What are the common causes of pain on the right side of the breastbone. How can you identify serious symptoms that require immediate medical attention. What are the treatment options for different types of chest pain.

Understanding Right-Sided Chest Pain: Common Causes and Symptoms

Chest pain, particularly on the right side of the breastbone, can be a concerning symptom with various underlying causes. While some cases may be harmless, others could indicate serious health issues requiring immediate medical attention. This comprehensive guide explores 18 potential causes of right-sided chest pain, their symptoms, and when to seek professional help.

Anxiety and Stress-Related Chest Pain

Anxiety and stress can manifest physically, often causing chest discomfort that mimics more serious conditions. How does anxiety-induced chest pain differ from heart-related issues? Anxiety attacks typically cause:

• Sharp or stabbing chest pain
• Rapid heartbeat or palpitations
• Shortness of breath
• Sweating and trembling

These symptoms usually peak within 5-10 minutes and gradually subside. However, it’s crucial to rule out cardiac issues, especially if you’re experiencing chest pain for the first time.

Musculoskeletal Causes of Right-Sided Chest Pain

The chest wall comprises various muscles, tendons, and ligaments that can be injured or strained. What are the most common musculoskeletal causes of right-sided chest pain?

1. Muscle Strain

Overexertion during exercise, heavy lifting, or sudden movements can lead to chest muscle strain. This type of pain is often described as sharp and worsens with movement or touch. Research indicates that up to 28% of emergency room visits for chest pain are attributed to musculoskeletal issues.

2. Costochondritis

Costochondritis is an inflammation of the cartilage connecting the ribs to the breastbone. It causes localized pain that may worsen with deep breathing or physical activity. What triggers costochondritis? Common causes include:

• Repeated coughing or sneezing
• Chest trauma
• Overuse injuries from sports or manual labor
• Respiratory infections

While costochondritis usually resolves on its own, rest, pain relievers, and hot or cold compresses can help manage symptoms.

Traumatic Injuries and Chest Pain

Trauma to the chest area can result in various injuries, ranging from minor bruising to life-threatening internal damage. What types of traumatic injuries can cause right-sided chest pain?

1. Rib Fractures

A broken rib can cause severe, localized pain that worsens with breathing or movement. While a single rib fracture is usually not life-threatening, multiple fractures can lead to serious complications. Rib fractures commonly result from:

• Falls or direct blows to the chest
• Motor vehicle accidents
• Severe coughing (in rare cases)

2. Chest Wall Contusions

Blunt trauma to the chest can cause bruising and swelling of the soft tissues, resulting in pain and tenderness. In some cases, chest contusions may also affect underlying organs, necessitating medical evaluation.

Respiratory Conditions Causing Right-Sided Chest Pain

Several respiratory issues can manifest as chest pain on the right side. What are the most common respiratory causes of chest discomfort?

1. Pneumothorax

Pneumothorax, or a collapsed lung, occurs when air leaks into the space between the lung and chest wall. This condition can cause sudden, sharp chest pain and difficulty breathing. What are the risk factors for pneumothorax?

• Smoking
• Underlying lung diseases (e.g., COPD, asthma)
• Chest injuries
• Certain medical procedures (e.g., lung biopsies)

Pneumothorax requires immediate medical attention to prevent potentially life-threatening complications.

2. Pleurisy

Pleurisy is an inflammation of the membranes surrounding the lungs, causing sharp chest pain that worsens with breathing. What causes pleurisy? Common triggers include:

• Viral or bacterial infections
• Autoimmune disorders (e.g., lupus, rheumatoid arthritis)
• Pulmonary embolism
• Pneumothorax

Treatment for pleurisy depends on the underlying cause and may include anti-inflammatory medications, antibiotics, or other targeted therapies.

3. Pneumonia

Pneumonia, an infection of the lungs, can cause chest pain, fever, cough, and difficulty breathing. Right-sided chest pain may indicate pneumonia affecting the right lung. How is pneumonia diagnosed and treated? Diagnosis typically involves:

• Physical examination
• Chest X-rays
• Blood tests
• Sputum cultures

Treatment usually consists of antibiotics for bacterial pneumonia, along with rest and supportive care to manage symptoms.

Cardiovascular Causes of Right-Sided Chest Pain

While left-sided chest pain is more commonly associated with heart problems, right-sided discomfort can also indicate cardiovascular issues. What heart-related conditions can cause right-sided chest pain?

1. Pericarditis

Pericarditis is an inflammation of the protective sac surrounding the heart. It can cause sharp, stabbing chest pain that may worsen when lying down or taking deep breaths. What triggers pericarditis?

• Viral infections
• Autoimmune disorders
• Heart attacks
• Certain medications

Treatment typically involves anti-inflammatory drugs and, in some cases, colchicine to prevent recurrence.

2. Pulmonary Embolism

A pulmonary embolism occurs when a blood clot blocks an artery in the lung, potentially causing chest pain, shortness of breath, and rapid heartbeat. While the pain is often felt on the affected side, it can sometimes be experienced on the opposite side or throughout the chest. What are the risk factors for pulmonary embolism?

