Chest Pain Near the Heart: Causes and Concerns - Internal Medicine

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I have pain near my heart on the left side of my chest?


Recently, I have gained about 15 kilograms in weight over the past year.
Additionally, I previously experienced a trauma to my left chest due to a car accident, which has resulted in pain in that area.
This pain has been present for about 1 to 2 months.
I didn't think much of it at first, but I consistently feel pain when I bend forward while sitting in a chair.
As a current student (senior year), I spend long hours in front of a computer, and I'm concerned about whether this might have an impact.
I've heard that this could potentially be an internal injury.
What is the opinion of a medical professional on this matter? Please provide some advice.

young, 20~29 year old female. Ask Date: 2000/11/15

Dr. Li Huixiong reply Internal Medicine


I am not sure when your car accident occurred.
Was it serious enough to require hospitalization? The purpose of these two questions is to determine the relationship between the symptoms you described and the left chest contusion.
After the accident, did you have a chest X-ray, an electrocardiogram (ECG), or an ultrasound? Since the heart is located in the left chest, if you are genuinely concerned about your health, it would be advisable to go to the hospital for some examinations.

Reply Date: 2000/11/15

More Info


Understanding chest pain, especially when it occurs near the heart, can be a complex issue that involves various factors, including physical injuries, lifestyle habits, and emotional stress. Based on your description, there are several potential causes for your symptoms that merit consideration.

Firstly, the increase in weight you mentioned—approximately 15 kilograms over the past year—can contribute to various health issues, including cardiovascular strain. Excess weight can lead to increased blood pressure and higher cholesterol levels, which are risk factors for heart disease. Additionally, being overweight can exacerbate any existing conditions, including those related to previous injuries.

The left chest pain you are experiencing, particularly after a car accident, raises the possibility of a musculoskeletal injury. Trauma to the chest can lead to conditions such as costochondritis, which is inflammation of the cartilage connecting the ribs to the sternum. This type of pain can be aggravated by certain movements, such as bending forward or sitting in a specific position for extended periods, which aligns with your experience of pain when sitting and leaning down.

Moreover, your lifestyle as a student, characterized by long hours in front of a computer, can contribute to poor posture and muscle tension, particularly in the neck and upper back. This tension can radiate pain to the chest area, mimicking heart-related issues. It is essential to evaluate your posture and consider incorporating regular breaks and stretches into your routine to alleviate muscle strain.

Another factor to consider is emotional stress. As a college student, the pressures of academic performance and future career prospects can lead to anxiety and stress, which are known to manifest physically as chest pain or discomfort. Stress can lead to muscle tension and exacerbate any existing pain, making it feel more pronounced.

Given that you have experienced this pain for 1-2 months, it is advisable to consult a healthcare professional for a thorough evaluation. While your symptoms may be related to musculoskeletal issues or stress, it is crucial to rule out any serious cardiovascular conditions, especially if you have risk factors such as weight gain and a history of trauma. A healthcare provider may recommend diagnostic tests such as an electrocardiogram (ECG), chest X-ray, or even an echocardiogram to assess your heart's health and ensure there are no underlying issues.

In summary, your chest pain could stem from a combination of factors, including previous trauma, weight gain, poor posture, and stress. It is essential to address these issues holistically—considering both physical and emotional health. Regular exercise, maintaining a healthy weight, practicing good posture, and managing stress through relaxation techniques or counseling can all contribute to alleviating your symptoms. However, the most critical step is to seek medical advice to ensure a proper diagnosis and appropriate treatment plan.

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