Breast pain: causes, diagnosis and treatment

Breast pain can occur for a variety of reasons, and often indicate a dangerous disease. If this symptom occurs more than once, then it is necessary to promptly seek qualified help from a doctor and carry out diagnostic measures.

Main reasons

With the localization of pain under the breasts need to conduct a comprehensive diagnosis to determine the condition of the heart, stomach, spleen. If there are diseases of the skeletal system or joints, it is necessary to determine the presence of inflammatory reactions. It should be borne in mind that there is a high risk of malignant tumors.

Chest pain

Among the most common causes of pain, it is possible to distinguish such as:

  • heartburn;
  • indigestion;
  • pregnancy;
  • breast disease;
  • hormonal disorders;
  • damage to the nervous system;
  • lung tumors.

In addition, vascular dystonia, which is also characterized by dizziness, irritability, nausea, pressure drops, can provoke a violation of the state.Pain can occur as a result of damage to the ribs, as well as the integrity of the skin. If the injury is small, then the discomfort passes in just a few days.

Sharp and intense pain

In the event of an acute pain syndrome, it is important to take immediate steps to eliminate it. If you do not promptly go to the doctor, then a sharp deterioration in health is possible. A sharp pain under the right breast may indicate conditions such as:

  • spasm of the arteries;
  • pathology of the stomach or intestines;
  • aortic aneurysm;
  • heart attack

In case of problems with the stomach, a rise in temperature can be observed Eliminate sharp pain is impossible by the use of conventional analgesics. If the painful sensations acquire a stabbing character, then this condition may indicate the occurrence of inflammatory processes in the muscles, neuralgia, and in some cases, angina pectoris.

Cardiac pain

Severe pains under the breasts may be associated with disorders in the area of ​​the nerve endings, which indicates the occurrence of pneumonia, pericarditis, as well as deterioration of the patient's well-being in the presence of chronic angina.If this condition is observed during exercise, then this may be a sign of worsening osteochondrosis.

Severe pain can be a sign of pulmonary artery thromboembolism. In this case, they can give to other parts of the body. Often, this condition is confused with a heart attack, however, when a thromboembolism occurs, there may be severe shortness of breath, loss of consciousness and the flow of blood through the mouth.

Whining character

If there are nagging pains under the breast, then often this indicates the occurrence of chronic inflammatory processes. Possible inflammation of the stomach, pathology of the large intestine, as well as disorders in the spleen. In this case, nausea, vomiting is additionally observed. All this may be a sign of a stomach ulcer.

Pains under breasts

In the case of chronic aching pain, a person may have angina or ischemia. Sometimes with disorders in the pancreas, the painful sensations are shingles.

If unpleasant sensations occur after stress or physical exertion, this may indicate the occurrence of cardiac disorders, in particular, such as myocarditis.

Blunt pain

Such painful sensations may indicate the presence of osteochondrosis or chronic pathology of the stomach. Dull, pressing pain under the breast may be a sign of the presence of cardialgia. Additionally, the patient has heart palpitations, severe shortness of breath.

High blood pressure is diagnosed, which can be stopped only with the use of sedatives. Dull pain occurs in the presence of malignant tumors at the initial stage. In the presence of even minor painful sensations, you should immediately consult a doctor for an examination.

The nature and types of pain

Attacks of pain in the sternum have their own specific distinctive characteristics. If there is pain under the left breast and it is felt even when the person is lying, then this can be observed with the flow of pericarditis.


If the painful sensations are sharp with localization in the center, then this can be a sign of aortic dissection. With problems with the digestive system, the pain will be burning and stabbing, and with ischemia, it will be pulling. The attack in this case does not have a clear localization and, in general, it is observed with the consumption of heavy food, increased pressure, as well as excessive physical exertion.

Violations in the cardiovascular system

Under the breast pain can occur as a result of the occurrence of diseases of the cardiovascular system. Such painful sensations occur mainly during mental and physical exertion. This is the first sign of angina resulting from a narrowing of the arteries of the heart. Although often there is pain under the breast in the middle or on the left side, however, there are cases when discomfort is felt under the right breast or in the right hypochondrium.

If painful sensations are observed for 15 minutes and disappear after resting or taking nitroglycerin, and a similar condition is observed for more than 2 months, then this indicates stable angina. If the pain changes its character and lasts more than 20 minutes, then this is a sign of unstable angina.

Pressing pains

Prolonged insufficiency of blood supply to a specific area of ​​the myocardium leads to its necrosis. An attack of sharp pain can begin suddenly, and a spasm coming from the heart sometimes completely covers the entire chest. Atypical forms of a heart attack appear more acutely, without a strong connection with the region of the heart muscle.

The main signs of thromboembolism include the appearance of shortness of breath, severe weakness, acute right chest pain, tachycardia. In this case, the patient has wheezing when breathing, and hemoptysis and coughing appear. Acute embolism has fairly blurred symptoms, but this is one of the main causes of sudden death.


Pain under the breast on the right or on the left may result from injury, and can be triggered by:

  • muscle tension or strain;
  • chest contusions;
  • fractures and cracked ribs.

Pulling soreness in the sternum can be aggravated by inhalation and sudden contractions of the diaphragm. Muscles can grow in size due to the release of lactic acid and partial damage.

Aching pain

In this case, hematomas are formed at the site of bruises, which can be formed by injuring cartilage and bones.


Very often, pain under the left breast can cause intercostal neuralgia. It occurs as a result of squeezing or irritation of the nerve endings and in its symptoms resembles the symptoms of diseases of the heart muscle.Infringement occurs after physical exertion, awkward movement or rotation, which causes significant discomfort, and the painful condition persists for a long time.

With neuralgia, the sensation of squeezing extends to almost the entire chest area, going backwards. When you inhale and exhale, the sensations become more acute.


If there is pain under the breast on the right or on the left, then it is necessary to consult a doctor for a comprehensive diagnosis. The features of the treatment largely depend on the disease itself, which was identified during the examination. If the painful sensations are acute, then you must take measures to eliminate them. In the subsequent therapy is aimed at the treatment of the underlying disease. If the patient is older than 40 years old, urgent hospitalization is required.

Preventive actions

As a preventive measure, it is necessary to undergo periodic clinical examination, which is carried out at least once a year. You need to seek help immediately when you find the slightest discomfort to prevent the development of a dangerous disease. Prevention is carried out with the treatment of the underlying disease.

Angina attack

It is necessary to take measures to abandon bad habits, to eat right to normalize well-being. It is important to pay attention to physical activity, but exercise should be done before a feeling of mild discomfort occurs.

If the pain occurs due to osteochondrosis, then you need to pay attention to daily physical therapy to ensure moderate physical activity. If possible, you need to sign up for swimming.

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