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Chest pain due to anxiety: symptoms, causes and treatment

Chest pain due to anxiety: symptoms, causes and treatment

April 16, 2024

Sensation of suffocation, hyperventilation, paresthesias, loss of control of one's body ... are common symptoms of anxiety crises. But if there is a symptom that generates especially the fear of dying when we have one of these crises is the existence of chest pain.

And is that Chest pain from anxiety is a really annoying symptom , being taken often by those who suffer it for the first time as an indication of the beginning of the end. Throughout this article we will talk about this type of pain, indicating some of its causes and how to treat it.

  • Related article: "Types of Anxiety Disorders and their characteristics"

Chest pain from anxiety: basic symptoms

When we talk about chest pain due to anxiety we refer to the perception of pain generated by the somatization of an anxious state that can occur in the context of an anxiety crisis, as a prodrome of this or the perception of continued stress without having to reach a crisis.


This pain is usually perceived and classified as stinging, usually occurring in the form of punctures and that can appear in different points of the torso. The pain of this type usually disappears promptly (may reach a quarter of an hour, but the most usual is that they last only a few minutes), in addition to not change whether we make physical efforts or not.

In addition to the pain itself, it is common for them to appear together with it symptoms such as hyperventilation, numbness of the extremities and in a habitual way a sensation of being crazy, dying or losing completely the control over the own body.

Frequent confusion with heart problems

Chest pain is a frequent phenomenon in the somatization of anxiety, but as we mentioned in the introduction, the fact that it is also a typical symptom of heart problems and especially angina pectoris and myocardial infarctions causes Often both problems are confused.


The similarities are many but can be distinguished by the fact that in the case of the pains typical of a heart disease the pain is usually more specific to specific points of the chest and arm (although it must be taken into account that the typical symptoms of heart attack they usually refer to the case of men, being the most generalized location in the case of women), they tend to persist over time and get worse with physical exertion and on the contrary that in the anxiety there is usually neither respiratory alterations nor loss of control.

In any case, it is possible that a heart problem can generate anxiety and it is advisable to go as soon as possible to a medical service to ensure that the problem in question is anxiety and not a real medical problem.

Causes

Bearing in mind that chest pain due to anxiety is not the product of heart disease, it is legitimate to ask why it appears. The ultimate cause is the suffering of a high level of anxiety. However, the reason that the somatization of anxiety appears in the form of pain obeys numerous physiological aspects that may appear as a consequence of the activation produced by it.


First, when we are stressed, we are afraid or we are anxious we are generating a high level of adrenaline and cortisol, something that at the physiological level is translated into the activation of the sympathetic autonomic nervous system (in charge of activating the body to allow reactions like those of fight or flight). When the anxiety crisis arises, this activation generates a high muscular tension in order to prepare the body to respond quickly. This continued tension can generate a certain level of pain in different parts of the body, with the chest being one of them.

Likewise, fear and nervousness also tend to generate an increase in lung activity, leading to hyperventilation. Said hyperventilation also supposes a high level of movement of the thoracic musculature and of the diaphragm, something that together with the muscular tension favors the pain. In addition, the fact of being doing constant short and superficial inhalations causes the sensation of drowning to appear, something that in turn will generate more nervous activation and a greater number of inhalations.

Another frequent alteration in moments of anxiety and that participates in chest pain due to anxiety is the alteration of the gastric motility and the dilation of the digestive tract , that can even generate a pinching in the nerves of the torso, or the accumulation of gases in the stomach that can rise to the chest and generate pain.

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Treatment

To treat chest pain due to anxiety, the cause that generates it, that is, the anxiety itself, will have to be treated first.

At a cognitive level, first of all, the first thing that must be evaluated is why this anxiety has arisen, being necessary analyze what external or internal factors remove and shake us internally to such an extent that our body needs to express it through the body.

We also have to assess whether we are facing something before what we can or can not act directly. If we can do something to change it, we can move on to try to generate some kind of behavioral modification or elaborate a strategy to solve the problem in question. In case the anxiety is due to something uncontrollable and unchangeable, we will have to restructure our way of relating to this situation . It would be to relativize the problem, reducing its importance and assessing whether this or its possible consequences are really so relevant to the subject itself.

Another aspect that can be of great help is the training and practice of different relaxation exercises, which take into account especially breathing although muscle relaxation techniques are also useful. Yoga, meditation or mindfulness are also very useful practices that make it difficult to establish anxiety and relativize anxiogenic situations.

If we are in the middle of an anxiety crisis, the first thing we must value is that anxiety will not kill us and that this pain is temporary and a product of our own reaction to it. We must try, as much as possible, to calm down (although it is not easy). Likewise we should try to focus on our breathing , avoiding hyperventilation as much as possible and trying to do deep and slow inhalations. The crisis will end up happening.

Bibliographic references:

  • Barker, P. (2003). Psychiatric and Mental Health Nursing: The Craft of Caring. London: Edward Arnold.
  • Seligman, M.E.P .; Walker, E.F .; Rosenhan, D.L. Abnormal psychology (4th ed.). New York: W.W. Norton & Company.
  • Sylvers, Patrick; Lilienfeld, Scott O .; Laprairie, Jamie L. (2011). "Differences between trait fear and trait anxiety: Implications for psychopathology". Clinical Psychology Review. 31 (1): 122-37.

What Causes Chest Pain When It's Not Your Heart (April 2024).


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