Right-sided chest pain is a symptom that can range from mild to severe and can be caused by a variety of underlying issues. It can be alarming, especially when it mimics heart-related pain. While many people associate chest pain with heart attacks, right-sided chest pain is often related to other systems in the body, such as the respiratory, digestive, or musculoskeletal systems. Understanding what might be causing your discomfort is essential for getting timely and appropriate treatment.
In this comprehensive blog, we cover the 12 most common causes of right-side chest pain, along with related symptoms and when you should seek medical attention or emergency care if the pain is sudden, severe, or accompanied by other concerning symptoms.
1. Muscle Strain or Chest Wall Injury
One of the most frequent causes of right-side chest pain is a simple muscle strain. This usually happens due to overexertion, heavy lifting, or awkward body movements. Athletes and physically active individuals are especially prone to this. The pain is often localized, meaning it stays in one specific spot and worsens with movement, deep breaths, or when pressing on the area.
Injuries from accidents, falls, or even sleeping in a poor position can also cause inflammation or bruising of the chest wall muscles, leading to persistent pain. Rest, ice, and anti-inflammatory medications are typically effective in managing this condition.
2. Costochondritis (Inflammation of Rib Cartilage)
Costochondritis occurs when the cartilage that connects the ribs to the breastbone becomes inflamed. Although it’s more commonly felt on the left side, it can certainly affect the right as well. The pain can be sharp, aching, or pressure-like, often increasing with activity, deep breathing, or touching the rib joints.
This condition is often confused with cardiac-related pain due to its location, but it’s generally harmless and can be managed with pain relievers, physical therapy, and rest.
3. Gallbladder Issues (Gallstones or Inflammation)
Gallbladder conditions such as gallstones or cholecystitis (inflammation of the gallbladder) are significant causes of right upper chest pain. The pain usually originates in the upper right abdomen but can radiate to the chest and shoulder. It often appears after eating fatty meals and may be accompanied by symptoms like nausea, vomiting, and bloating.
If the gallbladder becomes infected or severely inflamed, emergency treatment is necessary. In some cases, surgical removal of the gallbladder may be required.
4. Gastroesophageal Reflux Disease (GERD)
GERD is a digestive disorder where stomach acid flows back into the esophagus, causing irritation and a burning sensation in the chest known as heartburn. Although the pain usually centers around the middle of the chest, it can extend to the right side, especially if you sleep on that side or have recently eaten a large meal.
Symptoms of GERD include a sour taste in the mouth, bloating, and burping. Lifestyle modifications such as dietary changes, weight loss, and elevating the head while sleeping can help manage GERD. Antacids and prescription medications may also be needed.
5. Liver Conditions (Hepatitis or Liver Abscess)
The liver, located on the right side of the abdomen just below the chest, can cause referred pain to the chest when it becomes inflamed or infected. Conditions such as hepatitis (liver inflammation) or liver abscesses may lead to dull or sharp pain in the right chest or upper abdominal region.
Other signs of liver issues include fatigue, loss of appetite, yellowing of the skin and eyes (jaundice), and dark urine. Blood tests and imaging are usually needed for a diagnosis, and treatment depends on the underlying cause.
6. Lung Infections (Pneumonia or Pleurisy)
Right-sided lung infections can cause localized chest pain, especially during deep breathing, coughing, or sneezing. Pneumonia causes inflammation in the air sacs of the lungs and may include symptoms such as fever, chills, cough with phlegm, and shortness of breath.
Pleurisy, the inflammation of the lining around the lungs, can also produce sharp chest pain on one side. Treatment typically includes antibiotics for bacterial infections and anti-inflammatory drugs to reduce pleuritic pain.
7. Pulmonary Embolism (Blood Clot in the Lungs)
A pulmonary embolism (PE) is a life-threatening condition where a blood clot blocks blood flow in one of the pulmonary arteries in the lungs. This blockage can cause sudden, sharp, and severe chest pain on the affected side. The pain often worsens with breathing, coughing, or physical activity.
Other symptoms may include shortness of breath, rapid heartbeat, dizziness, and even coughing up blood. Immediate medical attention is critical for a suspected PE, which is typically diagnosed through CT scans, blood tests, and ultrasounds.
