Left Rib and Chest Pain: Causes and When to Seek Help

Q: Left Rib and Chest Pain: Causes and When to Seek Help

Hello： For chest pain, you can consult a pulmonologist to check for any issues with a chest X-ray. <br>For headaches and nausea, you may want to see a neurologist to determine if they are related to prolonged computer use.

Left-sided rib and chest pain?

Hello Doctor, in the past two weeks, I have been experiencing pain on the outer side of my left rib cage, along the lower edge of my left chest, and beneath my left clavicle, which sometimes has a specific point of pain and other times is more generalized.
Most of the time, it feels similar to muscle soreness that persists after overexertion.
There is also a noticeable point of pain at the center of my chest bone, which I don't feel normally but hurts when pressed.
I usually do interval training about twice a week, but the intensity of my workouts has not been particularly high in the past two weeks.
I primarily sleep on my left side.
Additionally, I spend long hours working on the computer, and recently I have been feeling more fatigued.
Occasionally, I experience a throbbing pain at the top of my head on the right side, along with some nausea, loss of appetite, and shoulder and neck stiffness.
I would like to know what might be causing these symptoms and whether I need to seek further examination at a hospital (and which department I should visit).
Thank you.

Ban gong shi shang ban zu, 30~39 year old female. Ask Date: 2023/06/06

Dr. Wu Yingxun reply Pulmonology

Hello: For chest pain, you can consult a pulmonologist to check for any issues with a chest X-ray.
For headaches and nausea, you may want to see a neurologist to determine if they are related to prolonged computer use.

Reply Date: 2023/06/06

More Info

Hello! Thank you for reaching out with your concerns regarding the left rib and chest pain you’ve been experiencing. Based on your description, there are several potential causes for your symptoms, and I’ll do my best to provide you with a comprehensive understanding of what might be happening and when you should seek further medical attention.

Possible Causes of Your Symptoms
1. Musculoskeletal Issues: Given that you have been engaging in intermittent training and have a history of side sleeping, it is possible that your pain is related to muscle strain or overuse. Activities that involve repetitive motions or heavy lifting can lead to muscle soreness, especially if your body is not accustomed to the intensity. Additionally, poor posture while working at a computer can contribute to muscle tension in the chest, shoulders, and neck.

2. Costochondritis: This is an inflammation of the cartilage that connects a rib to the sternum. It can cause localized pain in the chest area, which may worsen with certain movements or pressure. The pain can mimic that of a heart condition, but it is generally benign.

3. Nerve Compression or Irritation: If you have been sleeping on your left side frequently, it could lead to nerve compression, particularly in the thoracic region. This can result in pain that radiates to the chest and rib area.

4. Referred Pain: Sometimes, pain in the chest can be referred from other areas, such as the neck or upper back. Conditions affecting the cervical spine can lead to discomfort that feels like it’s originating from the chest.

5. Gastrointestinal Issues: Although less likely given your description, gastrointestinal problems such as acid reflux or gastritis can sometimes present as chest pain. If the pain is accompanied by nausea or changes in appetite, this could be a consideration.

6. Cardiac Concerns: While your symptoms may suggest musculoskeletal issues, it is crucial to rule out any cardiac problems, especially if you experience additional symptoms such as shortness of breath, radiating pain to the arm or jaw, or significant fatigue.

When to Seek Help
Given the variety of potential causes, it is advisable to seek medical attention if:
- The pain persists or worsens over time.

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

- The pain is accompanied by swelling, redness, or warmth in the affected area.

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

Which Specialist to See
For your symptoms, starting with a visit to a primary care physician would be a good choice. They can perform a thorough evaluation, including a physical examination and possibly some initial tests. Depending on their findings, they may refer you to a specialist such as:
- Orthopedic Specialist: If musculoskeletal issues are suspected.

- Rheumatologist: If there is a concern about inflammatory conditions.

- Cardiologist: If there are any indications of heart-related issues.

- Gastroenterologist: If gastrointestinal problems are suspected.

Next Steps
1. Document Your Symptoms: Keep a record of when the pain occurs, its intensity, and any associated symptoms. This information will be helpful for your doctor.

2. Posture and Ergonomics: Evaluate your work setup and sleeping position. Adjusting your posture while sitting and ensuring your workstation is ergonomically friendly can help alleviate some discomfort.

3. Gentle Stretching and Strengthening: Engage in gentle stretching exercises for your chest and back muscles. Strengthening exercises can also help support your posture and reduce strain.

4. Rest and Recovery: Allow your body time to recover, especially if you suspect overuse. Consider taking a break from high-intensity workouts until you feel better.

In conclusion, while your symptoms may be related to musculoskeletal issues or strain, it is essential to monitor them closely and seek medical advice if they persist or worsen. Early intervention can help prevent more serious complications and lead to effective treatment. Take care, and I wish you a speedy recovery!

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