• Prolonged immobility (e.g., long flights, bed rest)
• Recent surgery
• Pregnancy and postpartum period
• Certain medical conditions (e.g., cancer, heart disease)

Pulmonary embolism is a medical emergency requiring immediate treatment with blood thinners and, in severe cases, clot-busting medications or surgical intervention.

Gastrointestinal Causes of Right-Sided Chest Pain

Sometimes, gastrointestinal issues can manifest as chest pain, particularly on the right side. What digestive conditions can cause right-sided chest discomfort?

1. Gastroesophageal Reflux Disease (GERD)

GERD occurs when stomach acid frequently flows back into the esophagus, causing heartburn and chest pain. While the discomfort is typically felt in the center or left side of the chest, some individuals may experience right-sided pain. How can GERD be managed?

• Dietary modifications (avoiding trigger foods)
• Weight loss (if overweight)
• Elevating the head of the bed
• Medications (e.g., proton pump inhibitors, H2 blockers)

2. Gallbladder Problems

Gallbladder issues, such as gallstones or cholecystitis (inflammation of the gallbladder), can cause pain in the upper right abdomen that may radiate to the chest. What are the symptoms of gallbladder problems?

• Sharp, cramping pain in the upper right abdomen
• Pain that worsens after eating fatty foods
• Nausea and vomiting
• Fever (in cases of infection)

Treatment may involve dietary changes, medications, or surgical removal of the gallbladder in severe cases.

When to Seek Medical Help for Right-Sided Chest Pain

While many causes of right-sided chest pain are benign, certain symptoms warrant immediate medical attention. When should you seek emergency care for chest pain?

• Sudden, severe chest pain
• Chest pain accompanied by shortness of breath, dizziness, or fainting
• Pain that spreads to the jaw, left arm, or back
• Chest pain associated with fever, cough, or other signs of infection
• Any chest pain in individuals with a history of heart disease or risk factors for cardiovascular problems

It’s always better to err on the side of caution when experiencing chest pain, as prompt medical evaluation can be life-saving in cases of serious underlying conditions.

Diagnostic Approaches for Right-Sided Chest Pain

Determining the cause of right-sided chest pain often requires a comprehensive medical evaluation. What diagnostic tools and procedures are commonly used to investigate chest pain?

1. Physical Examination

A thorough physical exam can provide valuable clues about the source of chest pain. The healthcare provider will:

• Listen to heart and lung sounds
• Check for tenderness or swelling in the chest area
• Assess vital signs (heart rate, blood pressure, temperature)
• Evaluate overall appearance and respiratory effort

2. Imaging Studies

Various imaging techniques may be employed to visualize the chest structures and identify potential abnormalities. Common imaging studies include:

• Chest X-rays: To detect lung problems, rib fractures, or heart enlargement
• CT scans: For detailed images of the chest, useful in diagnosing pulmonary embolism or aortic dissection
• Echocardiogram: To evaluate heart structure and function
• MRI: For detailed imaging of soft tissues and blood vessels

3. Laboratory Tests

Blood tests and other laboratory analyses can help identify underlying conditions or rule out serious causes of chest pain. Key tests may include:

• Cardiac enzymes (e.g., troponin) to check for heart muscle damage
• Complete blood count to assess for infection or inflammation
• D-dimer test to evaluate for blood clots
• Arterial blood gas analysis to check oxygen levels and acid-base balance

4. Electrocardiogram (ECG)

An ECG records the heart’s electrical activity and can help detect heart rhythm abnormalities, heart attacks, or other cardiac issues that may cause chest pain.

5. Stress Tests

In some cases, stress tests may be performed to evaluate heart function during physical exertion. These tests can help identify coronary artery disease or other cardiac problems that may not be apparent at rest.

Treatment Options for Right-Sided Chest Pain

The treatment for right-sided chest pain depends on the underlying cause. What are some common treatment approaches for various causes of chest discomfort?

1. Medications

Depending on the diagnosis, medications may be prescribed to manage pain, reduce inflammation, or treat specific conditions. Examples include:

• Pain relievers (e.g., NSAIDs, acetaminophen)
• Anti-anxiety medications for panic disorders
• Antibiotics for bacterial infections
• Antacids or proton pump inhibitors for GERD
• Blood thinners for pulmonary embolism

2. Lifestyle Modifications

In many cases, lifestyle changes can help alleviate chest pain and prevent recurrence. These may include:

• Stress management techniques (e.g., meditation, deep breathing exercises)
• Dietary changes to avoid trigger foods
• Regular exercise (as approved by a healthcare provider)
• Smoking cessation
• Weight management

3. Physical Therapy

For musculoskeletal causes of chest pain, physical therapy can help improve strength, flexibility, and posture. Techniques may include:

• Stretching exercises
• Strength training
• Posture correction
• Manual therapy

4. Surgical Interventions

In some cases, surgery may be necessary to address the underlying cause of chest pain. Examples include:

• Coronary artery bypass grafting for severe coronary artery disease
• Cholecystectomy (gallbladder removal) for recurrent gallbladder problems
• Lung surgery for certain respiratory conditions

5. Alternative Therapies

Some individuals may find relief from chest pain through alternative or complementary therapies, such as:

• Acupuncture
• Massage therapy
• Herbal supplements (under medical supervision)
• Mind-body techniques (e.g., yoga, tai chi)

It’s important to consult with a healthcare provider before trying any alternative treatments to ensure they are safe and appropriate for your specific condition.

