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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain And Tightness In Chest?

last night about 2:30 am I woke with extreem pain in my chest. It was a squeezing tightness but at the same time SO PAINFUL! It lessned a LITTLE when I sat up but just a bit. Laying intensified it, espically if I turned to my side (which was unbarable)... The 'attack' feeling lasted about 25 min and I was able to get back to sleep not long after but I still could not lay on my sides or breath deeply. This morning/today I had pain if I: took a deep breath, bent even just a little ways forward, turned my body quickly, walked up the stairs...shoots of tight PAIN... and I also feel like I was beat about the chest all night and have a heavy internal bruise today... Does this sound heart related or heartburn related? It would be like no hearburn I've ever had before! but that is what is coming up in my online searches... The reason it seems it may not be heart related is because the pain is present in the morning instead of only during the episode.
posted on Thu, 13 Mar 2014
Twitter Wed, 4 Oct 2017 Answered on
Twitter Wed, 4 Oct 2017 Last reviewed on
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Pulmonologist,  's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
Sudden onset chest discomfort at midnight should always be evaluated for heart diseases.
So first get done ecg, 2d echo and stress test (trade mill test).
If all these are normal then no need to worry for heart diseases.
Sometimes pulled muscle during sleeping because of awkward position of sleep can also cause similar kind of pain which continue in morning also.
So avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise.
Apply warm water pad on affected areas.
Take simple painkiller like paracetamol or ibuprofen.
Don't worry, you will be alright but first rule out heart diseases.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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What Causes Pain And Tightness In Chest?

Thanks for your question on Healthcare Magic. I can understand your concern. Sudden onset chest discomfort at midnight should always be evaluated for heart diseases. So first get done ecg, 2d echo and stress test (trade mill test). If all these are normal then no need to worry for heart diseases. Sometimes pulled muscle during sleeping because of awkward position of sleep can also cause similar kind of pain which continue in morning also. So avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Apply warm water pad on affected areas. Take simple painkiller like paracetamol or ibuprofen. Don t worry, you will be alright but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.