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Pain Between Breasts In Center Of Chest

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Anxiety And Panic Attacks

What Can Cause Breast Pain?

Some episodes of chest pain occur as part of an anxiety or panic attack.

In addition to chest pain and overwhelming feelings of anxiety, these attacks can cause symptoms such as heart palpitations, sweating, breathlessness and dizziness.

Most panic attacks last for 5 to 20 minutes. In the long-term, you may benefit from psychological therapy and medication, or both.

How Costochondritis Chest Pain Is Treated

Treatment typically takes the form of oral pain relievers typically either Tylenol or nonsteroidal anti-inflammatory drugs , such as Advil or Motrin . Ice or heating pads can help, says Gewanter, as can minimizing activities that provoke your symptoms. Cough suppressants can also help reduce discomfort, and sometimes physical therapy is used to help diminish soreness.

Do You Feel Pressure In Your Chest And Discomfort In Your Shoulders Arms Neck Jaw Or Back Do You Feel Like You Have Indigestion

Angina signals an underlying heart condition that can lead to a heart attack. Stable angina is triggered by emotional stress,smoking,heavy meals and extreme variances in temperature, all of which cause your heart to work harder.

This type of angina is episodic but controllable. Your doctor can help you understand and manage the condition.

Unstable angina is characterized by sudden chest pain or worsening or persistent chest discomfort that occurs during sleep or reduced physical activity. It is caused by a reduction in blood flow to the heart. This is a serious health issue that requires immediate medical attention.

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Digestive Causes Of Chest Pain

When chest painparticularly pain in the lower chest is triggered by a meal, it is likely to emanate from the digestive system, rather than from the heart, and can be due to the following:

Acid reflux or heartburn. When acid from the stomach flows up into the esophagus, it can cause a burning sensation in the chest reminiscent of a feeling of angina or often mistaken for a heart attack.

Esophageal spasm. Sudden, forceful contractions of the esophagus, the muscular tube between the mouth and the stomach, can be painful. These spasms can also trap food in the esophagus and prevent it from passing into the stomach.

Gallbladder disease. A sudden pain that often occurs 30 minutes after you have eaten may be a sign of gallstones. Gallbladder pain is usually felt just below the breastbone and may extend to the right arm or between the shoulder blades. It occurs as the gallbladder contracts in an effort to pump bile around the gallstones that are blocking its passage to the liver.

How Is Noncardiac Chest Pain Treated

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Effective treatment depends on identifying the cause of your noncardiac chest pain. Some options include:

Acid reflux treatments

If your noncardiac chest pain is, like most peoples, from GERD, treatment is usually simple and effective. Proton-pump inhibitors are the most commonly used medicine to treat GERD. PPIs reduce the amount of stomach acid that your glands secrete, which also allows ulcers and acidic corrosion to heal. Treatment usually begins with a high dosage to control your symptoms, then continues with a low dosage for two to four months. PPIs are about 90% effective in treating GERD and its side effects. If they are ineffective, it probably means that your NCCP is caused by something else.

Pain blockers

The next most common and effective treatment for noncardiac chest pain is a medicine that blocks the pain signals. These are usually from a class of drugs known as tricyclic antidepressants , used in much lower dosages than they are used to treat depression. If side effects prevent you from tolerating TCAs, other categories of antidepressants might work. Selective serotonin reuptake inhibitors have shown some promise in treating NCCP, although they are less well-established than TCAs.

Emotional and behavioral therapies

A note from Cleveland Clinic

Last reviewed by a Cleveland Clinic medical professional on 04/04/2022.

References

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Inflammatory Causes Of Chest Pain

Tissues in the chest cavity can become inflamed due to injury, infection, or autoimmune conditions, in which the body’s immune cells attack its own tissues. Common inflammatory causes of chest pain include the following:

Costochondritis. This condition, an inflammation in the chest wall between the ribs and the breastbone, can trigger a stabbing, aching pain that’s often mistaken for a heart attack. Costochondritis is commonly caused by trauma or overuse injuries, often during contact sports, or it may accompany arthritis.

Pericarditis is an inflammation of the pericardium, a protective, double-layered sac surrounding the heart. It has many different possible causes, including a virus or other infection, certain illnesses, an injury to the chest, radiation therapy for cancer, or a reaction to medications. The classic symptom of pericarditis is a sharp, stabbing pain in the center or left side of the chest that worsens when you take a deep breath or lie down. The pain results from the irritated layers of the sac rubbing together.

Pain Between Breasts In Center Of Chest Other Possible Causes

Some other less known but possible causes of sternum pain are GERD, bruises, muscular strain, and arthritis.

These conditions can mimic the symptoms associated with other medical issues mentioned earlier.

You should always check the pain between breasts in center of chest. Be wise with your health and seek medical attention when possible!

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Heart And Blood Vessels

The heart lies behind the breastbone and protrudes from either side of it, with more of the heart extending to the left than the right side. From the heart arises the great blood vessels like the aorta. Cardiac pain is therefore usually in the center of the chest although it can be slightly to the left of the sternum and even to the right of it.

