HomeAnswersCardiologychest painI have sharp chest pain. Is it costochondritis?

I have a burning chest pain which improves when I stand. Is it costochondritis?


The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Ilir Sharka

Medically reviewed by

Dr. K. Shobana

Published At February 21, 2018
Reviewed AtFebruary 22, 2024

Patient's Query

Hello doctor,

I am a 40 year old female. I have a BMI of 17. I am a recovering eating disorder patient and also suffer from GERD, GAD, and low BP (105/60 mm of Hg). I saw a cardio two years ago and cleared. I developed a burning, sharp chest pain (more intense than normal GERD pain), in the upper-left sternum just below the manubrium which sent me to the ER. X-ray, bloods, and ECG are normal. I was given an Omeprazole and an antiinflamatory. But, I am still having constant pain, which varies in intensity and improves when I stand. I did lift a heavy rock a few days prior and can feel a slight crunching when I move, but I am really anxious about ischemic heart disease or something more dubious, even though I have no accompanying symptoms besides this pain. Does this sound like costochondritis, or should I be more concerned?

Answered by Dr. Ilir Sharka


Welcome to icliniq.com.

I passed carefully through your question and would explain that your symptoms are not typical of any cardiac disorders. They could be suggestive of costochondritis or gastro-esophageal reflux. Is the pain triggered by deep breathing or pressure in this chest area? This would be another argument in favor of costochondritis. In such case, it is necessary to perform inflammation tests like PCR (polymerase chain reaction), ESR (erythyrocyte sedimentation rate), and complete blood count. If the pain is triggered by heavy meals or bending over, it would be indicative of a gastro-esophageal reflux. In such case, it would be necessary to perform a fibrogastroscopy. I would also exclude any possible heart issues, considering your clinical symptomatology for which I would suggest performing an exercise cardiac stress test just to reassure you that your symptoms are not related to your heart. So, just relax and do not worry about it.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ilir Sharka
Dr. Ilir Sharka


Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online


*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy