does all my patients all have chest pain

Stomach lining inflammation from many causes can make your lower left chest hurt. People with a hiatal hernia often have difficulty swallowing. Usually for an unknown reason, part of your stomach can go through an opening in your diaphragm muscle that’s normally only for your esophagus. Digestive issues (left side chest pain) Hiatal hernia This is an extreme pain that can last for many hours. Swelling in your gallbladder makes it hurt under your ribs on your right side. Made of mostly cholesterol, gallstones can block ducts where a fluid that helps digestion (bile) needs to travel to get to your small intestine. Digestive issues (right side chest pain) Gallstones Like you would with GERD, you may have a burning pain under your breastbone. EsophagitisĪn allergic reaction to food can cause inflammation in your esophagus’ walls. Instead, you have a strong squeezing feeling under your breastbone with or without trouble swallowing. Muscle spasms in your esophagusįor an unknown reason, muscles that normally push food through your esophagus stop doing this. It can get worse when you eat acidic foods or drink alcohol. This can feel like burning or aching right under your breastbone. Having an infection or taking NSAIDs can make it easier for stomach acid to injure your stomach lining.

It often gets worse after eating certain meals or spicy foods - and it’s usually worse at night after dinner. This chest pain may be worse when lying down because gravity can’t help keep stomach acid down like it does when you’re standing up. Digestive issues (middle of your chest) Gastroesophageal reflux disease (GERD)Īcid from your stomach comes up into your esophagus, making you feel burning or tightness (heartburn) under your breastbone. This allows blood to flow back to the chamber it just left. The valve that lets blood flow between your left atrium and left ventricle may not close completely every time your heart beats. If an aortic aneurysm ruptures, this is an emergency that requires immediate treatment. Without treatment, this weak spot can break open and cause severe pain in your chest or abdomen. Aortic aneurysmīlood that pushes against a weak part of your aorta’s wall can make it bulge out. This very strong pain happens without warning and feels like something is ripping and is often felt in your chest, back and between the shoulder blades. Aortic dissectionĪ tear can happen in the wall of your aorta, making the layers of the wall come apart from each other. Hypertrophic cardiomyopathy usually happens because of a problem in the genes you got from your parents. With this issue, you can’t get enough blood into - or out of - your heart’s chambers, and your heart has a harder time getting oxygen-rich blood. The muscle walls of your pumping ventricles (or lower heart chambers) become thick and stiff. The pain can be worse when you’re lying down and worse when taking deep breaths. The pain can spread to your left shoulder and arm. PericarditisĪn infection or other cause can start inflammation in the lining around your heart, causing a sharp pain in your chest. This causes pressure or pain in your chest, and it could lead to a heart attack. Coronary artery dissectionĪ coronary artery wall can rip, create a bulge and block your artery. It’s typically worse with exercise because you can’t get enough blood to the heart muscle and clogged coronary arteries. Coronary artery diseaseĬholesterol buildup can narrow and block the blood vessels that carry blood to your heart. Heart muscle dies when it can’t get enough oxygen because of a blockage in the coronary artery supplying its blood. Chest pain can be a symptom of: Heart and vascular problems (pain on the left side of your chest) Heart attack What are the most common causes of chest pain?Īlthough most people think of chest pain as a sign of a heart issue/heart attack, many things can cause it. GERD, or heartburn, is the most common cause. Chest pain can come from heart, lung, digestive or other issues.

Does all my patients all have chest pain