What are the common causes of pain under the right chest bone. How can you identify symptoms of sternal pain. What are effective treatments for discomfort in the right chest area.

Understanding Pain Under the Right Chest Bone

Pain under the right chest bone, also known as sternal pain, can be a concerning symptom that may stem from various causes. This discomfort can range from mild to severe and may be accompanied by other symptoms depending on the underlying condition. It’s crucial to understand the potential causes and when to seek medical attention.

Common Causes of Right Chest Pain

Several factors can contribute to pain under the right chest bone. Let’s explore some of the most frequent causes:

1. Injuries and Muscle Strains

Injuries to the chest area or muscle strains are common causes of pain under the right breast. These can result from:

• Blows or knocks to the chest
• Falls
• Severe coughing episodes
• Overexertion during physical activities

Symptoms may include localized pain, swelling, and bruising. In more severe cases, bruised or fractured ribs can occur.

2. Costochondritis

Costochondritis is an inflammation of the cartilage connecting the ribs to the breastbone. This condition can cause sharp or dull pain in the chest area, which may worsen with deep breathing or coughing. The exact cause of costochondritis is not always clear, but it can be triggered by:

• Chest injuries
• Intense physical activity
• Respiratory infections
• Repetitive strain on the chest wall

3. Gallbladder Issues

The gallbladder, located on the right side of the body, can sometimes cause pain that radiates to the chest area. Gallstones or inflammation of the gallbladder (cholecystitis) can lead to discomfort in the upper right abdomen and chest. Symptoms of gallbladder problems may include:

• Sharp pain in the upper right abdomen
• Nausea and vomiting
• Fever
• Jaundice (yellowing of the skin and eyes)

Identifying Symptoms of Sternal Pain

Recognizing the symptoms associated with pain under the right chest bone is crucial for proper diagnosis and treatment. Here are some key indicators to watch for:

1. Characteristics of the Pain

The nature of the pain can provide clues about its origin:

• Sharp or stabbing pain: Often associated with injuries or costochondritis
• Dull ache: May indicate muscle strain or inflammation
• Burning sensation: Could be related to acid reflux or other gastrointestinal issues
• Pressure or tightness: Might be a sign of cardiovascular problems (requires immediate medical attention)

2. Accompanying Symptoms

Pay attention to any additional symptoms that occur alongside the chest pain:

• Shortness of breath
• Fever
• Nausea or vomiting
• Swelling or tenderness in the affected area
• Changes in skin color (bruising or yellowing)

3. Triggers and Aggravating Factors

Identifying what worsens or alleviates the pain can help pinpoint the cause:

• Pain that increases with movement or breathing
• Discomfort that worsens after eating
• Pain that improves with rest or certain positions
• Symptoms that flare up during menstrual cycles

Effective Treatments for Right Chest Discomfort

The treatment for pain under the right chest bone depends on the underlying cause. Here are some common approaches:

1. Home Remedies and Self-Care

For minor injuries or muscle strains, these self-care measures can be effective:

• Rest and avoiding activities that exacerbate the pain
• Applying ice packs to reduce swelling (15-20 minutes at a time)
• Using heat therapy for muscle relaxation
• Over-the-counter pain relievers like ibuprofen or acetaminophen
• Gentle stretching exercises (after the acute phase)

2. Medical Treatments

For more severe or persistent cases, medical interventions may be necessary:

• Prescription anti-inflammatory medications
• Physical therapy for muscle strains or postural issues
• Corticosteroid injections for severe costochondritis
• Antibiotics for infections
• Surgical procedures for conditions like gallbladder removal

3. Lifestyle Modifications

Long-term management may involve lifestyle changes:

• Improving posture and ergonomics
• Incorporating low-impact exercises to strengthen chest muscles
• Managing stress through relaxation techniques
• Dietary adjustments to prevent acid reflux or gallbladder issues

When to Seek Medical Attention

While many causes of pain under the right chest bone are not life-threatening, certain symptoms warrant immediate medical attention:

• Severe, sudden chest pain
• Difficulty breathing or shortness of breath
• Pain accompanied by fever, chills, or sweating
• Chest pain that spreads to the arm, jaw, or back
• Persistent pain that doesn’t improve with home remedies
• Signs of infection, such as redness, warmth, or pus

Is chest pain always a sign of a heart attack? No, chest pain can have many causes, ranging from musculoskeletal issues to digestive problems. However, it’s important to take any unexplained chest pain seriously, especially if it’s severe or accompanied by other concerning symptoms.

Diagnostic Approaches for Right Chest Pain

Accurately diagnosing the cause of pain under the right chest bone often requires a combination of clinical assessment and diagnostic tests. Here’s an overview of the diagnostic process:

1. Physical Examination

A healthcare provider will typically start with a thorough physical examination, which may include:

• Palpation of the chest wall to identify areas of tenderness
• Listening to heart and lung sounds
• Checking for swelling or visible abnormalities
• Assessing range of motion and pain triggers

2. Medical History

Providing a detailed medical history is crucial for accurate diagnosis. Be prepared to discuss:

• The onset and duration of symptoms
• Any recent injuries or activities that may have triggered the pain
• Associated symptoms
• Personal and family medical history
• Current medications and supplements

3. Imaging Studies

Depending on the suspected cause, various imaging tests may be ordered:

• X-rays: To check for bone fractures or lung issues
• CT scans: For detailed images of soft tissues and organs
• MRI: To evaluate muscle, cartilage, and ligament damage
• Ultrasound: Particularly useful for gallbladder issues

4. Laboratory Tests

Blood tests and other laboratory analyses can help identify underlying conditions:

• Complete blood count (CBC) to check for infections or inflammation
• Cardiac enzymes to rule out heart-related issues
• Liver function tests for gallbladder problems
• Inflammatory markers for conditions like costochondritis

Prevention Strategies for Right Chest Discomfort

While not all causes of pain under the right chest bone are preventable, there are steps you can take to reduce your risk:

1. Proper Body Mechanics

Practicing good posture and using correct lifting techniques can help prevent muscle strains and injuries:

• Maintain a neutral spine position when sitting or standing
• Use your legs, not your back, when lifting heavy objects
• Take frequent breaks during repetitive activities
• Stretch regularly, especially before and after exercise

2. Healthy Lifestyle Choices

Making positive lifestyle changes can reduce the risk of various conditions that cause chest pain:

• Maintain a balanced diet rich in fruits, vegetables, and whole grains
• Stay hydrated by drinking plenty of water throughout the day
• Engage in regular, moderate exercise to strengthen chest and core muscles
• Manage stress through relaxation techniques like meditation or yoga
• Avoid smoking and limit alcohol consumption

3. Regular Health Check-ups

Routine medical examinations can help detect potential issues before they become serious:

• Schedule annual physical exams with your healthcare provider
• Keep up with recommended health screenings based on your age and risk factors
• Discuss any persistent or concerning symptoms with your doctor promptly

Long-term Management of Chronic Chest Pain

For individuals dealing with recurring or chronic pain under the right chest bone, developing a comprehensive management plan is essential:

1. Pain Management Techniques

Explore various methods to manage ongoing discomfort:

• Cognitive-behavioral therapy to address pain perception
• Biofeedback techniques for muscle relaxation
• Acupuncture or massage therapy for muscle-related pain
• Transcutaneous electrical nerve stimulation (TENS) for targeted pain relief

2. Adaptive Strategies

Learn to modify daily activities to minimize pain and discomfort:

• Use ergonomic tools and equipment at work and home
• Practice energy conservation techniques to avoid overexertion
• Develop a pacing strategy for activities that typically trigger pain
• Explore alternative sleeping positions or supportive pillows for nighttime comfort

3. Ongoing Medical Support

Maintain regular communication with your healthcare team:

• Keep a pain diary to track symptoms and identify patterns
• Attend follow-up appointments to assess treatment effectiveness
• Discuss any new symptoms or concerns promptly
• Be open to adjusting your treatment plan as needed

Can chronic chest pain be completely cured? While complete resolution of chronic chest pain may not always be possible, many individuals find significant relief and improved quality of life through a combination of medical treatments, lifestyle modifications, and pain management strategies. The key is to work closely with healthcare providers to develop a personalized approach that addresses the specific underlying causes and symptoms.

Pain under the right breast: Causes, symptoms, and treatments

Pain under the right breast can result from injuries, infections, muscle strain, inflammation, and gastrointestinal issues. It can sometimes be a sign of an underlying health condition.

A strain or injury are common causes of pain under the right breast, and the pain usually gets better on its own. However, it can also result from conditions affecting the underlying tissues and organs, or the pain may be extending from another area of the body, such as the stomach.

In this article, we explore some potential causes of pain under the right breast, along with their main symptoms and treatments. We also describe when to see a doctor.

An injury or muscle strain can cause pain under the right breast.

Injuries to the ribs or chest area are common and can be very painful. Depending on where the injury occurs, this pain may manifest under one or both of the breasts.

Possible causes of chest injuries include:

• knocks or blows to the chest area
• falls
• severe coughing

Other symptoms of an injury can include swelling and bruising. More forceful injuries can also result in bruised or fractured ribs.

People recovering from surgery to the breasts or chest area may also experience pain or discomfort under one or both breasts.

Treatment

A person can usually treat minor chest injuries at home with rest and over-the-counter (OTC) medications, such as acetaminophen and ibuprofen.

Applying ice to the affected area for up to 20 minutes at a time may also help reduce pain and swelling.

See a doctor for pain that results from a serious injury, such as a car accident. People with severe or worsening pain should also speak to a doctor.

It is possible to strain or overstretch the chest muscles, which can result in soreness and pain. Depending on which muscles a person strains, this pain may occur under a single breast.

Chest muscle strains can result, for example, from throwing, heavy lifting, and using heavy tools or equipment.

Treatment

Muscle strains usually get better with rest. OTC pain relievers and applying ice to the affected area for up 20 minutes at a time may help reduce chest discomfort.

Hormonal fluctuations that occur during the menstrual cycle can cause the breasts to become swollen and tender.

This tenderness usually occurs in the week or so before a person’s period, and it can affect one or both breasts.

Treatment

Taking OTC pain relievers and drinking plenty of water can help reduce breast tenderness from menstrual hormonal changes. The symptoms usually resolve before a person’s period is over.

Costochondritis is an inflammation of the cartilage in the costochondral joint, which is the area where the ribs meet the sternum, also called the breastbone.

The main symptom of costochondritis is chest pain, which can occur in one or both sides of the chest. This pain can be dull or sharp and may get worse when taking a deep breath or coughing. There may also be tenderness around the breastbone.

Costochondritis does not usually cause severe symptoms, such as shortness of breath, fever, or dizziness.

Doctors do not fully understand what causes costochondritis, but it may result from one or more of these issues:

• chest injuries
• intense physical activity
• strenuous coughing
• illness, such as a chest infection near the costochondral joint

Treatment

Costochondritis often gets better on its own, but it may last several weeks.

Some ways to relieve inflammation and pain from costochondritis:

• avoiding activities that stress or aggravate the chest area
• applying heat packs to the affected area
• taking nonsteroidal anti-inflammatory drugs — NSAIDs — such as naproxen or ibuprofen

For pain that gets worse or does not go away, a doctor may recommend steroid injections or physical therapy.

A person who experiences a gallbladder attack should seek treatment.

The gallbladder is a small organ on the right side of the body that stores bile from the liver. If bile contains too much cholesterol or bilirubin, or if a person’s gallbladder does not empty properly, gallstones can form.

Most gallstones pass without causing problems. However, gallstones that block the flow of bile in the bile ducts can cause pain and inflammation. The episodes of pain resulting from these blockages are called gallbladder attacks or biliary colic.

The pain from a gallbladder attack usually occurs in the upper right abdomen and can last for several hours.

Attacks that last for more than a few hours can lead to complications. For instance:

• jaundice, which is yellowing of the skin and eyes
• nausea and vomiting
• fever

Treatment

Anyone who has had a gallbladder attack should see a doctor, even if symptoms get better, because more attacks may follow. People who experience complications should receive prompt medical attention.

If gallstones continue to cause problems, doctors usually recommend surgery to remove the gallbladder. The gallbladder is not an essential organ, and removal reduces the risk of it becoming infected and causing further complications.

For people who cannot undergo gallbladder removal, doctors may recommend some of the following nonsurgical treatments:

• endoscopic retrograde cholangiopancreatography
• oral dissolution therapy
• shock wave lithotripsy

A hiatal hernia occurs when part of the stomach slides up through the hiatus, which is an opening in the diaphragm. The diaphragm is a large, thin sheet of muscle that separates the chest cavity from the abdomen.