Preventing Right-Sided Chest Pain: Lifestyle Strategies

While not all causes of chest pain are preventable, adopting a healthy lifestyle can reduce the risk of many conditions associated with right-sided chest discomfort. What strategies can help prevent chest pain?

• Maintaining a balanced diet rich in fruits, vegetables, whole grains, and lean proteins
• Engaging in regular physical activity (at least 150 minutes of moderate-intensity exercise per week)
• Managing stress through relaxation techniques, hobbies, or professional counseling
• Avoiding tobacco use and limiting alcohol consumption
• Getting regular check-ups and screenings to detect potential health issues early
• Practicing good posture and ergonomics to prevent musculoskeletal strain
• Staying hydrated and maintaining a healthy sleep schedule

By incorporating these habits into daily life, individuals can promote overall health and potentially reduce the likelihood of experiencing right-sided chest pain.

18 causes and when to get help

Right sided chest pain can occur due to many different conditions and injuries. Below, we discuss 18 potential causes.

1. Anxiety or stress

Severe anxiety or stress can trigger an anxiety attack or a panic attack. A person who has previously had a panic attack may develop panic disorder, in which they fear another panic attack.

People who experience panic and anxiety may also have symptoms that resemble those of a heart attack, such as:

• chest pain
• difficulty breathing
• a rapid heart rate or palpitations
• sweating

Some individuals also experience anxiety, stress, and panic because of a health condition, such as heart disease.

A panic attack usually lasts 5–10 minutes.

Anyone who suspects they may have symptoms of a heart attack should seek immediate medical advice.

What is the difference between a panic attack and an anxiety attack?

2. Muscle strain

Many different muscles make up the chest wall. A person can strain or sprain these muscles, for example, during exercise. As a result, the chest will feel painful and tender to the touch.

This type of chest pain usually goes away with rest and over-the-counter (OTC) pain relief medication, such as nonsteroidal anti-inflammatory drugs.

Research shows that 28% of visits to the emergency room for chest pain are due to musculoskeletal issues, such as muscle strain.

What causes a pulled muscle in the chest, and what to do about it?

3. Trauma

A traumatic injury, such as a fall, a blow to the chest, or a motor vehicle accident, can damage the structures that make up the chest, as well as the heart, lungs, and other internal organs.

There may be bruising or swelling, and a person may have difficulty breathing.

It is best to seek emergency help following a chest injury. Damage to the internal organs may not be visible but can be life threatening.

4. Costochondritis and other inflammatory conditions

Costochondritis refers to inflammation of the cartilage that connects the ribs to the breastbone. It can lead to severe pain that may be worse when a person is:

• lying down
• breathing deeply
• putting pressure on the chest
• doing physical activity

Causes include:

• intense coughing
• a traumatic injury to the chest
• physical strain from repeated exercise or lifting heavy items
• respiratory tract infections
• an infection in a chest wound
• wear and tear

Costochondritis usually goes away on its own, but people may need extra rest, pain relievers, and hot or cold compresses to aid recovery.

Other inflammatory conditions that can lead to chest pain include:

• rheumatoid arthritis (RA)
• spondyloarthritis
• systemic lupus erythematosus, or lupus

5. Rib fracture

A rib fracture is a break in the bones that protect the internal organs in the chest.

It can be very painful and lead to serious complications. One broken rib will not usually lead to complications, but multiple fractures can be life threatening.

Rib fractures usually result from a fall or blow to the chest, but severe coughing can also cause a fracture. A break on the right side can cause pain, swelling, and tenderness in that area.

What is flail chest?

6. Pneumothorax

Pneumothorax occurs when air escapes from the lung and gets into the space between the lung and the chest wall. It can lead to a collapsed lung.

This makes it difficult for the lung to expand when breathing and can cause sudden and significant pain or discomfort.

There are many possible causes, including:

• smoking
• conditions such as chronic obstructive pulmonary disease, asthma, and cystic fibrosis
• a biopsy in the lung area
• a blunt or penetrating trauma

Someone with this condition might also experience shortness of breath, a rapid heartbeat, and dizziness. Anyone with these symptoms needs urgent medical attention.

What is a punctured lung?

7. Pleurisy

Pleurisy is inflammation of the membranes that surround the lungs. This inflammation causes friction between these two layers of tissue.

Usually, there is a thin, fluid-filled space between the linings of the lungs and the chest cavity. When breathing in and out, the lungs glide smoothly over this tissue.

In pleurisy, the friction can lead to sharp and severe pain when breathing.

The condition can occur for various reasons, including:

• a traumatic injury
• pneumothorax
• pulmonary embolism
• conditions such as lupus, cancer, or pneumonia

The need for treatment and the prognosis will depend on the cause. A person should seek immediate medical help if they have difficulty breathing or dizziness due to low oxygen levels.

