Chest pain while breathing can occur during a heart attack, which requires urgent medical attention. But there are also some other conditions that may cause chest pain while breathing.
This article discusses when to call 911 for chest pain while breathing, plus other possible reasons why chest pain may occur.
Chest pain could indicate a heart attack.
Heart attacks are a medical emergency and require calling 911 immediately.
According to the
- chest pain or tightness
- dizziness and lightheadedness
- sweating
- shortness of breath
- nausea and vomiting
- extreme anxiety
- coughing or wheezing
- cold sweats
- pain around the body, such as in the stomach
Anyone experiencing these symptoms must contact emergency services immediately.
Panic attacks occur with extreme bouts of anxiety.
They cause sudden and intense symptoms that can feel similar to a heart attack.
Symptoms might include:
- feeling faint
- rapid heart rate
- difficulty breathing
- chest pain
- nausea
- hot flushes
- shaking
- chills
- numbness or muscle weakness
Panic attacks are not harmful, but a doctor will check symptoms to rule out a heart attack.
People who experience panic attacks regularly may have an anxiety or panic disorder.
Treatment
Treatments can include a combination of medications and psychotherapies.
Chest pain can also indicate heart diseases that include:
1. Angina
Angina is a form of chest pain that occurs when there is a restriction to blood flowing into the heart.
It can also cause shortness of breath in some people.
The pain can feel like a
Doctors will diagnose angina by assessing the symptoms and medical history. They may also require further tests, such as an electrocardiogram (EKG).
Treatment
The AHA state that treatments for angina include medications to
A doctor may recommend lifestyle changes, such as regular exercise and a healthful diet. Some people may require surgery to treat angina.
2. Heart failure
Heart failure is where the heart is unable to push blood around the body as normal.
Signs and symptoms of heart failure include:
- shortness of breath
- coughing or wheezing
- swelling in the feet, legs, or ankles
- tiredness
- changes in appetite
- increased heart rate
- confusion
To diagnose heart failure, a doctor will assess the symptoms and may order tests that include an EKG.
Treatment
Doctors may use several medications to treat the symptoms of heart failure.
Medications can
- angiotensin-converting enzyme (ACE) inhibitors
- angiotensin II receptor blockers or inhibitors
- angiotensin-receptor neprilysin inhibitors (ARNIs)
- If channel blocker
- beta-blockers
- aldosterone antagonists
- hydralazine and isosorbide dinitrate
- diuretics
Sometimes, treatment will involve surgery and implants in the chest.
3. Pericarditis
Pericarditis is where inflammation occurs in the heart.
The inflammation affects the tissues surrounding the heart, known as the pericardium.
The condition causes chest pain and other symptoms that include:
- heart palpitations
- fever
- shortness of breath
- muscle weakness
- swelling in the stomach or legs
- cough
- shoulder pain
A doctor will listen to the chest to check for signs of pericarditis. They might require further tests, such as a chest X-ray.
Treatment
Treatments for pericarditis can involve medications, such as painkillers or corticosteroids.
In some cases, surgery may be necessary to treat the problem.
Chest pain while breathing can occur due to conditions that affect the lungs.
1. Chronic obstructive pulmonary disease (COPD)
COPD is a group of disorders that make it
- a persistent cough
- cough with excessive mucus
- wheezing
- tightness or pain in the chest
- difficulty breathing
Doctors will assess the symptoms and a person’s medical history to diagnose COPD. They will ask questions about smoking, which is a significant cause of COPD. They might also order medical tests that check for breathing problems.
Treatment
According to the
Lifestyle changes include quitting smoking and avoiding lung irritants.
A doctor might also prescribe medications, such as bronchodilators.
A person should also get the flu shot and pneumococcal vaccine.
2. Asthma
Asthma is a chronic condition that can cause inflammation and narrowing of the airways.
This can cause difficulties in breathing and symptoms that include:
- chest pain and tightness
- coughing, particularly in the morning or evening
- shortness of breath
- wheezing
A doctor will check the symptoms and may order additional tests to diagnose asthma. For example, they might order a spirometry test that involves breathing through a tube.
