Sharp, pulling pain in the right chest similar to a muscle strain—how can it be relieved?

Apr 16, 2023 Source: Cainiu Health
Dr. Tian Hongbo
Introduction
The relief method for sharp, pulling pain in the right thoracic cavity, similar to a side stitch, depends on the underlying cause. If it is caused by temporary ischemia of respiratory muscle fibers after physical exercise, the symptoms can be alleviated by resting more and adjusting breathing frequency. If the pain results from external trauma to the right chest wall, ibuprofen sustained-release capsules should be taken as directed by a physician. If the pain is due to bacterial infection of the pleura, metronidazole tablets should be taken according to medical advice to improve the condition.

Generally, a pulling pain in the right chest cavity resembling a side stitch may be caused by physiological factors, or it could result from pathological conditions such as trauma or pleurisy. A detailed analysis is as follows:

I. Physiological Factors

After intense physical exercise, breathing rate increases, which can lead to temporary ischemia in the respiratory muscle fibers, causing chest pain during respiration. Symptoms can be improved through adequate rest, drinking warm water appropriately, and regulating breathing rhythm.

II. Pathological Factors

1. Trauma

If the right chest wall suffers external impact, stimulation or injury to soft tissues may cause a pulling pain in the chest area. It is recommended to visit a hospital for diagnostic imaging tests such as CT or MRI. Under medical guidance, anti-inflammatory and analgesic medications such as ibuprofen sustained-release capsules, acetaminophen tablets, or diclofenac sodium sustained-release tablets may be prescribed.

2. Pleurisy

When the pleura becomes infected by bacteria, inflammatory reactions can lead to local symptoms such as edema and exudation. Inflammatory substances stimulating sensory nerve endings in the chest can cause pain in the right chest cavity, particularly noticeable during breathing. Under medical supervision, medications such as metronidazole tablets, indomethacin sustained-release capsules, or aspirin enteric-coated tablets may be used to control inflammation and relieve symptoms.

In addition, pneumonia could also be a possible cause. Specific diagnosis requires relevant examinations at a hospital to determine the exact underlying cause, followed by appropriate treatment measures.