Chest pain causes

Chest pain has many causes — reflux, muscle strain, anxiety, or cardiac. Sudden severe pain or shortness of breath is an emergency; otherwise a provider can triage online.

Also called: what causes chest pain · heart attack vs anxiety · chest tightness

Medically reviewed by Dr. Ikechukwu Ogbu, MD
MD · Board-Certified, Internal Medicine · Last reviewed

Call 911 immediately if you have:

  • Crushing pressure, tightness, or squeezing in the chest lasting more than a few minutes
  • Pain radiating to the arm, jaw, neck, or back
  • Shortness of breath, sweating, nausea, or lightheadedness with chest pain
  • Sudden severe chest pain with a tearing or ripping quality
  • Chest pain with fainting or a fast/irregular heartbeat

What chest pain causes could be

The most common causes a clinician considers. This isn't a diagnosis — it's the differential a provider works through with you.

GERD / acid reflux

GERD / acid reflux is one of the more common causes of chest pain causes. Ondoc can evaluate it online.

Anxiety

Anxiety is one of the more common causes of chest pain causes. Ondoc can evaluate it online.

Panic disorder

Panic disorder is one of the more common causes of chest pain causes. Ondoc can evaluate it online.

When to see a clinician

  • Symptoms have lasted more than a few days without improving, or keep coming back
  • You're not sure if this needs antibiotics, prescription treatment, or watchful waiting
  • You have a chronic condition (diabetes, heart disease, immunocompromised) that raises the stakes
  • You want a same-day plan without a trip to urgent care
Dr. Ikechukwu Ogbu, MD — Medical Director
Dr. Ikechukwu Ogbu, MD

Board-Certified · Internal Medicine · Medical Director

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