Hiatal hernias do not always cause noticeable symptoms, but they can increase a person’s risk of gastroesophageal reflux disease (GERD). Some examples of symptoms:

• chest pain
• heartburn
• problems swallowing
• shortness of breath
• nausea and vomiting

Treatment

Treatment is usually necessary if the hiatal hernia is causing problems. For people with symptoms of GERD, treatment options include:

• lifestyle and dietary changes, such as maintaining a healthy weight and avoiding foods that make symptoms worse
• medications that reduce stomach acid, such as antacids, h3 receptor blockers, and proton pump inhibitors

If these treatments are unsuccessful, a doctor may recommend surgery to correct the hernia.

Irritable bowel syndrome (IBS) causes gastrointestinal symptoms, such as abdominal pain and changes to a person’s bowel movements. These symptoms tend to vary in type and severity from person to person.

Some symptoms of IBS:

• bloating and gas
• constipation or diarrhea
• a feeling of incomplete evacuation after having a bowel movement
• stools containing a whitish mucus

IBS can sometimes also cause referred pain, including right-sided chest pain.

Treatment

Treatment for IBS typically includes some of the following lifestyle and dietary changes:

• increasing fiber intake
• exercising regularly
• reducing and managing stress
• getting enough sleep
• following a specific diet, such as the low-FODMAP diet.

FODMAP is an acronym for oligo-, di-, monosaccharides, and polyols, which are groups of carbs that can cause digestive symptoms, including bloating, gas, and pain.

Doctors may also prescribe specific medications to reduce constipation, diarrhea, and abdominal pain.

Shortness of breath and chest tightness are potential symptoms of pleural disorders.

The pleurae make up a large, thin membrane that is folded over to form two layers. One layer wraps around the lungs, and the other lines the inside of the chest cavity. The space between these two layers is called the pleural space.

Inflammation of the pleura is called pleurisy, and it can cause the two layers to rub against each other. This friction can lead to sharp chest pain when coughing or breathing deeply.

In different pleural disorders, air, gas, fluid, or blood collects in the pleural space, which can also cause sharp chest pain.

Other symptoms of pleural disorders:

• coughing
• fever and chills
• shortness of breath
• fatigue
• chest tightness
• weight loss
• a bluish tint to the skin

Treatment

Treatment for a pleural disorder depends on the underlying cause and the severity of a person’s symptoms.

For example, if a bacterial infection is causing the condition, a doctor may prescribe antibiotics. They may also recommend anti-inflammatory medications or pain relievers to help reduce a person’s discomfort.

Some people require a procedure to drain gas or fluids from the pleural space.

Pneumonia is infectious inflammation of the tiny air sacs in the lungs, which causes them to fill up with fluid. It can lead to a range of symptoms, including sharp chest pain that typically gets worse with deep breathing or coughing.

Other symptoms of pneumonia:

• fever and chills
• a persistent cough that produces green, yellow, or bloody mucus
• a loss of appetite
• fatigue and low energy levels
• confusion
• nausea
• shortness of breath or other breathing difficulties

Early symptoms of pneumonia can be similar to a common cold or the flu and may come on suddenly or gradually worsen over a few days. Symptoms can vary from mild to severe.

The most common cause of pneumonia is a bacterial infection, but pneumonia can also result from viral or fungal infections.

Treatment

People with symptoms of pneumonia should see a doctor. Seek urgent medical attention if symptoms are severe.

Pneumonia can sometimes lead to life-threatening complications, and some people require hospitalization.

Treatment depends on the type of pneumonia and the severity of symptoms. Doctors may prescribe antibiotics for bacterial pneumonia or antiviral medications for viral pneumonia.

To treat mild pneumonia at home, a doctor may recommend the following:

• getting plenty of rest
• drinking lots of fluids
• taking OTC pain relievers
• avoiding tobacco smoke and other lung irritants
• taking oral antibiotic or oral antiviral therapy, as prescribed

See a doctor if the pain under the right breast gets worse, does not go away, or is interfering with daily activities. Also, seek medical attention if the pain accompanies other concerning symptoms.

Some symptoms that require immediate medical attention:

• severe, sharp, or sudden chest pain
• chest pain that radiates to other parts of the body, such as the jaw, arms, or shoulders
• a bluish tint to the lips or skin
• difficulty breathing
• coughing up blood
• confusion, dizziness, or loss of consciousness

Pain under the right breast is rarely a cause for concern and often results from muscles strains or minor injuries.

However, it can indicate a more serious condition, such as an infection, chest inflammation, or a gastrointestinal issue.

If the pain gets worse, does not go away, or occurs with other concerning symptoms, see a doctor. Seek immediate medical attention for severe chest pain or pain that accompanies breathing difficulties.

Read the article in Spanish.

Pain under the right breast: Causes, symptoms, and treatments

Pain under the right breast can result from injuries, infections, muscle strain, inflammation, and gastrointestinal issues. It can sometimes be a sign of an underlying health condition.

A strain or injury are common causes of pain under the right breast, and the pain usually gets better on its own. However, it can also result from conditions affecting the underlying tissues and organs, or the pain may be extending from another area of the body, such as the stomach.

In this article, we explore some potential causes of pain under the right breast, along with their main symptoms and treatments. We also describe when to see a doctor.

An injury or muscle strain can cause pain under the right breast.

Injuries to the ribs or chest area are common and can be very painful. Depending on where the injury occurs, this pain may manifest under one or both of the breasts.

Possible causes of chest injuries include:

• knocks or blows to the chest area
• falls
• severe coughing

Other symptoms of an injury can include swelling and bruising. More forceful injuries can also result in bruised or fractured ribs.

People recovering from surgery to the breasts or chest area may also experience pain or discomfort under one or both breasts.

Treatment

A person can usually treat minor chest injuries at home with rest and over-the-counter (OTC) medications, such as acetaminophen and ibuprofen.

Applying ice to the affected area for up to 20 minutes at a time may also help reduce pain and swelling.

See a doctor for pain that results from a serious injury, such as a car accident. People with severe or worsening pain should also speak to a doctor.

It is possible to strain or overstretch the chest muscles, which can result in soreness and pain. Depending on which muscles a person strains, this pain may occur under a single breast.

Chest muscle strains can result, for example, from throwing, heavy lifting, and using heavy tools or equipment.

