What causes pain in the middle of the chest?
Sep 30, 2024
Source: Cainiu Health
Dr. Yang Ziqi
Introduction
In general, pain in the center of the chest may be related to various factors such as muscle strain, anxiety or panic, gastroesophageal reflux, pneumonia, and angina. It is recommended to seek medical attention promptly and receive treatments such as general management and medication under a doctor's guidance. In daily life, maintain a regular作息 (routine), ensure adequate rest, and avoid negative emotional stimuli.
Chest pain in the center of the chest is generally associated with factors such as muscle strain, anxiety or panic, gastroesophageal reflux, pneumonia, and angina. It is recommended to seek medical attention promptly and receive appropriate treatments under a doctor's guidance, including general management and medication. Specific causes are analyzed as follows:
1. Muscle Strain
Intense physical activity or improper posture may lead to strain of the chest or intercostal muscles, causing chest pain. Applying ice packs can help reduce inflammation; it is recommended to apply for 15–20 minutes at a time, avoiding prolonged exposure to prevent skin frostbite.
2. Anxiety or Panic
Anxiety can cause rapid heartbeat and shortness of breath, leading to a sensation of central chest pain. Psychological interventions such as cognitive behavioral therapy are recommended, along with relaxation techniques like deep breathing exercises and yoga.
3. Gastroesophageal Reflux
Lying down after consuming excessive fatty foods can trigger gastroesophageal reflux, allowing stomach acid to flow back into the esophagus and irritate the esophageal lining, resulting in a burning sensation and chest discomfort. This is often accompanied by symptoms such as belching, acid regurgitation, and nausea. Medications such as omeprazole enteric-coated capsules, hydrotalcite chewable tablets, and lansoprazole enteric-coated tablets may be used under medical guidance.
4. Pneumonia
Lung infections caused by bacteria, viruses, or other microorganisms can lead to pneumonia. Inflammation may cause chest pain, often accompanied by fever, cough, and sputum production. Treatment may include medications such as amoxicillin capsules, cefixime dispersible tablets, and ibuprofen tablets, as prescribed by a physician.
5. Angina
Physical exertion, cold exposure, smoking, or alcohol consumption may trigger angina, resulting in insufficient blood supply to the coronary arteries and causing chest pressure or pain. Other symptoms may include sweating, nausea, and pain radiating to the arms or jaw. Medications such as nitroglycerin tablets, nifedipine controlled-release tablets, and isosorbide dinitrate spray may be used as directed by a doctor.
In daily life, maintaining regular作息 (sleep-wake cycles), ensuring adequate rest, avoiding emotional stress, overexertion, and intense physical activity can help prevent the occurrence of these symptoms.