8. Pleural effusions

In pleural effusion, fluid builds up between the layers of tissue outside the lungs. It can cause chest pain and shortness of breath.

Causes include:

• conditions such as pneumonia and tuberculosis
• chronic conditions, such as RA and lupus
• hemothorax
• exposure to asbestos

Breathing may get more difficult over time, so it is essential to seek help from a doctor.

9. Pneumonia

Pneumonia is an infection of the lungs by bacterial, viral, or fungal organisms.

Symptoms include:

• a fever and chills
• a cough
• changes in mental status
• rapid heart rate

Chest pain can occur when a person is breathing and coughing. Individuals with suspected pneumonia should seek prompt medical help. Some people will need to spend time in the hospital, as the condition can result in life threatening complications.

10. Pulmonary hypertension

Pulmonary hypertension is a condition that causes high blood pressure in the blood vessels that connect the heart and lungs. Over time, this makes the heart work harder to pump blood throughout the body.

Symptoms include:

• chest pain
• shortness of breath
• a cough and a hoarse voice
• fatigue
• weakness
• lightheadedness
• nausea and vomiting

What is pulmonary arterial hypertension?

11. Pulmonary embolism

A pulmonary embolism is a blood clot that has become lodged in the lungs. It can be life threatening if a person does not receive treatment quickly.

If it occurs in the right lung, it can cause right sided chest pain.

Additional symptoms include:

• shortness of breath
• rapid breathing
• increased heart rate
• coughing, with or without blood

The pain and other symptoms of a pulmonary embolism usually come on suddenly and require emergency medical attention.

12. Lung cancer

Chest pain can occur with lung cancer and cancer that has spread to the lungs from another part of the body.

Around 20–40% of individuals with lung cancer experience chest pain.

Other symptoms include:

• a cough
• shortness of breath
• spitting up blood
• dyspnea, or difficulty breathing
• fatigue
• weakness
• unexpected weight loss

What is the link between lung cancer and cough?

13. Chest tumors

Growths within the chest or chest wall, whether they are cancerous or not, can also cause chest pain.

Depending on the type of tumor, other symptoms include:

• a lump
• swelling
• the chest appearing or feeling asymmetrical

As the tumor grows, it will put pressure on nearby nerves or blood vessels, causing pain or discomfort.

14. Heart disease

While most people associate left sided chest pain with a heart attack or other heart ailments, right sided pain is also possible, especially if heart disease affects the right side of the heart.

Pain due to a heart condition can affect the right shoulder or jaw as well.

15. Shingles

If a person has had chickenpox in the past, they may develop shingles later. This is because the same virus causes both conditions, and it can reactivate.

Shingles involves inflammation in a section of nerves and the surrounding area. This can lead to sensations of:

• numbness
• tingling
• burning

If shingles affects nerves in the chest, it can cause chest pain. Shingles tends to affect only one side of the body.

Early symptoms include a fever with pain and sensitivity in one area. It will later develop into a painful, itchy rash.

Is shingles contagious? Find out here.

16. Heartburn, or acid reflux

Heartburn, also known as acid reflux, is when stomach acid passes back from the stomach up into the food pipe, or esophagus.

The food pipe is located in the chest, so it can cause general chest pain, including on the right side.

Other symptoms include:

• an unpleasant taste in the mouth
• bloating and nausea
• a cough

Acid reflux is common, affecting around 20% of people in the United States. If it happens often, however, a person should seek medical advice. A doctor can prescribe medication to help manage it.

17. Liver, gallbladder, and pancreatic issues

These structures are important for digestion and other essential functions. They are in the top of the right side of the abdomen.

Gallstones, pancreatitis, and liver disease are just a few conditions that can lead to pain in the right side of the chest.

18. COVID-19

COVID-19 can cause a variety of symptoms, including:

• a fever
• a cough
• shortness of breath

The Centers for Disease Control and Prevention (CDC) advises that if an individual with COVID-19 experiences persistent pain or pressure in their chest, they should seek medical advice at once.

How to know whether chest pain is due to COVID-19? Find out here.

Right sided chest pain can happen for many reasons, and some require urgent care.

Signs that someone needs emergency care include:

• a sudden onset of severe chest pain
• crushing pain
• persistent pain or pressure on the chest
• chest pain with shortness of breath
• pain that radiates to the jaw or shoulder
• chest pain occurring with dizziness or weakness
• change in or loss of consciousness
• other symptoms, such as a high fever or coughing up blood

The outlook for someone having right sided chest pain will depend on the cause.

If pain persists despite treatment, it is important to continue to follow up with a doctor for further diagnosis and treatment.

Chest pain can affect the right-hand side of the body for many reasons.

Some, such as a sprain, are mild and usually go away with OTC pain relief. However, problems with the heart or lungs can also cause right sided chest pain and may have severe consequences.

Anyone with concerns about symptoms should seek medical advice.

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When to Go to the ER for Stomach and Chest Pain

Although commonly associated with heart attacks, stomach and chest pain can also be related to issues with various areas of your body including your intestines, lungs, muscles, ribs, and/or nerves. 

