Chest pain when breathing deeply may indicate several conditions, including COVID-19, pneumonia, and pleurisy. The potential causes vary in severity, and all require different treatments.
There are many possible causes of chest pain when breathing deeply. Causes of chest pain are not always serious.
However, chest pain is occasionally a symptom of conditions that require urgent medical attention, such as a heart attack. A person should call 911 if they experience:
- chest pain or discomfort
- jaw, neck, or back pain
- shortness of breath
- lightheadedness or vomiting
- arm or shoulder pain or discomfort
Treatment for chest pain when breathing deeply differs depending on the cause of the chest pain. Doctors usually consider all of a person’s symptoms to make a diagnosis.
This article explains some potential causes of chest pain when breathing deeply, including other symptoms a person might experience and typical treatments.
Pleurisy is inflammation that affects the pleura. The pleura is a layer of tissue that separates the lungs from the rib cage. Pleurisy can arise for many reasons, such as infection or cancer.
Symptoms
The characteristic symptom of pleurisy is pain in the shoulder or chest. This may worsen with:
- breathing
- coughing
- sneezing
- torso movement
Pleuritic chest pain may be dull, sharp, burning, or aching.
Treatment
There is no single treatment for pleurisy. Doctors treat its underlying cause. Possible treatment options include:
- surgery
- needle aspiration
- medication
COVID-19 is an infectious condition. It develops from infection with the coronavirus SARS-CoV-2 and causes respiratory problems. There is
In both cases, chest pain may indicate that COVID-19 has led to cardiac problems.
Symptoms
There are several symptoms of COVID-19, including:
- sore throat
- cough
- headache
- muscle pain
- loss of sense of taste or smell
- malaise
- fever
- nausea
- diarrhea
- vomiting
These symptoms may also persist in long COVID. Additional long COVID symptoms include tiredness, weakness, and lethargy.
Treatment
A variety of medications
- antiviral drugs
- anti-SARS-CoV-2 monoclonal antibodies
- anti-inflammatory drugs
- immunomodulators
For mild cases of COVID-19, over-the-counter pain or cold medications can help alleviate symptoms. For severe cases, oxygen therapy and ventilator support may be necessary.
Pericarditis is inflammation of the pericardial sac. This sac is a protective lining that surrounds the heart.
According to the
However, chest pain may be absent in people with chronic pericarditis.
Symptoms
The chest pain can be fairly central or affect the left side of the chest. Some people may also experience shoulder pain.
A person can experience sharp, stabbing chest pain that typically develops quickly, or it can feel like a dull, aching pressure.
Taking deep breaths and lying down can worsen pericarditis chest pain. It sometimes improves if someone is sitting upright and leaning forward.
Some people with acute pericarditis may also experience:
- fever
- difficulty breathing
- weakness
- heart palpitations
- coughing
If a person experiences heart palpitations with chest pain, they should make an appointment with a doctor, as this can indicate a problem with the heart.
Treatment
According to the
- rest
- anti-inflammatory medications
- colchicine, a medication that treats inflammation and pain
- steroids
If pericarditis stems from a bacterial infection, antibiotics may be necessary.
Chronic obstructive lung disease (COPD) is a condition involving limited airflow within the lungs, causing breathing difficulties.
According to a 2018 study,
Symptoms
COPD can cause several symptoms. These include:
- muscle wasting
- respiratory distress
- prolonged expiration
- breathing with pursed-lips
- wheezing
Treatment
COPD treatment
- lung rehabilitation
- smoking cessation, if applicable
- medications, such as:
- bronchodilators
- inhaled corticosteroids
- systemic glucocorticoids
- antibiotics
- surgery, such as:
Doctors may also recommend preventive steps, such as regular vaccinations against conditions affecting the lungs.
A pulmonary embolism is when a blood clot blocks an artery within the lungs. It can deprive the lungs of oxygen, causing breathing difficulties and other complications.
Pulmonary embolisms
Symptoms
Other than chest pain, pulmonary embolisms have other common symptoms. These include:
- shortness of breath
- coughing
- coughing blood
- feeling faint
- losing consciousness
Less commonly, pulmonary embolisms can cause cardiac symptoms, such as an irregular heart rate.
Treatment
Treatment for a pulmonary embolism
- oxygen therapy
- mechanical ventilation
- anticoagulant medications, which are blood-thinning medications
- surgery
Treatment also aims to help prevent future pulmonary emboli.
Pneumonia is an inflammation of the lungs. It arises from infections within the lungs, which may be viral, bacterial, or fungal.
Pneumonia
Symptoms
There are many possible symptoms of pneumonia. These include:
- feeling unwell
- chills
- appetite loss
- muscle aches or pain
- abdominal pain
- cough
In some cases, pneumonia can lead to coughing blood.
Treatment
Doctors have several ways of treating pneumonia. Treatments
- fluoroquinolones
- beta-lactam antibiotics
- macrolides
- doxycycline
Lung cancer is when cells within the lungs begin to grow uncontrollably. Between
Symptoms
As lung cancer develops, it can create various forms of organ dysfunction. This can lead to several symptoms, including:
- coughing
- shortness of breath
- coughing blood
- dilated neck veins
- swelling in the neck, face, or arms
If lung cancer spreads, it can cause symptoms in other body parts. For instance, lung cancer can spread to the bones, causing bone pain.
Treatment
Doctors may treat lung cancer using the following methods:
Some people may receive a combination of treatments.
Anyone who has chronic or severe chest pain when breathing should contact a doctor, especially if they have any of the other symptoms listed above.
Such pain could indicate a serious condition, such as lung cancer or pulmonary embolism.
Several conditions can cause chest pain when breathing deeply.
These include inflammatory conditions, such as pleurisy, pericarditis, and pneumonia. COVID-19 can do the same, as well as COPD and pulmonary embolism. Lung cancer can also cause chest pain when breathing deeply.
Chest pain can also indicate a medical emergency, such as a heart attack.
Treatment for chest pain depends on the underlying cause. If a person has any concerns about chest pain when breathing deeply, they should reach out to a doctor.