Chest pain can be a confusing symptom, and it is one that should not be ignored. It may mean something as simple as acid reflux, or it could indicate a significant and dangerous problem like cardiac disease. For this reason, chest pain and chest tightness should be taken seriously. Show
Chest pain, also known as angina, may manifest as a variety of symptoms, including chest pressure or tightness. Many people describe their chest tightness as a squeezing sensation, causing significant enough discomfort to take notice. If you are feeling any chest pain, pressure, or tightness, be sure to see your healthcare provider right away. They can diagnose your chest pain and be sure you get the correct treatment. This article will explore left-sided chest pain and help you understand its various causes. It will help you to determine if your chest tightness and pressure are a major problem and what you should do about them. SCIENCE PHOTO LIBRARY / Getty Images Chest pain symptoms come on in a variety of ways. Symptoms may include:
These symptoms may come on gradually or suddenly, and they may occur after activity or during rest. The pain may be accompanied by other symptoms, such as shortness of breath, sweating, or nausea. When It’s an EmergencyIf you have chest tightness or pressure, it may not always be a sign of a heart attack or another critical problem. However, it may be something serious that requires swift medical attention. Signals from your body that accompany chest pressure or left-sided chest pain and may indicate an emergency include:
If you have any of these symptoms, you must see your healthcare provider right away or visit your nearest emergency department. Time is of the essence. Chest pain can be a sign of heart disease, and you must get medical attention to avoid significant problems. CausesThere are several possible causes of chest pain and pressure. Some of these may be orthopedic problems (involving the musculoskeletal system), and some may be related to your digestive system. Chest tightness and pain may be a signal that something is wrong with your heart or lungs. For this reason, all chest pain should be taken seriously and never ignored. PericarditisYour heart is surrounded by a thin, saclike structure called the pericardium. Pericarditis is a swelling or inflammation of this structure. Chest pain is one symptom of pericarditis. The pain is usually worse with lying down or coughing and better with sitting or leaning forward. Other symptoms that accompany the chest pain or tightness may include:
Pericarditis is a medical emergency. If you suspect it, you must see your healthcare provider right away. Panic AttackSometimes anxiety or stress can cause a panic attack and can lead to chest tightness and pressure. This may be accompanied by feelings of worry, anxiety, or sadness. You may also notice some shortness of breath, but in general you should not feel physically unwell or have a fever. Acid RefluxSometimes gastroesophageal reflux disease (GERD), also known as acid reflux, can cause chest pain and tightness. These symptoms come on gradually and typically after having a meal with a trigger food for reflux. Symptoms are not life-threatening, and they are usually much better with over-the-counter or prescription medication for reflux. Heart AttackA heart attack, or myocardial infarction, is a serious problem that requires swift medical attention to treat. This occurs when the flow of blood to your heart is stopped. Your heart tissue will struggle to work properly, and a tight, squeezing sensation may be felt in your chest, left shoulder, jaw, or left arm. Symptoms of a heart attack are typically, but not always, accompanied by shortness of breath, nausea, or sweating. If there is any evidence that you may be having a heart attack, you need to get medical attention right away. The cause of your heart attack can be determined, and the correct treatment can be started to help save your cardiac muscle and, potentially, your life. Cervical RadiculopathyBelieve it or not, some chest pain and left arm pain can come from your neck in the form of cervical radiculopathy. Pain in your chest may be due to a pinched nerve from a bulging disk or arthritis in your neck. Cervical radiculopathy typically causes pain that changes with your position. As you move your neck or change your posture, the pain may decrease or intensify. The pain may also lessen with anti-inflammatory medication. DiagnosisSince chest pain and pressure can be caused by a host of different problems, diagnosing it can be challenging. When reporting to your healthcare provider with chest pain, you will receive a clinical examination in order for your provider to determine how to best diagnose the condition. Common diagnostic tests for chest pain or tightness may include:
If the results of these tests indicate that a cardiac issue is causing your chest pain, further testing may be done in order to determine the severity of your problem. A stress test may be performed to challenge your cardiac tissue and assess your heart function, or a cardiac catheterization may be performed to visually examine your heart's vessels. If a cardiac problem is ruled out as a cause of your chest pain, then other tests may be done—including a cervical MRI (magnetic resonance imaging) scan or nerve conduction tests—to rule out other diagnoses. Standard practice is to err on the side of caution by ruling out serious causes and then performing other tests to determine less serious causes. TreatmentThe treatment you get for chest pain depends upon the results of your diagnostic testing, such as:
SummaryChest pain is a symptom that should not be ignored. It may occur due to a cardiac, digestive, orthopedic, or neurological problem. Diagnosis of chest pain and pressure involves several tests to rule in or out a specific pathology, and treatment often includes lifestyle changes, medication, or surgery. A Word From VerywellChest pain can be a scary symptom, and ignoring it can be a devastatingly bad choice. If your chest pain or pressure is from a heart attack, death can result. But, most episodes of chest pain are easily managed; the trick is performing the right tests for successful diagnosis and then treating the right pathology. If you have chest pain, pressure, or tightness you should see your healthcare provider right away. They can help determine the cause of your problem and recommend the best treatment. That way, you can quickly get back to your normal lifestyle with minimal or no episodes of chest pain. Frequently Asked Questions
When should I worry about left side chest pain?Call 911 if you have any of these symptoms along with chest pain: A sudden feeling of pressure, squeezing, tightness, or crushing under your breastbone. Chest pain that spreads to your jaw, left arm, or back. Sudden, sharp chest pain with shortness of breath, especially after a long period of inactivity.
How do you know if left chest pain is heart related?Heart-related chest pain
Pressure, fullness, burning or tightness in your chest. Crushing or searing pain that spreads to your back, neck, jaw, shoulders, and one or both arms. Pain that lasts more than a few minutes, gets worse with activity, goes away and comes back, or varies in intensity. Shortness of breath.
How do I know if my chest pain is serious?How do I know if my chest pain is serious? Call 911 or have someone take you to the closest emergency room right away if you have chest pain that lasts longer than five minutes and doesn't go away when you rest or take medication. Cardiac chest pain can be life-threatening. Chest pain can be a sign of a heart attack.
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