicate all your symptoms clearly to your healthcare provider, as this will aid in making an accurate diagnosis and developing an effective treatment plan.

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