What causes pain in the center of the chest that hurts when lowering or raising the head, and what should be done about it?

Chest pain in the middle of the chest that worsens with bending the head forward or tilting it backward may be caused by conditions such as esophageal ulcer, thoracic spine disease, or congenital heart disease. Treatment options include medication or surgery. Specific analyses are as follows:

1. Esophageal Ulcer

An esophageal ulcer refers to an open sore formed due to damage of the inner lining of the esophagus. When the esophagus is injured, surrounding nerves and tissues may become irritated, causing chest pain. Patients can take anti-infective medications such as amoxicillin capsules and acid-suppressing drugs like omeprazole enteric-coated capsules under medical supervision.

2. Thoracic Spine Disease

Thoracic spine disease refers to disorders caused by damage to the thoracic vertebrae or surrounding tissues. Injury to the thoracic spine may compress nearby nerves and tissues, resulting in localized pain that worsens with movement. Treatment may involve trans-thoracic discectomy.

3. Congenital Heart Disease

Congenital heart disease refers to a group of disorders caused by abnormal heart development at birth. Due to structural abnormalities, pressure and irritation on surrounding cardiac tissues and nerves may occur, leading to chest pain. Treatment options include surgical repair or interventional procedures.

Besides the above causes, chest pain may also result from myocardial infarction, esophageal tumors, or pericardial tumors. If accompanied by other symptoms such as difficulty breathing, sweating, or nausea, immediate medical attention is necessary. Additionally, maintaining a healthy diet, adopting positive lifestyle changes, and engaging in appropriate physical activity can help prevent and alleviate related diseases and symptoms.