Chest pain is a common reason for emergency room visits, with 8 million visits in the United States annually. The location of the pain can vary, with some people experiencing it directly in the center of their body, while others feel it under their breasts. While some chest pain, such as heartburn, is not a cause for concern, there are other causes that may require medical attention.
Dr. Joe Whittington, a board-certified emergency physician, advises seeking medical advice if the chest pain significantly affects daily activities, persists for a long time, or does not respond to conservative measures. It is important to be aware of symptoms and when to see a doctor, especially since severe conditions are often overlooked or unrecognized in women.
One possible cause of chest pain is precordial catch syndrome, which is characterized by a sharp pain near the heart. This pain typically occurs when taking a breath and subsides when you inhale more deeply. It is believed to be related to irritation or inflammation of the nerves in the chest wall and is not usually a cause for concern.
Mastitis is another potential cause of chest pain, particularly for breastfeeding mothers. Mastitis is an inflammation of the breast due to a bacterial infection. Symptoms may include a hard, swollen, and red breast area, along with fever and chills. Antibiotics are typically required to treat mastitis.
Costochondritis, or chest wall pain, is caused by inflammation of the cartilage that connects the ribs to the breastbone. This can result in pain under the breasts that worsens with movement or breathing. Rest, heat or cold packs, and over-the-counter pain medication can help manage the pain associated with costochondritis.
Gastritis, inflammation of the stomach, can also cause chest pain near the breasts. Symptoms may include abdominal pain, indigestion, heartburn, and an upsetting feeling in the stomach. Gastritis can be caused by various factors, including infection, autoimmune disorders, and certain irritants. Reflux symptoms, such as heartburn, are common with gastritis.
A heart attack can cause chest pain that is felt in the center or left side of the chest. Additional symptoms may include pain in the arms, shoulders, jaw, neck, or back. Women experiencing a heart attack may have symptoms that are different from men, and chest pain can sometimes be mistaken for less serious conditions like heartburn. Immediate medical care should be sought if these symptoms persist for 15 to 20 minutes.
Anxiety and panic disorder can also cause chest pain near the breast. Hyperventilation and elevated blood pressure associated with anxiety can result in musculoskeletal chest pain. Panic disorder, if not treated, can have negative impacts on health. It is important to seek medical attention if sudden chest pain occurs and spreads to the arms, jaw, or back, or if new symptoms arise.
If you are uncertain about the cause of your chest pain or it is your first time experiencing it, it is advisable to consult a healthcare professional for an accurate diagnosis.