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6 Types of chest pain that should not be ignored

6 Types of chest pain that should not be ignored

Everyone has had chest pain, whether it is a burning, tightening or a twinge. We have different types of pain for different structures that are located in the chest, such as heart, lungs, esophagus, arteries and veins, ribs and muscles. A discomfort in the chest can be of emotional origin. Therefore the pain may come from one or more organs, being light or strong, transient or persistent. See the main pains in the chest:


Musculoskeletal pain originates in the bones and cartilage of the ribs or chest muscles. They appear after a beat, a trauma, an accident that has hit the region. The pain should subside after a few days or last for months if there are fractures. This type of pain is diagnosed by physical examination by palpating the region by radiography or chest tomography. Most often they are treated with analgesics such as dipyrone and paracetamol or anti-inflammatories.


The esophagus is a tube that conducts food from the mouth to the stomach, passing through the central region of the breast. Diseases such as gastroesophageal reflux and even tumors can give burning and burning symptoms in this region. The pains at this site are very much associated with eating or ingesting drugs that attack the stomach and esophagus.

Arteries and veins

Several major arteries and veins are located in the thorax in a central region called the mediastinum. There are the aorta, pulmonary veins and pulmonary arteries. Some aggression or disease in these veins can cause severe pain. The most dangerous pain is by aortic aneurysm, a severe aortic dilatation, the sensation resembling a stabbing in the chest and can lead to death.

Lungs, bronchi and trachea

Nearly every chest is occupied by the lungs , the trachea and bronchi being tubes that conduct the air. Cough is one of the main reasons for chest pain in the region, and may be due to a cold, severe pneumonia or even a tumor. After weeks of coughing, the trachea becomes irritated and inflamed causing pain right in the middle of the chest, which appears and worsens when we cough. Pneumonias also cause pain, associated with fever, tiredness, shortness of breath, cough and catarrh. However, pulmonary embolism is responsible for sudden onset chest pain, which is more common in women taking contraceptives, smokers, and immobilized people. Pulmonary embolism is a clot that breaks down from the legs to the lungs, damaging oxygenation. A good physical examination and x-ray or chest tomography are sufficient for diagnosis by the pulmonologist, a specialist in the lungs, chest and breathing.


The heart is responsible for severe chest pains, but not all pain in the chest, as we have seen, is of the heart. Some pains that have origin in the heart can be fatal, like the infarct and arrhythmia that are the most common. The pain of the infarction appears in the middle of the chest, of strong intensity, improvement with the rest and can radiate to the chin and left arm. The diagnosis comes from blood tests and the famous electrocardiogram. The diagnosis of arrhythmias is also by electrocardiogram. Other changes within the heart, such as in the heart valves, also cause pain and shortness of breath.


When we are under heavy stress or emotional overload we may feel a choking, like a ball stuck in the throat or chest. The first aid exams are normal but you keep that bad feeling with anguish. Calming can be helpful. The ideal in this situation is to talk to a psychologist or psychiatrist.

Chest pain in children

Children may have difficulty reporting chest pain. They express pain by gestures such as a tightness or something bad in that region. Asthma is a picture in which the child reports chest tightness, coughing, wheezing, and the sound of breath that reminds me of a cat.We then see that the chest contains various organs and various diseases that cause pain. It is important to pay attention to the characteristics of pain, how and when it begins, what situation, how it disappears, whether it goes anywhere in the body, whether it improves with anything and is associated with other symptoms, such as fever, cough, air or tiredness. Based on this information, the doctor will request the necessary exams to prepare for the diagnosis.

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