Chest pain is discomfort that is felt anywhere between your neck and belly button. Noncardiac chest pain is pain that is not caused by a heart problem. Because it is very important to find the cause, always see your healthcare provider if you have chest pain.
What is the cause?
Many common causes of chest pain are not related to a heart problem. For example, chest pain may be caused by:
Swelling and irritation of the esophagus (food pipe) caused by heartburn or acid reflux, which is stomach acid backing up into your esophagus
Swallowing problems caused by muscles in your lower esophagus that squeeze painfully or donâ€™t allow food to move into your stomach
Lung disease such as bronchitis or pneumonia
Sprains, strains, or injuries to your ribs or chest muscles
Anxiety or panic attacks
Swelling and irritation of the lining of the lungs (called pleuritis or pleurisy)
How is it diagnosed?
Keeping notes about your chest pain will help your healthcare provider make the diagnosis. Write down:
What the pain feels like, such as stabbing, dull, pressure, or burning
When it happens and how long it lasts
Where it hurts
What makes it better, such as antacids, pain medicines, or changing positions
What makes it worse, such as eating or drinking certain foods, lying down, or taking a breath.
Any other symptoms, such as nausea, vomiting, sweating, or trouble breathing
Your provider will ask about your symptoms and medical history and examine you. You may have the following tests:
Barium swallow, which is an X-ray taken of the upper part of your digestive tract after you swallow barium. Barium is a liquid that helps your esophagus and stomach show up well on the X-ray.
A test to measure pressure in the esophagus
Endoscopy, which uses a slim, flexible, lighted tube passed through your mouth to look at your esophagus and stomach.
If your healthcare provider thinks your symptoms might be from a heart problem, then you may have tests such as:
An ECG (also called an EKG or electrocardiogram), which measures and records your heartbeat. You may have an ECG while you are resting or while you exercise on a treadmill.
Echocardiogram (ultrasound scan of the heart)
Angiogram, which is a series of X-rays taken after your healthcare provider injects a special dye into your blood vessels to look at your heart.
How is it treated?
After your provider has confirmed that the chest pain is not caused by a heart problem, he or she will recommend treatment for the problem that is causing the pain. Follow the full course of treatment prescribed by your healthcare provider. Ask your healthcare provider:
How and when you will hear your test results
How long it will take to recover
If there are activities you should avoid and when you can return to your normal activities
How to take care of yourself at home
What symptoms or problems you should watch for and what to do if you have them
Make sure you know when you should come back for a checkup.
When should I call my healthcare provider?
Tell your provider if you keep having chest pain or if it gets worse while you are following the treatment your provider recommends. You may need a different medicine or change in dosage, a different treatment, or more tests.
If you have new or different chest pain, call your healthcare provider. Call 911 or your local emergency services right away if you have symptoms of a heart attack. The most common symptoms of a heart attack include:
Chest pain or pressure, squeezing, or fullness in the center of your chest that lasts more than a few minutes, or goes away and comes back (may feel like indigestion or heartburn)
Pain or discomfort in one or both arms or shoulders, or in your back, neck, jaw, or stomach
Breaking out in a cold sweat for no known reason
Along with these symptoms, you may also feel very tired, faint, or be sick to your stomach.
Developed by RelayHealth.
Adult Advisor 2015.1 published by RelayHealth. Last modified: 2014-07-23 Last reviewed: 2014-07-10
This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.
Chest Pain, Noncardiac: References
National Center for Biotechnology Information. Noncardiac Chest Pain. Schey, R., et al. Gastroenterol & Hepatol (NY); April, 2007, 3(4), 255-262. Accessed 6/2014 from