Treatment

Muscle strains usually get better with rest. OTC pain relievers and applying ice to the affected area for up 20 minutes at a time may help reduce chest discomfort.

Hormonal fluctuations that occur during the menstrual cycle can cause the breasts to become swollen and tender.

This tenderness usually occurs in the week or so before a person’s period, and it can affect one or both breasts.

Treatment

Taking OTC pain relievers and drinking plenty of water can help reduce breast tenderness from menstrual hormonal changes. The symptoms usually resolve before a person’s period is over.

Costochondritis is an inflammation of the cartilage in the costochondral joint, which is the area where the ribs meet the sternum, also called the breastbone.

The main symptom of costochondritis is chest pain, which can occur in one or both sides of the chest. This pain can be dull or sharp and may get worse when taking a deep breath or coughing. There may also be tenderness around the breastbone.

Costochondritis does not usually cause severe symptoms, such as shortness of breath, fever, or dizziness.

Doctors do not fully understand what causes costochondritis, but it may result from one or more of these issues:

• chest injuries
• intense physical activity
• strenuous coughing
• illness, such as a chest infection near the costochondral joint

Treatment

Costochondritis often gets better on its own, but it may last several weeks.

Some ways to relieve inflammation and pain from costochondritis:

• avoiding activities that stress or aggravate the chest area
• applying heat packs to the affected area
• taking nonsteroidal anti-inflammatory drugs — NSAIDs — such as naproxen or ibuprofen

For pain that gets worse or does not go away, a doctor may recommend steroid injections or physical therapy.

A person who experiences a gallbladder attack should seek treatment.

The gallbladder is a small organ on the right side of the body that stores bile from the liver. If bile contains too much cholesterol or bilirubin, or if a person’s gallbladder does not empty properly, gallstones can form.

Most gallstones pass without causing problems. However, gallstones that block the flow of bile in the bile ducts can cause pain and inflammation. The episodes of pain resulting from these blockages are called gallbladder attacks or biliary colic.

The pain from a gallbladder attack usually occurs in the upper right abdomen and can last for several hours.

Attacks that last for more than a few hours can lead to complications. For instance:

• jaundice, which is yellowing of the skin and eyes
• nausea and vomiting
• fever

Treatment

Anyone who has had a gallbladder attack should see a doctor, even if symptoms get better, because more attacks may follow. People who experience complications should receive prompt medical attention.

If gallstones continue to cause problems, doctors usually recommend surgery to remove the gallbladder. The gallbladder is not an essential organ, and removal reduces the risk of it becoming infected and causing further complications.

For people who cannot undergo gallbladder removal, doctors may recommend some of the following nonsurgical treatments:

• endoscopic retrograde cholangiopancreatography
• oral dissolution therapy
• shock wave lithotripsy

A hiatal hernia occurs when part of the stomach slides up through the hiatus, which is an opening in the diaphragm. The diaphragm is a large, thin sheet of muscle that separates the chest cavity from the abdomen.

Hiatal hernias do not always cause noticeable symptoms, but they can increase a person’s risk of gastroesophageal reflux disease (GERD). Some examples of symptoms:

• chest pain
• heartburn
• problems swallowing
• shortness of breath
• nausea and vomiting

Treatment

Treatment is usually necessary if the hiatal hernia is causing problems. For people with symptoms of GERD, treatment options include:

• lifestyle and dietary changes, such as maintaining a healthy weight and avoiding foods that make symptoms worse
• medications that reduce stomach acid, such as antacids, h3 receptor blockers, and proton pump inhibitors

If these treatments are unsuccessful, a doctor may recommend surgery to correct the hernia.

Irritable bowel syndrome (IBS) causes gastrointestinal symptoms, such as abdominal pain and changes to a person’s bowel movements. These symptoms tend to vary in type and severity from person to person.

Some symptoms of IBS:

• bloating and gas
• constipation or diarrhea
• a feeling of incomplete evacuation after having a bowel movement
• stools containing a whitish mucus

IBS can sometimes also cause referred pain, including right-sided chest pain.

Treatment

Treatment for IBS typically includes some of the following lifestyle and dietary changes:

• increasing fiber intake
• exercising regularly
• reducing and managing stress
• getting enough sleep
• following a specific diet, such as the low-FODMAP diet.

FODMAP is an acronym for oligo-, di-, monosaccharides, and polyols, which are groups of carbs that can cause digestive symptoms, including bloating, gas, and pain.

Doctors may also prescribe specific medications to reduce constipation, diarrhea, and abdominal pain.

Shortness of breath and chest tightness are potential symptoms of pleural disorders.

The pleurae make up a large, thin membrane that is folded over to form two layers. One layer wraps around the lungs, and the other lines the inside of the chest cavity. The space between these two layers is called the pleural space.

Inflammation of the pleura is called pleurisy, and it can cause the two layers to rub against each other. This friction can lead to sharp chest pain when coughing or breathing deeply.

In different pleural disorders, air, gas, fluid, or blood collects in the pleural space, which can also cause sharp chest pain.

Other symptoms of pleural disorders:

• coughing
• fever and chills
• shortness of breath
• fatigue
• chest tightness
• weight loss
• a bluish tint to the skin

Treatment

Treatment for a pleural disorder depends on the underlying cause and the severity of a person’s symptoms.

For example, if a bacterial infection is causing the condition, a doctor may prescribe antibiotics. They may also recommend anti-inflammatory medications or pain relievers to help reduce a person’s discomfort.

Some people require a procedure to drain gas or fluids from the pleural space.

Pneumonia is infectious inflammation of the tiny air sacs in the lungs, which causes them to fill up with fluid. It can lead to a range of symptoms, including sharp chest pain that typically gets worse with deep breathing or coughing.

Other symptoms of pneumonia:

• fever and chills
• a persistent cough that produces green, yellow, or bloody mucus
• a loss of appetite
• fatigue and low energy levels
• confusion
• nausea
• shortness of breath or other breathing difficulties

Early symptoms of pneumonia can be similar to a common cold or the flu and may come on suddenly or gradually worsen over a few days. Symptoms can vary from mild to severe.

The most common cause of pneumonia is a bacterial infection, but pneumonia can also result from viral or fungal infections.

Treatment

People with symptoms of pneumonia should see a doctor. Seek urgent medical attention if symptoms are severe.

Pneumonia can sometimes lead to life-threatening complications, and some people require hospitalization.

