Chest and back pain in the early hours of the morning every day

Sep 05, 2024 Source: Cainiu Health
Disease description:

Recently, during the late hours of each night, I have been waking up due to pain in my chest and back. The pain feels as if there is a heavy weight pressing down on me, and it is very uncomfortable. The symptoms tend to ease during the day. Why is this happening? What kind of disease could cause such symptoms?

Doctor's answer (1)
Dr. Yang Ziqi

Possible common causes of chest and back pain during the late night hours:

1. Soft tissue injury: This may be due to improper sleeping posture or sprains during the night. More rest, local massage, heat application, and application of Yunnan Baiyao pain-relief plaster on the affected area may help.

2. Costochondritis: Patients should keep warm and may use Voltaren Emulgel externally in moderation, along with oral administration of Voltaren tablets to reduce inflammation and relieve pain.

3. Cardiovascular diseases: Angina or myocardial infarction may cause chest discomfort that sometimes radiates to the back. This type of pain typically worsens with activity and improves with rest, although exceptions exist.

4. Musculoskeletal problems: Poor posture over extended periods, excessive muscle use, or injuries can lead to muscle or bone pain, especially at night.

5. Digestive system diseases: Gastroesophageal reflux disease (GERD), cholecystitis, pancreatitis, or other digestive issues may cause chest and back pain, particularly when lying down.

6. Nerve-related conditions: Nerve damage or compression, such as herpes zoster (shingles) or intervertebral disc herniation, can cause pain sensations, especially at night.

7. Pulmonary diseases: Lung problems such as pulmonary infection, pneumothorax, or pulmonary embolism may also cause chest and back pain, particularly during deep breathing.

If the pain persists, it is necessary to visit a formal hospital for examination.