What causes pain in the neck and chest area?

May 11, 2023 Source: Cainiu Health
Dr. Tian Hongbo
Introduction
Pain in the neck and chest may be caused by conditions such as tracheitis, reflux esophagitis, or pleurisy. During an acute episode of tracheitis, persistent stimulation of the tracheal mucosa by inflammatory factors in the body can lead to bronchospasm, resulting in chest tightness and pain. In addition to these common causes, other possibilities include tuberculosis and pneumothorax. If symptoms worsen, medical attention should be sought immediately.

Pain in the neck and chest may be caused by conditions such as tracheitis, reflux esophagitis, or pleurisy. The specific causes are analyzed as follows:

1. Tracheitis

Tracheitis may be caused by various factors, including microbial infections and allergen irritation. During acute episodes, persistent stimulation of the tracheal mucosa by inflammatory mediators in the body may lead to bronchospasm, resulting in chest tightness and pain. Since the trachea connects to both the throat and lungs, pain may also radiate to the neck region adjacent to the chest.

2. Reflux Esophagitis

When stomach contents and digestive fluids reflux into the esophagus, they may irritate the esophageal mucosa. Due to the esophagus' unique anatomical position—connecting the pharynx above to the stomach below—patients may experience pain extending from the neck down to the chest.

3. Pleurisy

This is an inflammation affecting the visceral and parietal layers within the pleural cavity. Pain is the most common symptom, typically located in the chest, neck, or shoulder, and tends to worsen with deep breathing.

In addition to the above common causes, other possible conditions include tuberculosis, pneumothorax, pulmonary embolism, etc. If symptoms worsen, immediate medical attention should be sought.


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