Treatment depends on the type of pneumonia and the severity of symptoms. Doctors may prescribe antibiotics for bacterial pneumonia or antiviral medications for viral pneumonia.

To treat mild pneumonia at home, a doctor may recommend the following:

• getting plenty of rest
• drinking lots of fluids
• taking OTC pain relievers
• avoiding tobacco smoke and other lung irritants
• taking oral antibiotic or oral antiviral therapy, as prescribed

See a doctor if the pain under the right breast gets worse, does not go away, or is interfering with daily activities. Also, seek medical attention if the pain accompanies other concerning symptoms.

Some symptoms that require immediate medical attention:

• severe, sharp, or sudden chest pain
• chest pain that radiates to other parts of the body, such as the jaw, arms, or shoulders
• a bluish tint to the lips or skin
• difficulty breathing
• coughing up blood
• confusion, dizziness, or loss of consciousness

Pain under the right breast is rarely a cause for concern and often results from muscles strains or minor injuries.

However, it can indicate a more serious condition, such as an infection, chest inflammation, or a gastrointestinal issue.

If the pain gets worse, does not go away, or occurs with other concerning symptoms, see a doctor. Seek immediate medical attention for severe chest pain or pain that accompanies breathing difficulties.

Read the article in Spanish.

Pain in the right side of the chest in men and women: causes, how to treat

There is probably no person who at least once in his life did not feel that he had a pain in his chest on the right. For some reason, this symptom is not considered to be alarming: many people are guided by the fact that the “motor” of our body – the heart – is on the left, which means that there is no danger to life. Some people completely ignore the problem until the symptoms expand, preferring to relieve the pain syndrome with medications available at home. Experts in the field of medicine categorically disagree with such an irresponsible approach – after all, a sharp severe pain in the chest on the right is often a very alarming signal.

Causes of right chest pain

Our body is designed in such a way that all systems in it are closely interconnected, so unpleasant or painful sensations in one area may indicate problems in a completely different place. For example, if you have pain in the upper right or lower right under the chest, this may indicate problems with the liver, problems with the intestines, and even diseases of the spine. And to identify what specifically provoked the pain, a thorough diagnosis using modern equipment will help.

Diseases of the cardiovascular system

With pain in the chest on the right side, almost every doctor will first of all suspect the presence of cardiac pathologies, especially if the patient is no longer young, and the patient himself leads a sedentary, unhealthy lifestyle and has a history of cardiovascular and endocrine diseases.

Aortic aneurysm

An aneurysm is a weak section of the wall of the main artery in our body. In this place, the wall stretches, protrudes, and at some point it can either burst or tear. This condition is life-threatening, therefore, already at the first suspicion of an aneurysm, the patient will be prescribed an X-ray or MRI, where the pathology will be detected and a decision will be made on the need for surgical treatment.

Angina

If it hurts in the chest at the top right, this may indicate the presence of angina pectoris: it occurs due to impaired blood supply to the myocardium and is often the result of atherosclerosis (plaque formation on the inner walls of blood vessels).

Pericarditis

Pathology causes the accumulation of fluid in the cavity of the heart muscle (pericardium), as a result of which its function is impaired. This condition is most often observed in men, and at a young age – from 20 to 50 years.

Myocardial infarction

Sudden acute pain in the chest on the right, more often in women and less often in men, which does not go away even after taking strong painkillers, indicates a myocardial infarction. This is a deadly condition caused by a violation of the blood supply to the heart muscle.

Diseases of the digestive system

Quite often, the patient’s complaints that he has pain on the right side of the chest can signal problems with the gastrointestinal tract. As a rule, such diseases are accompanied by a number of very characteristic additional symptoms – nausea and vomiting, fever, stool disorder.

Hepatitis

A dangerous disease that affects the liver develops as a result of transfusion of infected blood into the human body (forms B and C), and is also transmitted through dirty hands (form A). A characteristic symptom of hepatitis is not only pain, but also yellowing of the whites of the eyes, associated with an increase in the amount of bilirubin in the blood.

Gastric ulcer

It can appear as a response of the body to the abuse of spicy, fatty and fried foods, as well as alcohol. Often, peptic ulcer disease is preceded by other lesions of the gastrointestinal tract. Pathology is characterized by the formation of perforation in the wall of the stomach, through which its contents enter the abdominal cavity. As a rule, with an ulcer, the patient complains that the pain is most intense on the right (including in the chest) during or after eating.

Pancreatitis

Pancreatitis (inflammation of the pancreas) in our country is not treated very responsibly, believing that it is enough to stop pain symptoms. In fact, such a careless attitude to the disease can lead to a number of more serious problems that will require urgent surgical intervention.

Respiratory diseases

Quite often, when asked why it hurts in the chest on the right, doctors give the most obvious answer: there are problems with the lungs or bronchi. Painful sensations of varying degrees of intensity on the right side of the sternum may indicate pneumonia, tuberculosis, pleurisy, as well as the presence of malignant tumors in the lung cavity or cancerous metastases.

Spinal problems

The back is also often able to “give” under the ribs or into the chest. This occurs if there is an injury, sprain after intense physical exertion, and as the main concomitant symptom of some pathological conditions.

Intercostal neuralgia

This term is understood as compression of the roots of the intercostal nerves. As a result, the latter are irritated and respond with intense pain in the chest on the right or left, often radiating under the shoulder blade.

Herniated disc

This is a musculoskeletal disease in which there is a gradual thinning of the wall of the fibrous ring and, as a result, its rupture.

Scoliosis

The “sore”, which parents and school teachers used to scare us in childhood, is not as harmless as it might seem. Deforming over time, the spine often produces more or less intense pain and a variety of pathologies.

Ankylosing spondylitis

The situation in which it hurts in the back and / or chest on the right is a frequent companion of this pathology, manifested by inflammation of the intervertebral joints. The disease is chronic, limits joint mobility, stops growth, and ultimately leads to disability.

Diagnosis

Diagnosis of any of the above diseases includes a visual examination, palpation, referral for blood and urine tests. Also a neurologist will most likely recommend that you make an appointment for an ultrasound, X-ray or MRI. The results of the studies and the establishment of the final diagnosis make it possible to prescribe the most adequate treatment.

