What can cause a sharp pain either in my chest or right below it?

Posted by emily @emilystewart30, Jan 2 8:57pm

I’m 22. I’ve been constipated for several years, and I’m going but I feel like there’s stool that I can’t get out. Since around summer or fall last year, I’ve been having a feeling of fullness right under my chest. In September 2024, I also felt like I started having chest pain or pain right below my chest that would radiate to my back. It gets better at times and I don’t really notice it, but other times I feel like something’s wrong. Today I was exercising, and not too long afterwards, maybe 30-60 minutes, I started having a sharp pain either in my chest or right below it, and it’s radiated to my back at times. I felt tired today too, and like I want to go into a deep sleep but if I rested I don’t know if I’d go into a deep sleep. What could be causing this feeling, and could it be something serious?

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Have you had an ekg? Triponin bloodwork? Echocardiogram? Just to rule out anything that has to do with your heart? You can get chest pain from many things. I have three different health issues that cause almost daily chest pain. When it’s really bad my cardiologist has me go to er just to rule out bad things. Also chostichindritus can cause chest pain. Pleurisy. Not serious. My son has this but painful in chest. Esophagitis. Which is one of the things I have. Gi issues can cause this chest pain. Fibromyalgia another issue I have causes wide spread pain including chest. My point being you should discuss with your pcp and get tested. Good luck to you. Always feels good ruling out things!

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Profile picture for emily @emilystewart30

Thanks for responding. Can gallstone symptoms last for months?

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Hi, I’m much older than you, but I too have pain like that. I’ve been told that it’s gas. Do, I try not to drink carbonated drinks.
But, as several others have mentioned, you need to see a doctor. You are very young, have you checked to see if anything runs in your family?

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You could be getting pancreatic attacks, especially going to your back like you said. Go to a G.I. doctor or your family doctor and get checked for E.P.I. Not too many doctors understand it but a stool sample test diagnoses it.

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Hi. I have exactly what you are describing. Everyone is different and yours may be from something completely different, but here is my case. I have had my gallbladder removed years ago. So my pain isn't gall bladder. I have dealt with this for years, ER visit after Dr's visit, multiple tests, CT Scans, MRIs, and Endoscopys, and ERCPs. Not everytime, but over half the time, especially when my attacks are really bad, my liver enzymes shoot out the roof. I burp, abdomen gets really bloated, same constipation as you describe, really fatigued, nauseated, pains that shoot through to the back right side, a squeezing excruciating pain in the middle of my chest and just below my ribs. I have had stress tests, CTAs, and ekg. My heart is fine. My gastroenterologist has now referred me to Duke Medical to a more advanced clinic. They now suspect shyincter of oddi. In layman's terms, the muscle beneath my liver is not opening properly and causing bile to back up in the liver. They have found I have mild to chronic pancreatitis.

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Profile picture for outdoorchic @outdoorchic

Hi. I have exactly what you are describing. Everyone is different and yours may be from something completely different, but here is my case. I have had my gallbladder removed years ago. So my pain isn't gall bladder. I have dealt with this for years, ER visit after Dr's visit, multiple tests, CT Scans, MRIs, and Endoscopys, and ERCPs. Not everytime, but over half the time, especially when my attacks are really bad, my liver enzymes shoot out the roof. I burp, abdomen gets really bloated, same constipation as you describe, really fatigued, nauseated, pains that shoot through to the back right side, a squeezing excruciating pain in the middle of my chest and just below my ribs. I have had stress tests, CTAs, and ekg. My heart is fine. My gastroenterologist has now referred me to Duke Medical to a more advanced clinic. They now suspect shyincter of oddi. In layman's terms, the muscle beneath my liver is not opening properly and causing bile to back up in the liver. They have found I have mild to chronic pancreatitis.

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I’m sorry to hear that.

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Since around maybe September or October last year, I started having chest pain or pain somewhere below my chest. A few months before that during the summer, I felt a feeling of fullness right under my chest. The chest pain would come and go, but it’s still been coming and going four months later. Sometimes the pain radiates to my back, or it feels like the pain is in the same place on my front side as my back side, almost like if there was a line going through me, it’d connect the pain on my frontside and back. It seems like there’s days when I feel the pain and eventually I kind of get my mind of it, but when I feel the pain it worries me and I feel like something is really wrong.