Regardless of the cause, chest and abdominal pain is not something that should be ignored. Though pain or discomfort in these areas is commonly associated with a heart attack, know that there are many other possible causes. Other common causes of chest and abdominal pain could include gas, appendicitis, or even gallstones.

If you are at all worried about your symptoms, don’t wait to head into one of Complete Care’s freestanding ER locations. Our 24/7 walk-in locations are fully equipped with professional medical staff prepared to diagnose and treat your stomach and chest pain symptoms.

Common causes of chest and abdominal pain

When you are having abdominal or chest pain, it is often difficult to find what is causing it. Many different factors including the severity of pain, its location, and other symptoms could guide your doctor to figure out what is causing the pain.

There are two different types of pain or discomfort that you can have in your stomach or chest. The first type of pain is generalized pain, which can happen with many different illnesses. This type of pain is known to go away without any medical treatment. The second type of abdomen pain is localized pain. This is when you only have pain in one part of the abdomen. These pains normally happen suddenly and get worse over time.

Common causes of chest and abdominal pain include:

1. Gas

Gas can cause pain in your chest and esophageal area or may be experienced as pain in the lower left abdomen. These symptoms may be felt after consuming an excess of food or after consuming trigger foods like broccoli, eggs, beans, or fatty foods.

Thankfully, this is an issue you can likely fix at home by passing gas or belching. To help yourself along, try drinking carbonated beverages or diluted apple cider vinegar, taking a walk, or massaging your abdomen.

2. Heart attack

When a blockage prohibits a section of your heart from getting blood, you may experience a heart attack. Heart attacks can be life-threatening, especially when left untreated, as the lack of blood flowing to your heart can cause long-term damage.

If you’re experiencing symptoms including tightness of the chest, shortness of breath, lightheadedness, or pain that spreads through your left arm, DO NOT wait to seek emergency medical care.

3. Acid reflux

Acid reflux, also known as gastroesophageal reflux disease (GERD), occurs when the sphincter (flap) between your stomach and your esophagus relaxes, allowing your stomach acid to flow back into your throat. The most well-known symptoms of acid reflux include a burning sensation in your throat, chronic coughing, or nausea. But it can also cause a pinpointed pain in what feels like your chest.

Over-the-counter treatments like antacids can usually treat the symptoms adequately enough but you’ll want to schedule an appointment with your doctor to get to the root cause.

4. Appendicitis

Appendicitis is the inflammation of your appendix. Appendix pain can be severe and is typically felt in the right side of your abdomen and can spread to your back or chest. Although acute causes of appendicitis can be cured on their own or with antibiotics, most doctors opt to remove your inflamed appendix with surgery. 

5. Gallstones

Your gallbladder is a small organ located below your liver and on the right side of your stomach that releases digestive fluid into your small intestines. When this bile hardens, it can become a gallstone accompanying symptoms like stomach pain, chest pain, or shoulder blade pain.

It is crucially important that you get symptoms checked out by a doctor if you think you may have a gallstone. If left untreated, gallstones can lead to potentially life-threatening conditions such as cholecystitis, sepsis, or gallbladder cancer.

6. Kidney stones

Kidney stones are hard deposits of minerals and salts that either need to be passed through the urinary system or, in more serious cases, can be broken up/removed by your doctor. Symptoms of a kidney stone include pain on the side of your stomach, painful urination, cloudy, bloody, and/or foul-smelling urine, and fever.

Kidney stone pain can be severe, specifically when the stone is being passed and requires prompt medical attention.

When should I go to the ER for abdominal pain?

How do you know when stomach pain is serious? If you are having any doubt about the type of chest and abdominal pain that you are experiencing or your chest pain includes any of the following symptoms, please call 911 immediately.

• Chest pain that spreads to your jaw, left arm, or back
• A sudden feeling of pressure, squeezing, tightness, or crushing under your breastbone
• Nausea, dizziness, rapid heart rate or rapid breathing, confusion, ashen color, or excessive sweating
• Very low blood pressure or very low heart rate
• Sudden sharp chest pain with shortness of breath, especially after a long period of inactivity

Experiencing abnormal stomach and chest pain? Visit Complete Care ER for quality treatment.

Stomach and chest pain can have different variants of pain level and location. Some people have a sharp, stabbing pain while others experience a dull, burning, aching, or tight sensation. Whatever type of pain or discomfort you’re feeling, never hesitate to call your doctor or head into the emergency room. You know your body better than anyone and asking for help may just save you from a life-threatening emergency.

When you’re experiencing pain accompanied by the onset of other abnormal symptoms, don’t wait to head into a Complete Care emergency room. We offer effective ER treatment for chest and abdominal pain without the typical long wait times of your typical ERs when you visit one of our locations in Colorado or Texas today.

Chest pain on the right – causes, diagnosis and treatment

Chest pain on the right is a stabbing, burning, squeezing pain in the right side of the chest. Soreness occurs with pathologies of the lower respiratory tract and pleura, chest injuries, diseases of the hepatobiliary system, damage to the neuromuscular apparatus. To determine the cause of chest pain, radiography and sonography of the chest and abdominal cavity, endoscopic diagnostic methods, ECG, and a set of laboratory tests are used. In order to stop the pain syndrome, analgesics, physiotherapeutic methods, etiotropic drugs are prescribed.

