Causes

Uncertain Causes of Chest Pain

Choose a preferred language

Chest pain can happen for a number of reasons. Sometimes the cause can't be found. If you've been checked by your health care provider and your condition does not seem serious, and if your pain does not appear to be coming from your heart, your provider may recommend closely watching for any symptoms. Sometimes the signs of a serious problem take more time to appear. Many problems not related to your heart can cause chest pain, such as:

  • Musculoskeletal problems. These include costochondritis (an inflammation of the tissues around the ribs that can occur from trauma or overuse injuries) and a strain of the chest wall muscles.

  • Respiratory problems. These include pneumonia, collapsed lung (pneumothorax), and inflammation of the lining of the chest and lungs (pleurisy).

  • Gastrointestinal problems. These include esophageal reflux, heartburn, ulcers, and gallbladder disease.

  • Anxiety and panic disorders.

  • Nerve compression and inflammation.

  • Rare problems, such as aortic aneurysm or aortic dissection (a swelling of the large artery coming out of the heart or a tear in the wall of the artery), and pulmonary embolism (a blood clot in the lungs).

Front view of male chest showing lungs, trachea, heart, and ribs.


Home care

After your visit, make sure to:

  • Rest today, and stay away from strenuous activity.

  • Take any prescribed medicine as directed.

  • Be aware of any chest pain that comes back, and notice any changes.


Follow-up care

Follow up with your health care provider if you don't start to feel better within 24 hours, or as advised.


Call 911

Call 911 if you have:

  • A change in the type of pain. It may feel different, become more severe, last longer, or begin to spread into your shoulder, arm, neck, jaw, or back.

  • Shortness of breath or increased pain with breathing.

  • Weakness, dizziness, or fainting.

  • A rapid heartbeat.

  • A crushing feeling in your chest.

  • Coughing up more than a small amount of blood.


When to get medical advice

Call your health care provider or get medical care right away if you have:

  • A cough with dark colored sputum (phlegm) or small amount of blood.

  • A fever of 100.4ºF (38ºC) or higher, or as directed by your provider.

  • Swelling, pain, or redness in one leg.

Online Medical Reviewer: Heather M Trevino BSN RNC

Online Medical Reviewer: Rajadurai Samnishanth Researcher

Online Medical Reviewer: Rita Sather RN

Date Last Reviewed: 01/01/2025

© 2000-2026 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
user headset icon

Need Help? We're Here for You

Our Member and Recipient Services Team is here to help you understand your benefits, find care, or resolve concerns.

800-510-9132
quit smoking icon

Call NC Quitline

Need support to quit smoking, vaping, or to quit other nicotine products? You can receive support including medicines free of charge:

800-784-8669
car and bus icon

Schedule Transportation

Need transportation to a doctor's office, pharmacy, or other covered healthcare service? Contact us to arrange your ride.

800-510-9132
Stethoscope icon

Provider Directory

Need to find a provider like a Primary Care Physician, Specialist, OB/GYN, or a Psychiatrist? 

Provider Directory
Related Articles
Read article
Heart Health
Starting Treatment for New High Blood Pressure

Your blood pressure was high enough today to start treatment with medicines. High blood pressure (hypertension) can be controlled with lifestyle changes and medicines. High blood pressure that's not treated raises your risk for heart attack and stroke.

Read article
Heart Health
Discharge Instructions for Catheter Ablation

This catheter ablation procedure destroyed (ablated) a few of the cells in your heart that were causing your heart rhythm problem. During the procedure, a thin, flexible wire (called a catheter) was inserted into a blood vessel in your upper thigh and threaded up to the heart.

Read article
Heart Health
Discharge Instructions: Taking Calcium Channel Blockers

Your health care provider prescribed a medicine called a calcium channel blocker for you. Learn what this medicine does, how to take it, and when to call your provider.

Read article
Heart Health
Right-Sided Heart Failure

Swelling in the feet and ankles is one of the first signs of right-sided heart failure. Learn how this condition is treated.