Deciphering chest pain: Causes and when to seek help

Written by: Dr Sothinathan (Nathan) Gurunathan
Published:
Edited by: Kate Forristal

Chest pain is a common symptom that can cause worry and anxiety for many individuals. While it’s important to take chest pain seriously, not all instances of chest pain indicate a serious medical condition. Understanding the possible causes and knowing when to seek medical attention can help alleviate concerns and ensure appropriate care. In his latest online article, Dr Sothinathan (Nathan) Gurunathan explores the various causes of chest pain and provides insight into when it may be necessary to seek medical help.

What causes chest pain?

Chest pain can stem from a variety of sources, ranging from minor issues to more serious medical conditions. Some common causes include:

1. Musculoskeletal problems: This refers to issues affecting the muscles, ribs, or joints in the chest area. Conditions such as strained muscles or inflammation of the cartilage connecting the ribs to the breastbone (costochondritis) can lead to chest pain.

 

2. Gastrointestinal issues: Digestive problems like acid reflux, gastritis, or inflammation of the oesophagus (oesophagitis) can cause a burning sensation in the chest, often mistaken for heart-related pain.

 

3. Respiratory conditions: Conditions affecting the lungs, such as pneumonia, pleurisy (inflammation of the lining around the lungs), or asthma, may manifest as chest pain, particularly with deep breathing or coughing.

 

4. Cardiac causes: Chest pain can also be a symptom of heart-related problems, such as angina (temporary reduction in blood flow to the heart), myocardial infarction (heart attack), or pericarditis (inflammation of the sac surrounding the heart).

 

When to seek medical attention

While many instances of chest pain are harmless, some may indicate a serious medical emergency. It’s essential to seek immediate medical attention if you experience chest pain accompanied by any of the following symptoms:

 

  • Shortness of breath
  • Nausea or vomiting
  • Sweating 
  • Pain that spreads to the arms, jaw, neck, or back 
  • Dizziness or light-headedness
  • Rapid or irregular heartbeat

 

Chest pain can be alarming, but not all cases are cause for immediate concern. However, it’s crucial to pay attention to accompanying symptoms and seek medical advice if you’re unsure about the cause of your chest pain. Remember, early intervention can make a significant difference in managing and treating potentially serious conditions. If in doubt, always be on the side of caution and seek medical assistance promptly. Your health and well-being are paramount.

 

Dr Sothinathan (Nathan) Gurunathan is an esteemed cardiologist. You can schedule an appointment with Dr Gurunathan on his Top Doctors profile.

By Dr Sothinathan (Nathan) Gurunathan
Cardiology

Dr Sothinathan (Nathan) Gurunathan is a highly regarded consultant cardiologist with over 20 years' experience, based in London. He is highly skilled in all areas of cardiology, while focusing principally on cardioloncology, hypertension, palpitations and chest pain, as well as stress tests and heart check ups.
 
Dr Gurunathan was awarded an MBChB from the University of Bristol in 2001. Upon completion of his primary medical degree, he undertook further training in Bristol, and before beginning specialist training, he pursued a heart failure fellowship with the world-renowned Professor John Cleland.

He also attained a PhD in advanced cardiovascular imaging in coronary artery disease and heart failure at Imperial College London. He has received several awards for his research and his work has been published in several peer-reviewed journals.
 
He is a clinical lead for cardio-oncology, one of the few specialists in the country working in this field. In this role, he cares for the needs of cancer patients and works to reduce the effects caused by cancer treatment. He a possesses a special interest in cardiovascular imaging (stress echocardiography, transoesophageal echocardiography and cardiac magnetic resonance) and heart valve problems.
 
Dr Gurunathan is commited to educating future medics, regularly teaching students from the University of Southampton and St George's Medical School, alongside his role of clinical supervisor for trainee junior doctors. In addition, he gives educational talks to cardiology and oncology colleagues, as well as GPs in the local area.   
 

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