Causes of chest pain on the right

Diseases of the respiratory system

Pathological processes in the lung and bronchi are the most common causes of pain on the right side of the chest. In acute simple or obstructive bronchitis, the patient experiences moderate pain and a feeling of heaviness in the chest, which increase during coughing fits. Soreness does not have a clear localization, accompanied by shortness of breath, hoarseness. In chronic bronchitis, periodic discomfort and dull pains on the right side of the chest predominate, which are provoked by hypothermia, inhalation of polluted air.

In right-sided croupous pneumonia, the pain syndrome is very strong, diffuse, the nature of the pain is sharp, burning. Symptoms are aggravated by deep breaths and coughing, so patients avoid breathing “full chest”. In the case of focal pneumonia on the right, there is heaviness and discomfort in the chest. Pain is combined with febrile body temperature, cough with purulent sputum, chills. Interstitial pneumonia begins less often, for which painful sensations in the chest and severe shortness of breath that occur without pronounced catarrhal phenomena are typical.

Pleurisy

Patients with dry pleurisy are concerned about constant severe pain on the anterolateral surface of the chest. With deep breathing, coughing, talking, the pain syndrome is aggravated, it becomes unbearable. To alleviate the condition, patients prefer to lie on their sore side, slightly bent over to reduce friction of the inflamed pleura. The appearance of effusion with the development of exudative pleurisy is accompanied by a shift of pain in the lower parts of the chest. The pains are dull, constant, there are also difficulties in breathing, asymmetry of the chest.

Injuries of the chest

The most common soft tissue bruises and bruises, which are characterized by moderate chest pain. Sensations are aggravated by tilting the torso, wearing tight clothing, and physical exertion. Normally, the pain syndrome disappears after a few days. Traumatic causes can cause fractures of the ribs, which is manifested by sharp pains in the chest. The pain is intense, aggravated by talking, taking deep breaths, and moving the body. On the right of the chest, edema and hyperemia of the skin are detected. On palpation of the damaged area, acute pain and crepitus are felt.

Pneumothorax

Spontaneous rupture of the lung parenchyma on the right with the release of air into the pleural cavity usually occurs against the background of persistent moderate chest pain in chronic diseases. At the time of the formation of pneumothorax in the chest on the right, it hurts a lot, it becomes difficult for a person to breathe. With a strong pain syndrome, pallor of the skin, cold sweat, and a decrease in blood pressure are noted. More dangerous is valvular pneumothorax of traumatic etiology, in which sharp pain is combined with increasing shortness of breath and cyanosis of the skin.

Intercostal neuralgia

Pathology of intercostal nerve endings is manifested by sharp stabbing or burning pains along the anterior and lateral surface of the chest on the right. The pain syndrome in intercostal neuralgia is often paroxysmal in nature, unpleasant sensations are provoked by causes such as touching the affected area, loud laughter or coughing, deep breathing. In addition to painful sensations, the patient is concerned about tingling and twitching of the pectoral muscles, numbness of certain areas of the skin. Often pain is given to the collarbone or shoulder blade on the right, sometimes the pathological process extends to the lumbar nerves.

Diseases of the biliary system

Inflammation of the gallbladder (cholecystitis) and paravesical tissue is accompanied by irritation of the nerve endings of the phrenic nerve. This causes irradiation of pain from the right hypochondrium to the chest and collarbone area. The pains are sharp, paroxysmal, reminiscent of neuralgia in nature. With biliary colic, excruciating unbearable pains occur in the upper abdomen and chest on the right, which force a person to constantly change the position of the body. For biliary dyskinesia as the cause of the symptom, a dull pain in the lower chest on the right is typical.

Pathology of the liver

Damage to the liver leads to thoracalgia much less often, pain is disturbed only with extensive organic damage to the organ with stretching of the capsule. Visceral sensations do not have a clear localization, so they can be perceived as chest pain on the right. With hepatitis A and E, the symptoms persist for several weeks, for hepatitis B and C, a chronic pain syndrome is typical, lasting at least 2-3 months. Pain is also caused by the formation of volumetric formations in the liver tissue: echinococcal cysts, hemangiomas, malignant tumors.

Rare causes

• Cor pulmonale: in primary pulmonary hypertension, chronic obstructive processes in the bronchi, polycystic lung disease.
• Shingles.
• Pulmonary embolism .
• Gastroduodenal pathology : hyperacid gastritis, peptic ulcer, achalasia of the cardia.
• Malignant tumors : bronchial cancer, central and peripheral lung cancer.
• Tuberculosis .

