Chest Pain During Deep Breathing: Causes and Concerns - Pulmonology

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Experiencing chest pain when taking deep breaths?


Hello, I would like to ask about my recent condition.
I had a cold and fever, but I'm feeling a bit better now; I only have a cough and some phlegm.
However, I've noticed that when I take deep breaths, I experience pain in the chest area near my heart, and my throat feels a bit constricted, although it's not a sore throat.
Additionally, I feel a slight tightness near my heart when I breathe normally.
What could be the reason for this?

Ting Ting, 10~19 year old female. Ask Date: 2015/10/07

Dr. Yang Wenda reply Pulmonology


1.
An X-ray can be taken first; if there are no abnormalities, major heart and lung diseases can be ruled out.
2.
It resembles neuropathic pain, which may not be visible on an X-ray and is usually related to insufficient rest, stress, or excessive consumption of cold foods.

Reply Date: 2015/10/07

More Info


Chest pain during deep breathing can be concerning and may arise from various underlying causes. Given your recent history of a cold and fever, it’s essential to consider both respiratory and musculoskeletal factors that could contribute to your symptoms.

Firstly, the pain you experience near the heart area during deep breathing could be related to inflammation in the lungs or pleura (the lining around the lungs). Conditions such as pneumonia or pleuritis (inflammation of the pleura) can cause sharp chest pain that worsens with deep breaths, coughing, or sneezing. Since you mentioned having a cough and phlegm, it’s possible that a lingering respiratory infection could be causing irritation in the chest area.

Another potential cause could be related to muscle strain. If you’ve been coughing frequently, the muscles in your chest and abdomen may become strained, leading to pain during deep breaths. This type of pain is typically localized and can be exacerbated by movement or certain positions.

Additionally, the sensation of tightness or discomfort in the chest area, especially if it feels like something is "stuck," could be related to anxiety or stress, particularly if you are feeling anxious about your health. Anxiety can manifest physically, leading to symptoms such as chest tightness, rapid breathing, and a feeling of not being able to take a full breath.

It’s also important to consider the possibility of gastroesophageal reflux disease (GERD), especially if you have a history of acid reflux. GERD can cause chest discomfort that may mimic heart-related pain, particularly when lying down or after eating.

Given your symptoms, it is crucial to monitor them closely. If the chest pain worsens, becomes more persistent, or is accompanied by other concerning symptoms such as shortness of breath, dizziness, or radiating pain to the arm or jaw, it is essential to seek immediate medical attention. These could be signs of a more serious condition, such as a heart issue.

In summary, while your symptoms could be related to a residual effect of your recent respiratory infection, they could also stem from muscle strain, anxiety, or GERD. It is advisable to consult with a healthcare provider who can perform a thorough evaluation, including a physical examination and possibly imaging studies or other tests, to determine the exact cause of your symptoms and recommend appropriate treatment. In the meantime, practicing relaxation techniques, staying hydrated, and avoiding irritants may help alleviate some discomfort.

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