Chest Pain: Causes and Concerns for Women - Obstetrics and Gynecology

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Chest pain?


Hello, I would like to ask about a sharp pain that sometimes occurs in the area from the middle of my chest to the right side, specifically where my right index finger to pinky finger touches the right side of my chest.
What could be the cause of this?

Aki, 10~19 year old female. Ask Date: 2015/12/30

Dr. Lin Wenbin reply Obstetrics and Gynecology


It was only discovered during the examination.

Reply Date: 2015/12/30

More Info


Understanding chest pain, especially in women, is crucial as it can be indicative of various underlying health issues. Your description of experiencing sharp, stabbing pain in the right side of your chest, particularly when you press on specific areas, raises several possibilities that should be explored further.

Firstly, it’s important to note that chest pain can arise from a variety of sources, including musculoskeletal issues, gastrointestinal problems, and cardiac concerns. Given your symptoms, let’s break down some potential causes:
1. Musculoskeletal Pain: This is one of the most common causes of chest pain. It can result from muscle strain, inflammation of the cartilage connecting the ribs to the breastbone (costochondritis), or even a pinched nerve in the spine. If the pain worsens with movement or certain positions, it’s more likely to be musculoskeletal in nature.

2. Gastrointestinal Issues: Conditions such as gastroesophageal reflux disease (GERD) or esophageal spasms can cause chest pain that may mimic heart-related pain. Symptoms often include a burning sensation, discomfort after eating, or pain that worsens when lying down.

3. Cardiac Concerns: While less common in younger individuals, it’s essential to rule out any cardiac issues, particularly if the pain is accompanied by other symptoms such as shortness of breath, sweating, nausea, or radiating pain to the arm, neck, or jaw. Women may experience atypical symptoms during a heart attack, so it’s crucial to take any chest pain seriously.

4. Anxiety and Stress: Psychological factors can also manifest as physical symptoms, including chest pain. Anxiety can lead to hyperventilation, which may cause a feeling of tightness or pain in the chest.

5. Other Considerations: Conditions such as pneumonia, pleuritis (inflammation of the lining of the lungs), or even shingles (if there is a rash present) can also cause localized chest pain.

Given the complexity of chest pain and the potential seriousness of some underlying conditions, it is advisable to seek medical evaluation. A healthcare provider may recommend diagnostic tests such as an electrocardiogram (ECG), chest X-ray, or blood tests to rule out cardiac issues and identify the cause of your pain.

In the meantime, consider keeping a diary of your symptoms, noting when the pain occurs, its intensity, duration, and any accompanying symptoms. This information can be invaluable for your healthcare provider in diagnosing the issue.

In summary, while your symptoms may be benign, it is essential to approach chest pain with caution. Early evaluation and diagnosis can lead to appropriate treatment and peace of mind. If you experience severe pain, especially if it is sudden or accompanied by other concerning symptoms, do not hesitate to seek emergency medical attention. Your health is paramount, and understanding the cause of your symptoms is the first step toward effective management.

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