Treatment

It can be conservative or operative, depending on the diagnosis. Some types of pathologies – for example, hepatitis – require long-term use of antibiotics and the strongest antiviral drugs, others are based on normalizing the diet and maintaining a healthy lifestyle. The specialists of the Energo clinic, who are true professionals in their field, will definitely identify the causes of back and chest pain, select the method that is right for you to solve the problem, and give useful recommendations regarding the recovery period or remission in case of a chronic illness.

You can make an appointment with specialists online , as well as by phone 8 (812) 901-03-03.

Right chest pain

Pain behind the sternum on the right

Right chest pain is a fairly common symptom of many diseases. It is very important to determine the nature of the pain and the duration of spasmodic reactions in order to correctly diagnose the disease. In no case should one turn a blind eye to signals such as pain, because it is not unreasonable. Even if you know what causes your chest pain on the right side, self-medication without examination and doctor’s conclusions is highly discouraged.

In order for you to be aware of the risks of diseases associated with right chest pain, we have prepared for you complete and detailed information about their causes, symptoms, treatment and prevention.

Causes of right chest pain

Pain in the chest on the right side due to chest trauma, excessive exercise, sprains and injuries:

• Strenuous exercise and strain can cause pain in the intercostal and pectoral muscles. This pain is also called krepatura. It appears after active classes in the gym or hard physical work. This is a completely harmless pain, which is caused by the release of lactic acid in the connective tissues of the muscles, as well as partial damage to the muscle and ligamentous structures of those muscles that strained the most. The appearance of such pain is the result of an inadequate approach to the training schedule, an incorrect calculation of the load on the body. It usually manifests itself as an intramuscular pulling unpleasant sensation, and with sudden movements it can intensify.
• Trauma and damage to the chest and organs under its strong but still vulnerable protection can also cause chest pain on the right. For example, a fracture of the ribs reminds of itself with stabbing pain directly at the site of injury, especially when squeezing the chest. It is also strongly manifested when coughing and calms down, as soon as the patient sits down and relaxes.

With bruises on the body, bruises and bruises can be observed. A slight bruise is absolutely not dangerous for a person, although it can cause small hemorrhages and ruptures. While a severe bruise can lead to rupture of the lung and death.

Right chest pain due to viral and infectious diseases:

• Viral diseases can cause pain when you take a deep breath, sneeze or cough. In this case, the localization of pain will depend on the weakest part of the organs affected by the infection. In such a situation, the lung on the right side or the intercostal muscles of a weakened body may hurt. Sometimes with a simple cold, this pain can disappear after a course of special drug treatment, and the patient’s mandatory stay in bed. But there are cases when the patient’s state of health deteriorates significantly, which leads to serious violations of the vital functions of the respiratory system.

Pain in the chest on the right due to disruption of the respiratory system:

• Pneumonia is one of the most serious lung diseases that manifests itself in the patient’s body as an inflammation that can affect both one part of the organ and affect both sides. There is a fairly wide range of viruses and infections that can cause this disease, but the most important fact that everyone should know is that inflammation of the lungs, which is so difficult to treat and in severe cases can be fatal, can be triggered by the wrong medical intervention. Usually pneumonia is manifested by fever, chest pain, characteristic wheezing and cough.
• Pleurisy is a disease of the lungs associated with inflammation of their lining. This inflammatory process causes pain in the right side of the chest, especially during coughing or other diaphragmatic tension. Pleurisy is recognized with sudden painful spasms in the chest, as the ability to breathe deeply is lost, and patients with pleurisy often experience suffocation. Inflammation of the pleura often manifests itself as a post-symptom of pneumonia, and also accompanies the course of tuberculosis, or in cardiovascular diseases.
• The presence of a tumor in the lungs and bronchi, as the most difficult and not comforting diagnosis for the patient, can also cause pain in the right side of the chest. As a rule, tumors in the pulmonary region are classified by oncologists as bronchopulmonary cancer, the main distinguishing feature of which is a dry, choking cough with bloody expectoration. Lung cancer comes with a host of different symptoms, including chest pain.

Pain in the chest on the right side due to diseases of the digestive system:

• Heartburn is the most common cause of discomfort in the right chest. It appears as a result of excessive secretion of gastric juice and its entry into the esophagus. An unpleasant sensation may appear immediately after eating or after half an hour, but there are also cases when heartburn also appears on an empty stomach. The disease-causing effect of heartburn can spread throughout the esophagus, which causes a lot of inconvenience to the patient, as heartburn begins its journey in the stomach and rises to the very throat. In this case, the patient feels a burning sensation in the chest from several minutes to an hour.
• Stagnation of food in the digestive tract. For this reason, chest pain on the right side may also appear. The fact is that during the digestive process, food or liquid can get stuck in the esophagus. This phenomenon often causes pain in the chest on the right, which is due to strong pressure on the walls of the esophagus and is aggravated by swallowing and tension of the diaphragm.
• Diseases of the liver, including any inflammatory acute or chronic process, as well as parasitic lesions of the liver, can cause stinging pain in under the ribs on the right side. It becomes especially strong when pressing on the organ, sneezing and coughing. Separately, it is necessary to highlight one of the types of inflammation of the liver, such as hepatitis.
• Hepatitis, which has several forms (A, B, C, D), is popularly called jaundice, since the skin and the white part of the eye take on a yellowish tint due to the ingestion of bilirubin, which is not processed in the liver, into the blood. However, there are also cases of hepatitis when jaundice does not appear, but in any case, the disease is given out by painful spasms in the right hypochondrium. They arise as a result of stretching of the liver membrane due to its increase. The nature of the pain can be quite varied: dull and prolonged pain may appear, or sharp and intense pain may occur, the impulses of which can even reach the right shoulder and shoulder blade.
• Dysfunction in the gallbladder is one of the causes of pain in the right hypochondrium, associated with abnormalities in the formation and excretion of bile from the body.
• Biliary dyskinesia is a disease caused by impaired flow of bile. With this disease, there are absolutely no organic or structural changes in the gallbladder, but only the motor function of the bile ducts is disturbed. Dyskinesia causes too much or vice versa insufficient contraction of the gallbladder, which explains the violation of the non-synchronous opening and closing of the bile ducts. Doctors associate the appearance of dyskinesia with acute and chronic psycho-traumatic situations, deep intrapersonal conflicts, and individual intolerance by the patient’s body of certain foods (allergies) is also very important.
• Chronic cholecystitis is a disease of the gallbladder caused by its inflammation. Most often, an acute bacterial infection becomes the causative agent of chronic cholecystitis – it can be a mass of varieties of E. coli, enterococcus, proteus, staphylococcus, streptococcus. Of particular importance is a parasitic infection of the biliary tract, contributing to the long-term course of inflammatory processes, as well as changes in the properties of bile, the formation of stones and impaired bile outflow.
• Gallstone disease is an abnormal process in the bile that results in the formation of crystalline structures of cholesterol and calcium salts in the bile ducts and gallbladder. A disease of this kind indicates a wrong lifestyle, excessive consumption of fatty foods and alcohol. Gallstone disease immediately makes you aware of its appearance with unbearable stinging pain in the right hypochondrium. In this case, you should definitely consult a doctor, since only a qualified specialist can diagnose the disease and prescribe an effective treatment. Do not try to cure gallstone disease at home, because it will not lead to anything good.

