Sudden Chest Pain While Breathing: What Could It Mean? - Cardiology

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Sudden sharp pain while breathing?


Hello doctor, I am a senior in high school.
Recently, I've been studying intensely, but today I suddenly felt pain near my heart when taking a deep breath, along with a sensation of needing to burp but being unable to.
After slowing down my breathing, I felt much better, but taking a deep breath still causes pain.
I'm not sure what is going on.
Thank you.

Am, 10~19 year old female. Ask Date: 2016/01/17

Dr. He Dongjin reply Cardiology


Hello, it is possible that a combination of stress and weather changes has led to your mitral valve prolapse, which has raised concern at Changhua Hospital.

Reply Date: 2016/01/17

More Info


Sudden chest pain while breathing can be concerning, especially for someone your age who is under stress, such as during exam preparation. Based on your description, there are several potential causes for the pain you are experiencing, and it is essential to consider both physical and psychological factors.

Firstly, the pain you feel near your heart when taking a deep breath could be related to musculoskeletal issues. This is quite common, especially in individuals who spend long hours studying or sitting in one position. Poor posture can lead to tension in the muscles around the chest and ribcage, causing pain that may feel sharp or stabbing when you breathe deeply. This type of pain is usually not serious and can often be alleviated with stretching, improving posture, and taking breaks to move around.

Another possibility is that your symptoms could be related to anxiety or stress. During periods of intense study or pressure, it is not uncommon for individuals to experience anxiety, which can manifest as physical symptoms, including chest pain and difficulty breathing. This is sometimes referred to as "anxiety-induced chest pain" and can be accompanied by feelings of tightness in the chest, rapid heartbeat, or a sensation of not being able to take a full breath. If you find that your symptoms improve when you relax or take deep, calming breaths, this could indicate that anxiety is a contributing factor.

Additionally, you mentioned feeling a sensation of wanting to burp but being unable to do so. This could suggest that there is some gastrointestinal involvement, such as acid reflux or gas buildup, which can also cause discomfort in the chest area. When the stomach is distended or when acid irritates the esophagus, it can lead to sensations that mimic heart-related pain.

While these explanations are common, it is crucial to rule out any serious conditions, especially if the pain persists, worsens, or is accompanied by other symptoms such as shortness of breath, dizziness, or radiating pain to the arm or jaw. Given your age and the nature of your symptoms, the likelihood of a severe cardiac issue is low, but it is always best to err on the side of caution. If you continue to experience these symptoms, I recommend consulting a healthcare professional who can perform a thorough evaluation, including a physical examination and possibly an electrocardiogram (ECG) to assess your heart's health.

In the meantime, consider implementing some stress-reduction techniques into your study routine. Regular physical activity, such as walking or stretching, can help alleviate tension and improve your overall well-being. Additionally, practicing relaxation techniques, such as deep breathing exercises or mindfulness meditation, can help manage anxiety and reduce the physical symptoms associated with stress.

In summary, while sudden chest pain while breathing can be alarming, it is often related to musculoskeletal issues, anxiety, or gastrointestinal factors, especially in a high-stress environment like studying for exams. However, if your symptoms persist or worsen, seeking medical advice is essential to ensure that there are no underlying health concerns.

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