Chest pain vs gastric pain



If you have pain on the left side of your chest off and on, should you be worried about it?

My answer is: Yes!

It could be cardiac or non-cardiac in origin, and the most important thing is the anxiety on your face, which may itself be an important factor in the pain.

You need to focus on where it pains and how it feels:

  1. Cardiac pain is usually more retrosternal (behind the breastbone) than just left-sided, and it is often a constricting type of pain.

  2. Is it a pain or a constricting, choking sensation?

    • If it is painful rather than a choking sensation, it is more likely to be non-cardiac.

  3. Does the pain radiate to your left arm or lower jaw?

    • If no, it is less likely to be cardiac.

  4. Does it appear when you walk fast or climb stairs, and does it stop quickly if you rest?

    • If no, but it gets worse when you bend forward or lift something with your hands, this is more likely to be chest wall pain (musculoskeletal).

  5. Does the pain increase when you take a deep breath or cough?

    • If yes, it may be pleural pain (related to the lining of the lungs).

  6. Does the pain occur when you are swallowing food?

    • If no, that rules out oesophagitis, which usually causes retrosternal pain that worsens with swallowing.

If you have chest pain, especially with risk factors (like age, high blood pressure, diabetes, or smoking), please do not ignore it — consult a doctor for proper evaluation.

Would you like me to make this even simpler or format it for a handout?

     



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