  • Angina pectoris is heart muscle pain that arises when there is insufficient blood supply to the heart muscle. It is usually associated with coronary artery disease. If left untreated it can progress to a heart attack.
  • Myocardial infarction is where a portion of the heart muscle dies due to insufficient blood flow to it. Apart from central chest pain, dizziness, excessive sweating and left arm pain may also be present.
  • Pericarditis is inflammation of the lining around the heart . It can occur for a number of different reasons, including infections, non-infectious inflammation and with trauma to the chest wall.
  • Aortic aneurysm is where a portion of the wall of the aorta bulges abnormally. It can lead to an aortic dissection where there is a tear in the inner lining of the aorta with blood accumulating inside the wall. This may the progress to a rupture. Aortitis is where the aorta becomes inflamed. Pain behind the breastbone may be present in all of these conditions.

Recognizing And Diagnosing Costochondritis

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X-rays dont show soft tissue well and theres not a blood test for it, so costochondritis is typically diagnosed by a doctor through a physical exam. Older adults experiencing these symptoms may need to get an EKG to rule out the possibility of cardiac problems.

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According to Costochondritis, StatPearls medical education book published in January 2021, The most important part of the diagnosis of costochondritis is ensuring other, more deadly causes of chest pain have been ruled out. These can include acute coronary syndrome, pneumothorax, pneumonia, aortic dissection, pulmonary embolism, or an esophageal perforation.

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Causes Of Sternum Pain

  • Bruising or tenderness of a chest wall muscle

A strained or pulled muscle in the chest wall can cause chest bone pain. This injury is caused by overuse or repetitive movement, an increase in activity level, or a sudden improper movement. Pulled muscles can also happen during an illness that causes coughing or vomiting.

Rest, ice, and over-the-counter pain medications can relieve muscle strain. But in more severe cases, you may need physical therapy or surgery.

When Is Chest Pain Associated With A Heart Attack

Story by: Lynne Choate on February 7, 2017

This article is part of a series on the signs and symptoms of a heart attack in women. Several Norton Heart Care providers have come together to raise awareness and provide tips just for women. Because signs of heart attack can be different for women than men, its important to know what to look for and what to do to save your life or the life of someone close to you.

You probably already know that the most common sign of a heart attack is chest pain. Often described as an elephant sitting on your chest or someone tying a rope around your chest, the pain can be intense and knock you to your knees in some instances. However, research on women reveals that sometimes the pain is less intense and can be ignored or written off as something else or breast pain.

Women may try to brush chest pain or discomfort off as breast pain instead, said Theresa Byrd, R.N., patient educator with Norton Womens Heart & Vascular Center. What women need to know is that breast pain does occur, but there are few key differences to keep in mind.

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Serious Stomach Pain Below Chest Situations

Most of the times what seems to be confounding not only for the patient but also for the doctor is the fact that dangerous health conditions can cause no or little abdominal discomfort, while health conditions of a benign nature may be responsible for inducing moderate to severe pains on the abdomens right side.

Appendicitis

This type of pain may occur somewhere else in the abdomen or it may already be present. However, regarding the appendicitis pain, its most of the times accompanied by symptoms like bowel changes, appetite changes, and fever, but this kind of pain cannot be predicted. Due to the fact that the possibility of someone suffering from a ruptured appendix, they need to be rushed to the hospital as soon as they feel this pain installing. This is especially true for children.

Appendicitis is a common cause of emergency abdominal surgery in the United States. Telltale signs of a bursting appendix can be determined by pressing the abdomen gently. Immediately call your physician if you develop a back and stomach pain showing symptoms of appendicitis.

Kidney Stones

One common cause of back and stomach pain is kidney stones. These stones form due to heavy concentrations of certain substances in the urine. Pain is usually severe and fatal. If left untreated, it will result in kidney failure. If your family has a history of kidney stones, you should keep a close watch on this condition.

Hernia complications

Acute Cholecystitis

Food poisoning

Intestinal Obstruction

Other Symptoms And Conditions Assosiated With The Pain

Costochondritis: Causes, Symptoms and Treatments

Apart of a pain between your breasts you may also experience pain and discomfort in following body areas: ribs, shoulder blades, bone, upper back, belly button, stomach, through to back, belching, above stomach and nausea.

Woman also can link the pain to following conditions and situations like pregnancy, after breast augmentation, when or after eating, when breathing, pregnancy, after sleeping, when coughing, when pressed, during breastfeeding, when lying down, when swallowing food, shortness of breath, at night, etc.

Anyway, you should provide this information to your MD to get correct treatment.

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Seek Urgent Medical Help For Chest Pain

With chest pain, every minute counts. The faster you get to hospital for treatment, the better.

If any activity brings on chest pain, follow these steps:

1.Stop what you are doing and rest immediately.

2.Talk tell someone how you feel.

