Right Side Chest Pain: Common Causes and When to Call The Doctor

Experiencing chest pain on the right side can be alarming. While it’s commonly associated with heart-related issues, right-side chest pain often has different causes. Understanding the possible reasons behind this discomfort is key to managing it and knowing when to seek medical attention. This blog explores the most common causes of right-side chest pain, treatment options, and when you should consult a healthcare provider.

What are the most common causes of right-side chest pain?

Right-side chest pain can stem from a variety of conditions, affecting the lungs, muscles, digestive system, and more. Here are some of the most common causes:

Pulmonary Embolism

A pulmonary embolism (PE) occurs when a blood clot blocks one of the arteries in the lungs. This condition is serious and can cause sudden, sharp pain on the right side of the chest, especially when you take a deep breath. Other symptoms include shortness of breath, rapid heartbeat, and coughing up blood. If you suspect a PE, seek emergency medical care immediately.

Chronic Obstructive Pulmonary Disease (COPD)

COPD is a chronic lung condition that includes emphysema and chronic bronchitis. It can cause chest pain or discomfort on the right side, particularly during episodes of coughing or breathing difficulty. Individuals with COPD often experience shortness of breath and wheezing, and the pain can worsen as the disease progresses.

Pneumonia

Pneumonia is a lung infection that can cause chest pain, especially when breathing or coughing. Pain on the right side of the chest may be accompanied by symptoms like fever, chills, and difficulty breathing. Pneumonia can range from mild to severe, so it’s important to seek medical advice if you experience any of these symptoms.

Pleurisy or Pleuritis

Pleurisy, or pleuritis, occurs when the lining of the lungs becomes inflamed. This inflammation can lead to sharp, stabbing pain on the right side of the chest, especially when you breathe deeply or cough. Pleurisy is often linked to other conditions such as infections, blood clots, or autoimmune diseases.

Pneumothorax (Collapsed Lung)

A pneumothorax, or collapsed lung, happens when air leaks into the space between the lung and the chest wall, causing the lung to collapse. This can result in sudden, severe pain on one side of the chest, including the right side. You may also experience difficulty breathing, and the pain often worsens with deep breaths or movement.

Pulmonary Hypertension

Pulmonary hypertension refers to high blood pressure in the arteries of the lungs. It can cause right-side chest pain, along with other symptoms like shortness of breath, dizziness, and fatigue. Pulmonary hypertension can be a serious condition, requiring medical evaluation and treatment.

Asthma

Asthma, a chronic respiratory condition, can sometimes cause chest pain, especially after a severe asthma attack. Right-side chest pain in asthma is often linked to breathing difficulties, wheezing, and coughing. In some cases, overuse of chest muscles during an asthma attack may lead to muscle soreness.

Lung Cancer

Lung cancer can also cause right-side chest pain, particularly if a tumor presses on the chest wall or other structures. This pain may be persistent or worsen over time, and it may be accompanied by other symptoms like coughing, weight loss, or fatigue. If you’re at risk for lung cancer or notice any concerning symptoms, it’s crucial to consult a healthcare provider.

Broken Rib

A broken or fractured rib can result in significant pain on the right side of your chest. This pain may intensify when you take deep breaths, cough, or move in certain ways. Rib fractures often occur from direct trauma or injury and require rest and, in some cases, medical attention to ensure proper healing.

Sprained Chest Muscle

Chest muscle strain or sprain, often caused by overexertion or heavy lifting, can lead to right-side chest pain. The pain may be sharp or dull and typically worsens with movement or when pressing on the affected area. Rest and over-the-counter pain relief can help alleviate the discomfort.

Shingles

Shingles, caused by the reactivation of the chickenpox virus, can cause sharp, burning pain in the chest area, including the right side. This pain is often accompanied by a red, blistering rash. If you suspect shingles, early treatment with antiviral medications can help reduce the severity of the symptoms.

Gallstones

Gallstones can cause a type of right-side chest pain that radiates from the upper abdomen. This pain, known as biliary colic, typically occurs after eating a fatty meal and may be accompanied by nausea or vomiting. If you suspect gallstones, an ultrasound and medical treatment may be necessary.

Care and Treatment

The treatment for right-side chest pain depends on the underlying cause. Here are some general treatment options for the various causes mentioned above:

How is right-side chest pain treated?

• Pulmonary Embolism: Treatment usually involves blood thinners to dissolve the clot, and in severe cases, surgery may be required.
• COPD: Inhalers, medications, and oxygen therapy can help manage symptoms. Pulmonary rehabilitation is also beneficial for some patients.
• Pneumonia: Antibiotics (for bacterial pneumonia) or antiviral medications (for viral pneumonia) are commonly prescribed, along with rest and fluids.
• Pleurisy: Treating the underlying cause (like an infection or clot) is essential. Anti-inflammatory medications can also help reduce pain and inflammation.
• Pneumothorax: A minor pneumothorax may resolve on its own, but a severe case requires medical intervention, such as the insertion of a chest tube.
• Pulmonary Hypertension: Medications to lower lung blood pressure, along with lifestyle changes, are the standard treatments.
• Asthma: Inhalers, medications, and avoiding triggers are key to managing asthma-related chest pain.
• Broken Ribs: Rest and pain relief are often recommended, and in some cases, physical therapy may be needed.
• Gallstones: Surgery to remove the gallbladder is often required if gallstones cause severe or frequent pain.

When To Call the Doctor

Right-side chest pain can range from mild to life-threatening, so it’s important to know when to seek medical help.

When should right-side chest pain be treated by a doctor or healthcare provider?

• If the pain is severe or persists for more than a few days.
• If it is accompanied by difficulty breathing, dizziness, or other concerning symptoms.
• If you have a history of lung or heart disease, gallstones, or other risk factors.

Should I go to the ER for right-side chest pain?

Yes, you should visit the ER if you experience:

• Sudden, sharp chest pain that makes it difficult to breathe.
• Chest pain that radiates to your arm, back, or jaw.
• Symptoms of a pulmonary embolism, heart attack, or collapsed lung.