Pain in the chest on the right, due to failures with the cardiovascular system:

• Angina pectoris is a heart disease that manifests itself in the form of attacks of sudden pain in the chest, both on the left and on the right side. Angina pectoris is a consequence of an acute shortage of blood supply to the myocardium. This is a severe form of coronary heart disease that requires hospital treatment. Due to the lack of oxygen supply to the necessary areas of the heart and lungs, pressing pain in the chest appears. It can take a person by surprise both during the day during physical exertion and at night at rest. Doctors can recognize this disease at the first visit of the patient, while its complications require tests and continuous monitoring of the patient in the hospital.
• Myocardial infarction, or heart attack, is the death of part of the heart muscle, which is directly related to a lack of blood and oxygen supply to this muscle. It is also one of the results of clinical forms of coronary heart disease. It is characterized by a sudden onset of sharp pain that spreads to the chest area and radiates to the left shoulder and neck. In case of a heart attack, an ambulance is immediately called, because if help is not provided as quickly as possible, a person may die.
• Pericarditis is an inflammatory process of the pericardial sac – the pericardium, which is the protective membrane of the heart. Very often, pericarditis manifests itself as a symptom of infectious, autoimmune and oncological abnormalities and heart diseases, and much less often acts as an independent disease. Manifestations of pericarditis directly depend on the intensity of inflammatory processes and their form. Thus, the main indicators of pericarditis in its dry form are pain signals in the region of the heart. By their nature, they are very similar to angina pectoris or dry pleurisy, which is why the correct treatment of inflammation of the pericardium often begins with a great delay due to difficult diagnosis. One of the hallmarks of pain in pericarditis is that it increases with deep inspiration, coughing, or when the body is in a horizontal position. Effusive pericarditis is accompanied by the release of fluid into the pericardial space, the patient feels pressure in the region of the heart, it becomes difficult for him to breathe, shortness of breath appears, as well as squeezing of the esophagus. The patient’s body reacts to such a painful process with fever, swelling of the face and neck appears, and the veins strongly show through.

Right chest pain symptoms

We have previously listed many reasons that can cause pain in the right hypochondrium. However, in order to choose from the list of causes the most likely for a particular case, you need to know the types of pain and the symptoms that accompany it. A correct understanding of the symptoms of pain will allow the doctor to make a correct history and conduct the most necessary tests in the first place and promptly prescribe treatment. Next, we will talk about the types of pain, its localization and what it means in each case:

Pulling and aching pain in the chest on the right can be caused by excessive physical exertion and disappears within a day. Such pain can appear after bruises and injuries of the chest. Often, it develops into a stabbing pain, depending on the nature of the injury, and is aggravated by tension in the diaphragm when a person sneezes, coughs, or takes deep breaths.

Pain in the right upper chest may be associated with inflammatory processes in the lungs. Usually, diseases such as pneumonia and bronchitis are accompanied by high fever, hoarse noises in the lungs and severe cough.

Sudden painful cramps in the chest can begin after pneumonia. Pleurisy develops and then the patient loses the ability to breathe deeply, and very often there is suffocation. Also, spasmodic pain in the upper chest, accompanied by a bloody choking cough, may indicate the presence of cancer in the lungs.

The burning sensation in the chest on the right arises from heartburn and spreads throughout the body from the esophagus to the very throat. Such pain comes most often after eating, but it can also happen on an empty stomach, it all depends on the characteristics of the patient’s body. The duration of such pain lasts from several minutes to an hour.

Acute pain on the right under the chest can be caused by liver diseases such as hepatitis, cholecystitis and gallbladder dysfunction. With liver disease, the skin and eye proteins of the patient take on a yellowish tint, and if you lightly press on the diseased organ, the pain intensifies. It is also aggravated by any tension of the chest.

Unbearable stabbing pain occurs at the very first prerequisites for cholelithiasis. Any problems with the outflow and patency of bile should be solved only in the doctor’s office, since diseases of the gallbladder bring a lot of pain to the patient and can lead to serious complications. Therefore, if it happens that you feel a sharp stabbing pain on the right under the ribs, immediately call the doctors.

If the pain is systematic and has the character of an attack, has clear conditions for the appearance and remission, that is, a certain time and external factors of influence, then most likely it will pass completely if you take nitroglycerin. Because such pain is characteristic of angina pectoris – one of the types of coronary heart disease. The pain appears from physical or psychological stress, and with age, the pain from angina pectoris only intensifies.

Compressive dull pain throughout the chest, starting on the left side and giving spasm to the right hypochondrium, making breathing difficult, and squeezing the esophagus – this is pain from pericarditis. It is quite difficult for doctors to diagnose it, since the symptoms of this disease are significantly similar to other diseases of the cardiovascular system and lungs.

A sharp pain in the chest on the right, which has the character of an attack, differs in that it begins in the region of the heart on the left and gives a sharp impulse to the right shoulder, but then spreads to the right side of the chest. This is a myocardial infarction, that is, a heart attack. If such symptoms have taken place, you should immediately call an ambulance, since the patient’s life without the help of doctors can end at any moment.

Diagnosis of right chest pain

The diagnosis of a patient who applied to the hospital with chest pain on the right is made according to a strict algorithm. According to the nature of the pain and general symptoms, first aid is provided. For example, myocardial infarction or cholelithiasis cannot be confused with an attack of another disease. Therefore, if all the signs are on the face, then in an emergency mode, the patient is given first aid and further treatment. And if the causes of the disease when the patient is admitted to the hospital are not known, then by means of ECG and ultrasound, diseases of the cardiovascular system such as angina pectoris are excluded. Further, depending on what the patient complains about, the doctor takes an anamnesis and prescribes treatment. If the patient complains of a burning sensation in the chest, a special test is performed for the acidity of the gastric juice and the functioning of the lower food sphincter.