Maybe around noon or so today, I felt the pain in my chest. Maybe half hour or an hour after feeling the pain, I started feeling a fullness right under my chest or kind of near my ribs. At times it’s felt like there’s pain or pressure near my sternum. I’ve also been constipated and I wonder if that has anything to do with this.

Do I need to go to the hospital for this though or go somewhere urgently? I’m feeling somewhat better now, but it scared me having the chest pain. This has happened before in the past and eventually has gotten better, but it hasn’t completely gone away. I have a doctors appointment this Thursday, but I don’t know if I need to do something sooner.

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Profile picture for emily @emilystewart30

Since around maybe September or October last year, I started having chest pain or pain somewhere below my chest. A few months before that during the summer, I felt a feeling of fullness right under my chest. The chest pain would come and go, but it’s still been coming and going four months later. Sometimes the pain radiates to my back, or it feels like the pain is in the same place on my front side as my back side, almost like if there was a line going through me, it’d connect the pain on my frontside and back. It seems like there’s days when I feel the pain and eventually I kind of get my mind of it, but when I feel the pain it worries me and I feel like something is really wrong.

Maybe around noon or so today, I felt the pain in my chest. Maybe half hour or an hour after feeling the pain, I started feeling a fullness right under my chest or kind of near my ribs. At times it’s felt like there’s pain or pressure near my sternum. I’ve also been constipated and I wonder if that has anything to do with this.

Do I need to go to the hospital for this though or go somewhere urgently? I’m feeling somewhat better now, but it scared me having the chest pain. This has happened before in the past and eventually has gotten better, but it hasn’t completely gone away. I have a doctors appointment this Thursday, but I don’t know if I need to do something sooner.

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I personally would go to the ER when this happens. Urgent care will probably send you to the ER anyway. Better to get checked while the pain is happening, I would think.

If you choose not to go to the ER, you could call the office early Monday and try to get in that day. The fact that the pain went away is good information (and hopeful).

But anytime anyone mentions chest pain, they end up in the ER in my experience. In fact, the ER tends to fast track you!

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Profile picture for windyshores @windyshores

I personally would go to the ER when this happens. Urgent care will probably send you to the ER anyway. Better to get checked while the pain is happening, I would think.

If you choose not to go to the ER, you could call the office early Monday and try to get in that day. The fact that the pain went away is good information (and hopeful).

But anytime anyone mentions chest pain, they end up in the ER in my experience. In fact, the ER tends to fast track you!

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Hi, thank you for responding. Would it still be good to go to the ER even if I’ve had this pain happen before? I’ve had it happen often since September/october. Sometimes it seems like it’ll be bad for a day or two and then I don’t really notice it, but I feel like I’m having trouble relaxing partly because I’m concerned about it.
I started having the pain maybe around noon today and I feel kind of better, but I feel like it hasn’t completely gone away. I’ve felt like there’s a fullness under my chest or near my ribs

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Profile picture for emily @emilystewart30

Hi, thank you for responding. Would it still be good to go to the ER even if I’ve had this pain happen before? I’ve had it happen often since September/october. Sometimes it seems like it’ll be bad for a day or two and then I don’t really notice it, but I feel like I’m having trouble relaxing partly because I’m concerned about it.
I started having the pain maybe around noon today and I feel kind of better, but I feel like it hasn’t completely gone away. I’ve felt like there’s a fullness under my chest or near my ribs

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I think it's worth it to go even because you are worried.

For "fullness" you could try simethicone (Gas-X) or a muscle relaxant.

But it sounds like for peace of mind an ER trip would be good. Noone here can say whether it is medically necessary but chest pain or pressure seems like a good reason to go.

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Profile picture for windyshores @windyshores

I think it's worth it to go even because you are worried.

For "fullness" you could try simethicone (Gas-X) or a muscle relaxant.

But it sounds like for peace of mind an ER trip would be good. Noone here can say whether it is medically necessary but chest pain or pressure seems like a good reason to go.

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Part of me wants to go because I’m worried, but at the same time this has been happening often for several months. I do have a doctors appointment in less than a week

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