Diagnosis

In case of pain in the chest on the right, a consultation with a general practitioner is indicated, later the doctor can refer the patient to narrow specialists. Diagnostic search involves instrumental imaging of the organs of the chest and abdominal cavities, to clarify the cause of thoracalgia, specific laboratory examination methods are performed. The most informative have:

• Radiography . A survey radiograph of the lungs is recommended for suspected pneumonia: attention is paid to focal heterogeneous darkening of the lung parenchyma, expansion of the roots of the lungs and increased bronchial pattern. If a rounded shadow with a path to the root at the top of the lung on the right is detected, a preliminary diagnosis of tuberculosis is made.
• Ultrasound . If it hurts on the right not only in the chest, but also in the hypochondrium, an ultrasound of the abdominal cavity is prescribed. During sonography, the anatomical position and structure of the gallbladder, liver, and bile ducts are assessed. The method also helps to identify gallstones and inflammation as possible causes of thoracic pain syndrome.
• Endoscopy . Bronchoscopy is indicated for severe respiratory diseases of unclear etiology, suspicion of a malignant tumor of the bronchi. Wash water and areas of the affected tissue are taken for laboratory diagnosis. Extensive inflammatory processes in the pleura are the basis for thoracoscopy – examination of the pleural cavity with an endoscope through a puncture in the chest wall.
• ECG . To exclude the cardiac cause of pain, an electrocardiogram is recorded in 12 standard leads to detect typical signs of “cor pulmonale”: deviation of the electrical axis of the heart to the right, high P wave, impaired conduction of the right leg of the His bundle. To clarify the diagnosis, echocardiography and duplex scanning of blood vessels are used.
• Laboratory analysis . To establish the etiological factor of pneumonia and bronchitis, morning sputum is collected for bakposev on enriched nutrient media. To confirm the defeat of the gallbladder, the level of cholesterol, direct and indirect bilirubin, alkaline phosphatase is measured. Additionally, a blood test is performed for the level of tumor markers.

Chest x-ray

Treatment

Pre-diagnosis care

In case of moderate pain in the chest on the right side caused by a bruise, it is enough to remain calm for several days, apply dry compresses and ointments with anti-inflammatory drugs to relieve discomfort. If the pain does not subside, accompanied by swelling and cyanosis of the skin, you should visit a specialist to timely identify a fracture of the ribs as a likely cause of the symptom. The pain syndrome that occurs against the background of coughing and shortness of breath is an indication for going to the doctor – self-treatment of diseases of the respiratory system is fraught with serious complications.

Conservative therapy

In most cases, it is sufficient to treat the underlying cause of pain, but with severe and unbearable pain in the right chest, analgesics (both NSAIDs and narcotic drugs) are indicated. To eliminate the pain syndrome, physiotherapy methods are used: electrophoresis, compresses on the affected area with dimexide, corticosteroids, anti-inflammatory drugs. As an etiotropic therapy, drugs such as:

• Antibiotics . Medicines are used to destroy bacterial microorganisms that caused pneumonia or purulent bronchitis. Beta-lactam antibiotics and macrolides are often taken or administered. For the treatment of atypical pneumonia, fluoroquinolones and interferon are effective.
• Non-steroidal anti-inflammatory drugs . NSAIDs reduce the production of cytokines and active mediators, reduce local manifestations of the inflammatory process, and bring down the febrile temperature. With chest injuries, they eliminate pain well. Means are used both orally and externally in the form of ointments.
• Expectorants . Medicines thin the sputum, which clears the airways and speeds up recovery time. Mucolytics and reflex herbal remedies are used. For sanitation of the upper respiratory tract, gargling with antiseptics is recommended.
• Ursodeoxycholic acid derivatives . The drugs reduce the concentration of toxic acids and reduce the rate of stone formation in the gallbladder by normalizing the chemical composition of bile. UDCA also has hypolipidemic and hypocholesterolemic effects, protects hepatocyte membranes.
• Vitamins. Thiamine, pyridoxine and other B vitamins improve the nutrition of nerve fibers and accelerate the regeneration of the myelin sheath. For better absorption, they can be combined with ascorbic acid. Tocopherol is prescribed as an antioxidant.

Surgery

Pneumothorax requires a pleural puncture in the 2nd or 3rd intercostal space to aspirate air and ensure rapid expansion of the lung. In the case of severe atelectasis or recurrent pneumothorax, continuous active drainage is used. Pleurisy refractory to conservative therapy is an indication for pleurodesis – obliteration of the pleural cavity. In advanced cholelithiasis, cholecystectomy is performed by laparoscopic or traditional methods.

What does chest pain indicate when running?

Chest pain while running is an alarming symptom that requires attention, but is not worth worrying about. It is not at all necessary that you have heart problems. Most often, pain occurs due to heartburn, a weak muscle frame, and a recent illness in the lungs.

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What do these symptoms mean?

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Running is a very rewarding sport, but sometimes it can be dangerous. If the knees or lower back start to hurt, we suspect problems with the joints, but if it pricks or hurts in the chest? We tell you what it can be (and insist: go to the doctor!).

Contents of the article

Do not self-medicate! In our articles, we collect the latest scientific data and the opinions of authoritative health experts. But remember: only a doctor can diagnose and prescribe treatment.

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Is that a heart?

The first thing we all think about when we feel pain in the chest area is heart problems. The good news is that pain only accompanies one in three heart attacks. And there are many more reasons to worry if you feel heaviness (“as if an elephant sat on your chest”), shortness of breath, sudden weakness. The bad news is that even that 30% is enough to make the risk serious enough. So be sure to consult a doctor and check your heart and blood vessels (and in general, you should do this regularly, at least once every two years).