The doctor determines the presence of injuries and bruises visually as a result of examining the patient, as well as using palpation – a tactile examination. And if the pain intensifies when pressing on the chest area, then the patient from the diagnostic department is sent to traumatology. If the patient is admitted to the hospital with a high fever, cough and characteristic wheezing, he is assigned a series of routine tests, as well as a computer scan – a tomogram, as a result of which the doctor will be able to determine the damaged areas of the lungs and diagnose one of the diseases of the respiratory system.

Treatment of right chest pain

After the anamnesis and diagnosis of the disease were successful, the doctor prescribes a treatment for the disease that will exclude chest pain on the right from the patient’s life for many years, and maybe forever, depending on the complexity of the disease.

Pain in the left hypochondrium due to bruises and injuries of the chest. The very first aid that needs to be provided to the patient before the arrival of the doctor is the imposition of a tight girdle bandage around the chest. The patient must take an anesthetic – an injection of two milliliters of a fifty percent solution of analgin. If the fracture of the ribs is multiple, in any case it is accompanied by difficulty in breathing and cyanosis. After first aid, depending on the complexity of the fracture, the patient is hospitalized either in the intensive care unit, or in the trauma or thoracic department. In the hospital, doctors maintain normal airway patency and bronchial function, prescribe physiotherapy exercises and breathing exercises for this. To improve the functions of the bronchial tree, massages and inhalations are prescribed. When a rib is fractured, antibiotic therapy is not used, since this group of patients is more likely to develop pneumonia, so they are prescribed antibiotics. In order for the body to continue to recover even after the hospital, the patient is prescribed to wear a special bandage or corset that helps keep the ribs in the desired shape.

Pain in the chest on the right side due to disruption of the respiratory system. Mild forms of respiratory diseases that cause chest pain on the right are treated in combination with simple antiviral and anti-influenza drugs. However, we have already seen that improper treatment or complications can cause the development of pneumonia. That is why it is so important to follow all the recommendations of the attending physician and follow the instructions for using the drugs. The decision to hospitalize a patient with pneumonia and other severe respiratory diseases depends on the age and condition of the patient. Most often, adults are treated at home. But in any case, a chest x-ray and a general blood test are mandatory for all patients before and after treatment. From the inflammatory processes of pneumonia, antibacterial drugs are prescribed. They must be taken according to the strict recommendations of the doctor. Even if the patient feels better, but the course of treatment has not yet been completed, this does not mean at all that drug treatment should be stopped, because the disease can return with double destructive force. If the drug effect on the patient’s body does not give results, then after three days the antibiotic is replaced with another one. Bronchodilators are also prescribed. In inpatient treatment, infusion therapy is practiced, oxygen inhalations are carried out, and massage is prescribed to improve the drainage function.

Pain in the chest on the right side due to diseases of the digestive system. In diseases of the digestive system, heartburn is a common symptom. Therefore, to get rid of it, you need to treat the root cause, that is, the underlying disease. In addition, the use of drugs is prescribed to help pacify excessive acidity inside the stomach. But all this is done only after careful research and analysis. Remember – heartburn never comes alone, there is always a serious gastroenterological disease behind it! As we already know, pain in the hypochondrium on the right is also provoked by inflammation and pathologies of the auxiliary organs of the digestive system, such as the liver and gallbladder. Liver disease is now treatable, thanks to the latest advances in medicine. But still, do not forget that this is a long-term process that requires medical supervision and self-medication is inappropriate here. After all, the liver is an organ that is most susceptible to drug stress, it suffers from incompetent intervention, which can lead to irreversible consequences. Drug treatment should be prescribed only by the attending physician. To cure the liver, hepatropic drugs are used, which combine three subgroups of drugs:

• Cholagogues: improve the secretion of bile and the process of its removal from the body.
• Hepatoprotective agents: normalize metabolic processes in the liver, improve its immunity to the effects of harmful substances, accelerate regeneration processes in various liver lesions.
• Cholelitholytics: regulate the amount of cholesterol in the liver and promote the dissolution of gallstones

Unfortunately, there are times when liver lesions have to be removed through surgery. But to prevent this from happening in your life, you must monitor your lifestyle, habits and nutrition. In this case, everything depends only on you!

Pain in the chest on the right, due to failures in the cardiovascular system. The heart is the organ without which human life is impossible. When making any independent decisions about his treatment, the patient has every chance to make a mistake and harm himself. Therefore, only a highly qualified specialist can determine the seriousness of the disease and decide on a strategy for the treatment of cardiovascular diseases. The most terrible and generalizing feature of all cardiovascular diseases is that they all have a progressive character. That is why it is so important to contact a cardiologist at the first symptoms in order to stop the destructive processes in the early stages of the disease, quickly and effectively correct the work of the heart. Believe me, the sooner you start treating your sick heart, the more likely it is to restore its work, the fewer drugs you will have to drink, the cleaner your liver will be. Remember that sometimes heart disease has a latent progressive nature, and the patient may not even suspect that it is high time for him to start treatment.

How to prevent right chest pain

First of all, as a prevention of chest pain on the right, you need to control your lifestyle, and not go with the flow:

• You need to eat right, eat more vegetables and fruits and pay less attention to fatty foods, preservatives and fast food. After all, human eating habits affect primarily the work of his internal organs. In lovers of fatty foods, the heart and liver are filled with cholesterol plaques, which leads to diseases of the cardiovascular and digestive systems, metabolism is disturbed, and obesity appears.
• Advice from a qualified coach will help you play sports wisely. They will teach you how to avoid injury and overload, as well as severe consequences in the form of long-term treatment and pain.
• Do not self-medicate for acute respiratory illnesses that could be extremely distressing to you. After all, a simple cold or advanced bronchitis can one day turn into inflammatory or oncological formations.
• If you have experienced a bruise or chest injury, do not think that everything will go away on its own. There is a possibility that the organs that it protects, which are directly under it, are also injured. Micro-ruptures, sprains and hematomas after an injury can remind of themselves in a few months or even years.

Any pain is easier to prevent than to spend your energy, time and unexpected capital to cure it.