Chest pain

Thorax – the upper section of the trunk, shaped like a truncated cone. The rib cage is formed by the thoracic spine, ribs and sternum. It protects the vital organs (heart, lungs), is connected with the skeleton of the upper extremities, is involved in the process of respiration. Chest pain is one of the most common ailments.


The causes of chest pain: chest wall injury (eg trauma), a violation of the thoracic cavity (eg, heart, lung), disease of other organs, characterized by pain, radiating into the chest. When a person has chest pain, he usually thinks it hurts the heart. Chest pain can be the first symptom of myocardial infarction, although its cause is often other disorders of body functions.

Traumatic pain

Chest pain is the result of traumatic injuries of the thorax (eg, bruises, skin integrity violations, broken ribs, and (or) the sternum). Touching the damaged area is causing the patient severe pain. Rib fracture is often accompanied by dyspnea and irritating cough. The cause of chest pain may be neck injuries and illnesses (eg, osteochondrosis cervical vertebrae), irritation of the nerve roots. In these cases, the pain is superficial, with pressure can be found the most painful place. Very severe pain in the chest (during the intercostal nerve) can cause herpes infection – (Latin – Herpes zoster), which appears bubbly rash in the affected nerve.

Pain and respiratory failure

The combination of chest pain and shortness of breath is particularly dangerous for the patient. These symptoms may indicate serious violations. If the chest squeezing ache, which radiates in the upper limbs, suggesting angina, in the worst case, the patient is possible myocardial infarction. Chest pain is due to impaired circulation to the heart muscle (myocardium), cramping, or blockage of the coronary vessels. If lying down after a few minutes the pain persists, it may happen myocardial infarction. Other symptoms of acute myocardial infarction: a rapid pulse, cold sweat, fear of death. If you have these symptoms should immediately call an ambulance. If a patient has pain occurs during inspiration, we can assume pneumonia. Usually it is accompanied by pleurisy. Acute stabbing chest pain, shortness of breath, asthma attacks may indicate pulmonary embolism. If any of these symptoms is accompanied by an irritating cough with a grayish-yellow sputum, suggesting pneumothorax. These symptoms are characteristic of bronchitis, tuberculosis and other lung diseases. Chest pain, shortness of breath, dyspnea observed in psychiatric disorders, such as increased anxiety, vegetative dystonia.

Pain on movement

Usually the movement is not accompanied by pain. However, under certain movements, especially when you lean forward, there is pain. Severe pain can occur when a hernia of the esophagus, as well as in cases where the hernial ring and through them, expanding the chest cavity of the stomach bulges. Patients with a hernia can occur not only chest pain, but also brash, heartburn.

Referred pain

Chest pain occurs not only because of the defeat of the chest cavity and other organs. For example, this symptom occurs when inflammation of the gallbladder or bile ducts. Often chest pain is observed in diseases of the stomach (eg, perforation of stomach ulcers). After eating the pain subsides. Inflammation of the pancreas, spleen and heart may also be associated with chest pain. If persistent pain in the chest, extending from the back and sides, we can assume defeat the spine (eg, defects in bones of the spine, herniated discs).

Tumors and infections

Chest pain can be caused by tumors of the chest wall and herpes zoster. In the latter case there are bubbles on the skin with a clear liquid, which after a few days break.

Breast tenderness

Before menstruation, some women experience an increase in painful nipples and breasts. This condition is called mammalgia. The disease is unpleasant, but usually does not cause pathological changes. When pain is severe should consult a gynecologist.

Also breast cancer can be cause of chest pain (although in the early stages pain is usually not). It is therefore important to investigate monthly breast for the presence of nodules and regular visits to the gynecologist.