Why else can I have pain in my chest while running?

Dehydration

The less fluid in our body, the more difficult it is for the heart to pump blood, the greater the load on it – and the higher the likelihood of palpitations and even pain. Make sure you drink enough water, especially on the days you exercise.

Vocal cord dysfunction

The vocal cords are not only responsible for our ability to make sounds: they open when we breathe and close when we speak, swallow or lift heavy objects. If, for some reason, at the moment when the ligaments should open and provide free breathing, they remain closed, dysfunction occurs. Why might she appear? Excessive physical activity and improper breathing can “block” the ligaments, as a result, the lungs do not receive enough air, and react with pain. Learn to breathe correctly!

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Asthma

Even if you have never had asthma, exercise can trigger an asthma attack. People with immunological diseases and allergies are at particular risk, but in general, anyone can suffer. Symptoms: Cough, wheezing, shortness of breath, chest tightness, or chest pain or discomfort shortly after starting to run.

To reduce the risk, be sure to warm up and cool down at the beginning and end of your workout, and wear a mask or scarf if the air is too cold or dry.

Heartburn

When we are actively moving, pressure on the stomach may increase – and a small part of gastric juice will be released into the esophagus. This, in turn, can provoke an attack of heartburn, accompanied by a sharp and unpleasant pain in the chest. To avoid this, do not start jogging in the first hour after eating, and also make sure that the clothes do not press on the stomach.

Let’s say from experience: pain in the chest while running from anything is unpleasant, but from heartburn it is especially unpleasant. Moreover, if you eat especially densely, then it can be observed even due to intensive walking and go to extremes. A very unpleasant state of affairs.

We also recommend experimenting with products. Find the food that most often causes heartburn and eliminate it from your diet. Often, heartburn manifests itself strongly if breakfast is porridge in milk with the addition of raisins. And if this is your case, then review your diet.

Pneumonia

If you have recently experienced pneumonia, you should in no case rush into training: the lungs of the affected lungs need time to recover, and at first it may be difficult for them to need to breathe quickly and deeply.

Pain in the lungs during running will interfere with the achievement of high results, so it is worth fully recovering the lungs first, and only then start running. So the result will be much better.

Musculoskeletal pain

If the pain in the chest is sharp, appears suddenly and disappears just as quickly, then there is a high probability that it is caused by a strong load on the muscles, joints or skeleton. The so-called costal chondritis is a condition in which the cartilage tissue that attaches the ribs to the sternum becomes inflamed. This condition usually goes away on its own, but it is worth giving up on loads until you fully recover.

A high load on the joints and skeleton indicates that the muscles do not cope with their task to the full extent. Unable to withstand the load, so it goes to the joints and bones.

The solution is simple: start exercising more comprehensively. For example, sign up for a gym to strengthen your core muscles. Another solution: start doing push-ups and walking on horizontal bars. Alone it will not be easy, but the result will really please you. Become even stronger and more resilient.

What should I do if I have chest pain while running?

Chest discomfort while running or stabbing chest pain while running is an alarm symptom. Especially if you haven’t experienced anything serious before. And although not all causes of the problem can be called deadly (for example, heartburn), however, this is not a reason to relax and ignore pain.

The only right decision you can make is to see a doctor. No need to rely on traditional medicine, listen to friends who had the same symptoms, but then they disappeared without a trace. Only appeal to a specialist!

But people often run into problems at this stage. They don’t know which doctor treats chest pain. It often happens that a person comes to a cardiologist, he conducts tests and concludes: everything is in order with the heart.

The patient relaxes, starts running again, overcomes the pain and earns serious health problems because the cause of chest pain while running was found to be asthma. This is hardly a positive scenario.

Even better: get a routine medical check-up every year. Not for the sake of a tick at work, but comprehensively and competently. Preferably in a private clinic and under the supervision of a doctor who has been monitoring the dynamics of your condition for many years. This is especially true in cases where there is pain in the chest while running in a child.

This is expensive, but this approach will save you from a lot of potential problems and will allow you to most accurately determine why you have chest pain while running.

How to replace the exercise if you have chest pain while running?

Imagine a situation: an overweight person has chest pains while running. He acted wisely, turned to specialists who found the true cause of the pain and prescribed competent treatment.

But bad luck: while he is being treated, any running is excluded. It’s too much of a burden on the body. But a person still wants to lose weight, but he has little time. Summer is coming soon! And what to do? Give up on your dreams?

Not necessary at all. There are solutions, but before switching to another sport, you should still consult a doctor. If he does not mind any of the following, then the person is very lucky. He will be able to get rid of extra pounds, because there are alternatives:

• Walking. Burns fewer calories per minute, but you can also walk for several hours a day, leveling this disadvantage;
• Strength training in the gym. Presses, heavy lifts will drive 7 sweats off you, and at the same time get rid of a dozen extra pounds;
• Rope. If everything is fine with the joints, then you can not run, but jump. The effect will not be worse;
• Exercises on the horizontal bar.