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19 Possible Causes for Chest Pain Worse when Lying Down, Retrosternal Chest Pain

  • Acute Pericarditis

    It is usually worse when coughing, eating and lying down. Sitting up or leaning forward will usually help relieve the pain.[your.md] After 90 hours of 5-fluorouracil infusion, he developed severe retrosternal chest pain.[ncbi.nlm.nih.gov] Other causes are autoimmune conditions, infection, chest trauma, cardiac surgery, or cardiac procedure. The presenting symptom is retrosternal chest pain.[ncbi.nlm.nih.gov]

  • Pericarditis

    It can be made worse when lying down, coughing, or swallowing and may be relieved by sitting forward. Low-grade fever. Increased heart rate.[webmd.com] We report a rare case of a mediastinal malignant granular cell tumor in a 41-year-old man presenting with dyspnea, retrosternal chest pain, and recurrent pericardial effusion[ncbi.nlm.nih.gov] Symptoms include sharp, severe retrosternal chest pain worse with inspiration and a supine position. The classic physical finding is a pericardial friction rub.[bestpractice.bmj.com]

  • Diaphragmatic Hernia

    Congenital diaphragmatic hernia (CDH) is a birth defect of the diaphragm. The most common type of CDH is a Bochdalek hernia; other types include Morgagni hernia, diaphragm eventration and central tendon defects of the diaphragm. Malformation of the diaphragm allows the abdominal organs to push into the chest[…][en.wikipedia.org]

  • Aortic Valve Stenosis

    If heart failure, loss of consciousness, or heart related chest pain occurs due to AS the outcomes are worse.[en.wikipedia.org] Signs of heart failure include shortness of breath especially when lying down, at night, or with exercise, and swelling of the legs.[en.wikipedia.org]

  • Esophageal Achalasia

    Other symptoms may include: Discomfort or pain in the chest, especially after meals Coughing, especially when lying down Heartburn Weight loss Vomiting In some people, vomiting[swedish.org] Features which present in the early stages of the disease may be similar to that of gastro-oesophageal reflux, including retrosternal chest pain typically after eating and[doi.org] The disease manifests as symptoms of dysphagia, regurgitation of food and retrosternal chest pain [ 8 ].[doi.org]

  • Suppurative Pericarditis

    pain. [1] The pain may also be felt in the shoulders, neck, or back. [1] It is typically better sitting up and worse when lying down or breathing deeply. [1] Other symptoms[en.wikipedia.org] The common clinical presentation involves; pyrexia, retrosternal chest pain and breathlessness.[jstcr.org] The unique presentation of substernal pain that is worse during inspiration or when the patient is lying down and is relieved by leaning forward is helpful in making the diagnosis[atsu.edu]

  • Dressler Syndrome

    Symptoms include: chest pain that’s worse when lying down chest pain that worsens with deep breathing or coughing (pleuritic pain) fever difficult or labored breathing fatigue[healthline.com] Auscultation of the lungs can show crackles indicating pulmonary infiltration, and there can be retrosternal/pleuritic chest pain worse on inspiration (breathing in).[en.wikipedia.org] History The most constant symptom of dressler syndrome is pleuritic chest pain, typically located retrosternally or on the left precordial region and which is charasteristically[symptoma.com]

  • Familial Pericarditis

    pain . [1] The pain may also be felt in the shoulders, neck, or back. [1] It is typically better sitting up and worse when lying down or breathing deeply. [1] Other symptoms[en.wikipedia.org] Pericarditis was diagnosed when patients sustained attacks of pleuritic retrosternal chest pain and had typical findings in the electrocardiogram, echocardiogram or chest[ncbi.nlm.nih.gov] Patients with acute pericarditis commonly present with acute, sharp, retrosternal chest pain that is relieved by sitting or leaning forward.[aafp.org]

  • Postcardiac Injury Syndrome

    Symptoms include: chest pain that’s worse when lying down chest pain that worsens with deep breathing or coughing (pleuritic pain) fever difficult or labored breathing fatigue[healthline.com] chest pain, often radiating to the neck, shoulders, or back.[clevelandclinicmeded.com] The major symptoms are retrosternal or left precordial chest pain, non-productive cough and dyspnea.[journals.plos.org]

  • Costochondritis

    More information Signs and symptoms When the costochondral joint becomes inflamed, it can result in sharp chest pain and tenderness.[healthinmotion.org.uk] Signs and symptoms When the costochondral joint becomes inflamed, it can result in sharp chest pain and tenderness.[knowyourdoctor.com.cy] The pain may be made worse by: a particular posture – such as lying down pressure on your chest – such as wearing a seatbelt or hugging someone deep breathing, coughing and[nhs.uk]

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