8. Pneumothorax (Collapsed Lung)
A pneumothorax, or collapsed lung, occurs when air escapes into the space between the lung and chest wall, causing part or all of the lung to collapse. This leads to sudden, sharp chest pain on the affected side, along with difficulty breathing and tightness in the chest.
This condition can be spontaneous or due to trauma, such as a rib fracture or puncture wound. Emergency treatment is necessary, often requiring the insertion of a chest tube to remove the trapped air and allow the lung to re-expand.
9. Anxiety and Panic Attacks
Psychological conditions such as anxiety and panic attacks can manifest physically, including pain or tightness in the chest. Right side chest pain associated with panic attacks may feel sharp or pressure-like and is often accompanied by rapid breathing, heart palpitations, dizziness, sweating, and a sense of impending doom.
Though the pain is not due to a physical condition, it can mimic serious medical issues and should be evaluated, especially if it’s your first time experiencing such symptoms.
10. Shingles (Herpes Zoster)
Shingles is a viral infection that causes a painful rash, typically on one side of the body or face. Before the rash appears, individuals may experience burning or stabbing pain in a localized area, such as the right side of the chest.
Once the rash develops, it includes red patches and fluid-filled blisters. Shingles pain can persist even after the rash has healed, a condition known as postherpetic neuralgia. Antiviral medications are most effective when started early.
11. Digestive Issues (Gas, Bloating, or IBS)
Gas trapped in the digestive tract can cause sudden, sharp pains that radiate to the chest area. Bloating, indigestion, and irritable bowel syndrome (IBS) can also cause discomfort that feels like chest pain, especially on the right side if the colon is distended in that area.
This type of pain often resolves on its own or with over-the-counter remedies such as antacids, simethicone, or digestive enzymes. Keeping track of dietary triggers can also help manage symptoms.
12. Heart Conditions (Right-Sided Involvement)
Though heart-related chest pain is typically felt on the left side, some heart conditions may cause pain on the right side as well. Conditions like pericarditis (inflammation of the heart’s lining) or rare congenital abnormalities may lead to discomfort on the right.
It’s essential not to ignore chest pain, even if it’s on the right side, especially if it’s accompanied by shortness of breath, nausea, sweating, or pain radiating to other areas. An EKG and other heart tests may be required to rule out cardiac causes.
When to See a Doctor
Right side chest pain should never be ignored, especially if it is sudden, severe, or persistent. Seek immediate medical attention if your pain is accompanied by:
- Difficulty breathing
- High fever
- Rapid heartbeat
- Dizziness or fainting
- Sweating or nausea
- Coughing up blood
Prompt diagnosis can be lifesaving, particularly in cases of pulmonary embolism, pneumothorax, or gallbladder attacks.
Diagnosis and Testing
Doctors use a variety of tests to identify the cause of chest pain, including:
- Chest X-rays to detect lung conditions
- CT scans for blood clots or internal injuries
- Ultrasound for gallbladder and liver assessments
- EKGs and blood tests to check heart function
- Endoscopy for evaluating acid reflux or digestive issues
A thorough physical examination, medical history, and description of your symptoms also play a vital role in reaching the correct diagnosis.
Treatment Options
The treatment for right-sided chest pain depends entirely on the underlying cause:
- Muscle pain: Rest, ice, and pain medications
- Infections: Antibiotics or antivirals
- Gallstones: Dietary management or surgery
- Anxiety: Therapy and lifestyle changes
- Reflux: Antacids and dietary adjustments
- Emergency conditions: Hospitalization and intensive care
Managing the root cause of the pain is the only way to achieve lasting relief and prevent recurrence.
Need Emergency Help? Visit STAT Specialty Hospital
If you or a loved one is experiencing unexplained or worsening right-side chest pain, don’t delay. STAT Specialty Hospital offers 24/7 access to expert physicians, advanced diagnostic tools, and immediate treatment for chest pain and related emergencies.
Whether it’s a gallbladder issue, lung condition, or something more critical, STAT Specialty Hospital is equipped to handle your needs with urgency, accuracy, and compassion. Your health and safety are our top priority.
Visit STAT Specialty Hospital today – where emergency care meets excellence.