Right-Side Chest Pain

Pain on the right side of the chest is a common symptom with many possible causes, ranging from muscle strain and heartburn to problems with the lungs or other organs. Right-sided chest pain can sometimes signal a serious health issue, but it often comes from less dangerous reasons like muscle injury or digestive problems.

Anyone who feels pain in this area may wonder if it is something mild or if it needs fast medical care. Learning about the different reasons behind this pain can help people understand their symptoms and know when to get help from a doctor.

Definition of Symptom

Right-sided chest pain means feeling discomfort or pain on the right area of the chest. The pain can feel sharp, dull, burning, or tight. Sometimes, it gets worse with breathing or movement. Other signs may appear along with chest pain, such as shortness of breath, coughing, or a fever.

Some people also feel nausea or notice swelling in the chest. These symptoms can show up alone or together. A person might feel sharp chest pain, especially when taking a deep breath or coughing. This pain can sometimes spread to the back, shoulder, or side.

Difficulty breathing and heart palpitations (fast or skipping heartbeats) might happen, mainly if the cause is related to the lungs or heart. Sometimes, people notice an irregular heartbeat as well. Common symptoms that may come with right-sided chest pain:

SymptomDescription
Right-sided chest painDiscomfort in the right chest.
Shortness of breathTrouble getting enough air.
CoughCoughing fits or ongoing cough.
FeverHigh body temperature.
NauseaFeeling sick to the stomach.
SwellingPuffiness around the chest area.
Heart PalpitationsFast or fluttering heartbeat.
Difficulty breathingTightness or trouble breathing.

Possible Causes/Diseases Condition

Many conditions can cause pain on the right side of the chest. Some causes are minor, while others are more serious and need medical care. Muscle strain or rib fracture can cause sharp or aching pain, especially after injury or heavy lifting. Moving or taking deep breaths can make the pain worse.

Lung problems like pneumonia, blood clots in the lung, collapsed lung, pleurisy (inflammation of the lung lining), or long-term lung disease can cause right chest pain. Asthma and lung cancer are other possibilities. These conditions may also bring coughing, trouble breathing, or fever.

Heart-related causes include angina, heart attack, heart disease, and inflammation around the heart. Right-sided pain from heart issues is less common than left, but it can happen, especially with angina or pericarditis. Sometimes, pain comes from the digestive system. Acid reflux, heartburn, or gallstones can all lead to right chest pain. People may notice burning in the chest or pain after eating.

Other reasons include panic attacks, which can cause sharp chest pain, fast heartbeat, sweating, and trouble breathing. Shingles, a viral infection, may lead to pain or a burning feeling on one side of the chest, often before a rash appears.

Quick Reference Table

ConditionKey Symptom(s)
Muscle strain/rib fracturePain after movement/injury
PneumoniaCough, fever, chest pain
Pulmonary embolismSudden pain, short breath
Heartburn/GERDBurning, worse after eating
Pleurisy/pleuritisPain with deep breath
GallstonesPain after fatty meals
ShinglesBurning, possible rash
Panic attackShortness of breath, racing heart

Other rare causes include cystic fibrosis, high blood pressure in the lungs, and some cases of heart lining or muscle inflammation.

Other Non-Disease Causes

Some right chest pain is not caused by a disease or medical condition. Everyday activities or emotional states can play a role. Muscle strain is a common cause. Lifting heavy objects, exercise, or sudden movements can make the right side of the chest sore.

Stress and anxiety can also trigger chest pain. When someone feels anxious or stressed, muscles may tighten, and breathing can become shallow. This tension sometimes causes sharp or aching pain in the chest area.

Panic attacks or anxiety attacks may cause sudden right chest pain along with rapid heartbeat and shortness of breath. These symptoms are scary, but they often get better after a person calms down.

Certain digestive problems, such as acid reflux, can create pain on the right side of the chest. Eating large meals, lying down after eating, or spicy foods can make the pain worse. Antacids can help relieve these symptoms. Here is a table showing some non-disease causes and ways to help:

CauseExampleCommon Relief Methods
Muscle strainHeavy lifting, exerciseRest, pain relievers
Stress or anxietyWorry, panic attacksRelaxation, deep breathing, rest
Digestive issuesAcid reflux, heartburnAntacids, avoiding trigger foods

How It Causes the Symptom

Right side chest pain happens when different parts inside the chest get hurt or irritated. These can include the muscles, ribs, cartilage, lungs, pleura, and diaphragm. Muscle strain can pull or stretch the muscles between the ribs. This causes sharp or aching pain, especially when moving or breathing deeply.

Rib injuries such as bruises or fractures can cause pain that feels worse when touching the area or during certain movements. Cartilage inflammation, called costochondritis, affects the cartilage that connects the ribs to the breastbone. The pain might feel sharp and gets worse when pressing on the chest or taking deep breaths.

Lung problems like infections or inflammation can irritate the lung tissue. This can hurt on the right side of the chest and sometimes cause difficulty breathing. The pleura are thin layers around the lungs. If they get inflamed, breathing or coughing can become painful on one side.

Sometimes, the diaphragm (the muscle under the lungs) can become irritated, especially after heavy exercise or from certain illnesses. This irritation can send pain signals to the right side of the chest.

StructureCommon ProblemsType of Pain
MusclesStrain, pullSharp, aching
RibsFracture, bruisingLocalized, sharp
CartilageCostochondritisSharp, tender
LungsInfection, injuryDeep, sharp
PleuraPleurisyStabbing, worsens with breath
DiaphragmIrritation, strainDull, cramping

Possible Complications

Pain on the right side of the chest can sometimes signal serious problems if not treated. Potential complications include:

  • Lung Problems: Pneumonia or fluid in the lungs can develop, leading to trouble breathing.
  • Heart Issues: Heart failure and damage after heart surgery can still happen, though less common for right-sided pain.
  • Infection: Chest infections like pleurisy can spread or get worse if untreated.
  • Rib Injury: Broken or bruised ribs might cause internal bleeding or puncture the lung.
  • Digestive Problems: Severe acid reflux can irritate the esophagus and increase the risk of ulcers.

Complications can also happen after certain procedures, including heart surgery. Infection, blood clots, or scar tissue can cause lasting pain or other health concerns. Common signs of complications:

SignWhat it may mean
Shortness of breathLung or heart issue, blood clot
High feverInfection
Severe swellingInternal injury or infection
Coughing bloodLung injury, infection, or blood clot

Some complications, like scar tissue or chronic pain, can happen weeks after the first symptoms or after a medical treatment.

When to Seek Medical Attention

Chest pain on the right side can be mild or serious. It’s important to know when to see a doctor. Seek medical help immediately if chest pain is sudden, severe, or lasts more than a few minutes. Call for emergency help if the pain comes with shortness of breath, sweating, fainting, or pain that spreads to the neck, jaw, back, or arm.

See a healthcare provider if the pain follows a fall, accident, or injury, as this could mean a broken rib or internal injury. Other warning signs include:

  • High fever or chills
  • Coughing up blood
  • Unexplained weight loss
  • Ongoing cough with discolored mucus

Doctors use tests to find the cause, such as:

Test NameWhat It Checks
Chest X-rayLungs, ribs, and heart; looks for infection or injury.
Electrocardiogram (ECG)Heart’s electrical activity; checks for heart problems.
CT ScanDetailed images of chest to find clots or growths.
Blood TestsSigns of infection, heart attack, or blood clots.
EndoscopyLooks at esophagus and stomach for digestive causes.

If you are unsure, talk to a doctor or visit a clinic. Early care can prevent serious problems.