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:
| Symptom | Description |
|---|---|
| Right-sided chest pain | Discomfort in the right chest. |
| Shortness of breath | Trouble getting enough air. |
| Cough | Coughing fits or ongoing cough. |
| Fever | High body temperature. |
| Nausea | Feeling sick to the stomach. |
| Swelling | Puffiness around the chest area. |
| Heart Palpitations | Fast or fluttering heartbeat. |
| Difficulty breathing | Tightness 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
| Condition | Key Symptom(s) |
|---|---|
| Muscle strain/rib fracture | Pain after movement/injury |
| Pneumonia | Cough, fever, chest pain |
| Pulmonary embolism | Sudden pain, short breath |
| Heartburn/GERD | Burning, worse after eating |
| Pleurisy/pleuritis | Pain with deep breath |
| Gallstones | Pain after fatty meals |
| Shingles | Burning, possible rash |
| Panic attack | Shortness 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:
| Cause | Example | Common Relief Methods |
|---|---|---|
| Muscle strain | Heavy lifting, exercise | Rest, pain relievers |
| Stress or anxiety | Worry, panic attacks | Relaxation, deep breathing, rest |
| Digestive issues | Acid reflux, heartburn | Antacids, 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.
| Structure | Common Problems | Type of Pain |
|---|---|---|
| Muscles | Strain, pull | Sharp, aching |
| Ribs | Fracture, bruising | Localized, sharp |
| Cartilage | Costochondritis | Sharp, tender |
| Lungs | Infection, injury | Deep, sharp |
| Pleura | Pleurisy | Stabbing, worsens with breath |
| Diaphragm | Irritation, strain | Dull, 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:
| Sign | What it may mean |
|---|---|
| Shortness of breath | Lung or heart issue, blood clot |
| High fever | Infection |
| Severe swelling | Internal injury or infection |
| Coughing blood | Lung 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 Name | What It Checks |
|---|---|
| Chest X-ray | Lungs, ribs, and heart; looks for infection or injury. |
| Electrocardiogram (ECG) | Heart’s electrical activity; checks for heart problems. |
| CT Scan | Detailed images of chest to find clots or growths. |
| Blood Tests | Signs of infection, heart attack, or blood clots. |
| Endoscopy | Looks 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.