If you take angina medication:

  • Wait 5 minutes. If you still have symptoms take another dose of your medicine.
  • Wait 5 minutes. If your symptoms dont go away

3.Call 000 and chew on 300mg aspirin .

  • Ask for an ambulance.
  • Wait for the operators instructions.

Do not take aspirin if you have an allergy to aspirin, or your doctor has told you not to take it.

Remember, if you have any doubt about your pain, call an ambulance anyway.

Do not drive yourself to hospital. Wait for the ambulance. It has specialised staff and equipment that may save your life.

Sharp Pain And Pressure: Costochondritis Symptoms Can Be Scary

The hallmark symptom of costochondritis is pain in the chest wall of varying intensity, and it tends to be described as sharp, aching, or pressure-like, according to research published in the journal American Family Physician. The pain can become even worse with upper body movement or by breathing deeply, since it involves joints that flex when you inhale. Although the second to fifth costochondral joints of the ribs are most frequently affected and especially ribs three and four it can impact any of the seven rib junctions. Pain can take place in multiple sites, but its most frequently unilateral, which means it takes place on only one side of the body. It can feel like someone stuck a knife in you, and it can take your breath away, says Dr. Gewanter.

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Naturally, intense symptoms can be scary, as Kelly ONeill describes in her blog, Rheumatoid Arthritis Warrior. This is especially the case if you dont understand the cause or havent experienced it before. But theres a good chance that the cause behind the pain isn’t serious.

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What Are The Warning Signs Of A Heart Attack

There are several different warning signs of a heart attack, and they are not always sudden or severe. Whether or not your chest pain symptoms include mild to severe pain, they should be considered heart-related until proven otherwise.

People having a heart attack may have just one of these symptoms, or a combination of several. They can come on suddenly or develop over a few minutes and get progressively worse. Symptoms usually last for at least 10 minutes.

Warning signs could include:

  • discomfort or pain in the centre of your chest a heaviness, tightness or pressure, like something heavy sitting on your chest, or a belt tightening around your chest, or a bad case of indigestion
  • discomfort in your arms, shoulder, neck, jaw or back
  • other problems such as:

Women and men can experience the signs and symptoms of a heart attack differently.

Although chest pain is thought to be the most common symptom of heart attack and it is common in men only about half of all women who have a heart attack actually report chest pain.

Heart attacks are more common in older people than in younger people, but they can occur in people of any age.

The pain you have may not sound like that described above, but its still important to see a doctor. Remember, all chest pain should be checked out by a doctor as soon as possible.

Possible Causes Of Pain In Center Of Chest

Approach to Chest pain

The common causes of chest pain are:

1. Angina

This type of pain is caused when the heart muscle does not receive a sufficient blood supply. The blood supply can be reduced or interrupted when the arteries feeding the heart have narrowed due to the build-up of plaques . Plaque formation builds up over time and can start in one or more places. The blood supply to the heart may be sufficient while youre resting but increased activity will cause angina.

Symptoms: Angina pain can be described as an ache, tightness or discomfort in the front of your chest. The pain may also be referred pain and felt as far away as your jaw, neck, arms or stomach.

2. Heart Attack

This occurs when the blood supply to a portion of the heart muscle is suddenly interrupted and that affected area is at risk of being permanently damaged. The blockage is usually caused by a blood clot which forms when there is a plaque present in the artery. The blood flow is not smooth around the plaque, which causes the blood to clot. Prompt medical care and medication to break up the clot can prevent any permanent damage to the heart muscle. Symptoms of a heart attack are similar to angina but more severe and long-lasting. Chest pain, feeling an intense pressure in the chest, pain in the jaw, neck or arms, feeling faint, sweating and shortness of breath are the common symptoms.

3. Costochondritis

4. Gastro-Esophageal Reflux Disorder

5. Anxiety

6. Chest Wall Muscle Strain

7. Pneumonia with Pleurisy

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How Is Noncardiac Chest Pain Diagnosed

If you experience chest pain that resembles cardiac chest pain, you should go to the emergency room. On arrival, you’ll receive a complete physical exam that measures all of your vital signs, including blood pressure and heart rate. Then youll be screened for heart attack or heart disease. Tests include an electrocardiogram a noninvasive test that records your hearts electrical activity and blood tests. Your heart releases certain proteins when a heart attack occurs that will show up in a blood test. Only when cardiac factors have been ruled out will you be diagnosed with noncardiac chest pain.

Once a cardiologist or your primary care provider has ruled out cardiac causes, youll likely be referred to a gastroenterologist next. Theyll test you for esophagus-based causes, starting with GERD. One way of testing is to send you home with a proton-pump inhibitor , a highly effective medicine for GERD. If the PPI relieves your symptoms, it can also confirm their cause. Other tests may include a PH study of the esophagus, an esophageal motility test, an upper endoscopy or ultrasound. In addition to physical tests, your healthcare provider will take a medical history and ask about your stress and emotional factors.

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