Pain in the middle of the chest is a symptom of what disease?

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Question
Hello doctor,
I am a 20 year old female. About 1-2 months ago, I often had pain in the middle of my chest. The first time usually happens early in the morning to wake up or late at night. After receiving the covid vaccine, for about a month now, I have pain sometimes during the day. The pain is almost every day and sometimes shifts to the left or right depending on the time. Doctor let me ask if the pain in the middle of the chest persists, what is the symptom? Thank you.
Anonymous customer
Answer
Answered by Specialist I Tran Quoc Vinh - Department of Resuscitation - Emergency, Vinmec Nha Trang International General Hospital.
Hello,
With the question “What is the symptom of prolonged mid-thoracic pain? ", the doctor would like to answer as follows:
Pain in the middle of the chest is a symptom that can come from many causes such as: sternitis, esophagitis due to acid reflux, intercostal neuralgia, injury soft tissue around the sternum, ... less common in your age are the causes of the heart (pericardial effusion, myocarditis), lung.
According to your description, you usually have pain in the morning or when you stay up late. These factors are often associated with increased secretion of stomach acid, making you more likely to develop esophagitis due to acid reflux. Following COVID vaccination, this tendency to worsen over the course of the day is also consistent with a post-COVID (as well as post-COVID) risk factor of autonomic dysfunction, and often nerve involvement. No. 10 is located in the esophagus, which can aggravate the inflammation/spasm of the esophagus.
However, to confirm the cause of the pain in the middle of the chest, you need to go to the hospital to be sure, especially to rule out dangerous heart and lung diseases.
When visiting the hospital, the doctor may order you to do tests to determine the cause such as: X-ray or CT lung / chest, echocardiogram, gastroesophageal endoscopy, electrocardiogram , blood tests.
Note: You need to eat and rest properly, avoid stress, if there is sudden severe chest tightness, especially with shortness of breath, dizziness, you must go to the emergency room immediately.
If you still have questions about prolonged mid-thoracic pain, you can go to a hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wish you a lot of health.
Best regards!

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