Treatment
There is no cure for asthma, but treatments usually involve a combination of medications.
Some medications for asthma help with the short-term symptoms, such as an inhaler that relaxes the throat muscles.
3. Chest infection
There are several types of infections that affect the chest, such as:
Different types of germs can cause these infections, such as bacteria or a virus.
Treatment
The type of germ will determine how to treat the condition.
Doctors will likely use antibiotics to treat a bacterial chest infection. They may use antiviral medications for treating viral infections, but sometimes the virus will go away on its own.
In
Learn more about treatments for chest infections here.
4. Collapsed lung
A collapsed lung is where air enters the space between the chest wall and the lung, causing sudden chest pain.
It can cause other symptoms that include:
- shortness of breath
- tiredness
- rapid heart rate
The condition can be the result of a chest injury or lung disease.
Doctors will check for underlying causes by assessing symptoms, medical history, and further tests.
Treatment
Treatment will depend on the severity of the damage.
Less severe cases can sometimes heal on their own. But in other cases, a doctor may remove excess air using a needle or chest drain.
5. Pulmonary embolism
A pulmonary embolism is where a blood clot restricts blood flowing into the lungs.
It can cause chest pain and other symptoms,
- shortness of breath
- coughing, perhaps coughing up blood
- difficulty breathing
Treatment
Pulmonary embolisms require treatment in the hospital.
Doctors may use anticoagulant medications to break up the blood clot.
6. Pleurisy
Pleurisy is where inflammation occurs in the tissues between the lungs and ribcage.
It can cause sharp, sudden chest pain while breathing.
Other possible symptoms include:
- shortness of breath
- cough
- bluish skin, or cyanosis
- fever
- anxiety
- rapid heart rate
A doctor will diagnose pleurisy by assessing a person’s symptoms. They might also use other tests, such as blood tests and X-rays.
Treatment
Treatment can
The doctor may prescribe nonsteroidal anti-inflammatory drugs (NSAIDs), or corticosteroids to help with symptoms.
Chest pain while breathing can also occur due to gastrointestinal conditions.
1. Gastroesophageal reflux disease (GERD)
The esophagus is a long, hollow tube that runs from the mouth to the stomach.
GERD occurs when the contents of the stomach come back up into the esophagus. Along with chest pain and potential respiratory problems, other symptoms can include:
- bad breath
- vomiting
- nausea
- difficulty swallowing
Treatment
Treatments will vary, depending on the type of problem. For example, a doctor may prescribe antacid medications to treat GERD.
Doctors may also recommend dietary and lifestyle changes.
2. Hiatal hernia
A hiatal hernia is where a part of the stomach moves up into the chest.
In
Doctors may diagnose a hiatal hernia using medical imaging, such as an X-ray.
Treatment
Treatment may involve medications for the symptoms, such as antacids.
In some cases, surgery to remove the hernia may be necessary.
Musculoskeletal causes can also cause chest pain while breathing.
1. Chest injury
Injuries to the chest can result in chest pain and difficulty when breathing. For example, a broken or bruised rib can cause pain while breathing, coughing, or moving.
Symptoms of a broken rib
- bruising
- pain or tenderness
- inability to take a full breath
Treatment
Some injuries will heal on their own over time.
A doctor may suggest resting and taking painkillers during the recovery period.
In more serious cases, a doctor may suggest further treatment or surgery.
2. Costochondritis
This is when the costal cartilages, where the ribs meet the sternum, become inflamed.
The pain can be sharp or dull. It can also get worse in certain positions or when a person takes a deep breath.
A doctor may arrange a variety of diagnostic tests to rule out other causes of chest pain.
Treatment
A person can take NSAIDs to help
It is worth seeing a doctor for any persistent chest pain, particularly when it affects breathing.
In some cases, the pain will go away on its own. But a doctor will be able to rule out an underlying medical condition.
It is essential to call 911 if the chest pain is sudden and occurs with other signs of a heart attack.
There are many possible causes of chest pain. Most will require a trip to the doctor for a diagnosis.
Chest pain can be a sign of a serious condition, such as a heart attack, and require immediate medical care.