Have Medical Questions? Ask a Doctor Online!
Hi there. Substernal chest pain is cardiac until proven otherwise. Have you had a cardiac work up...EKG? CXR?Troponins? Stress test? Once that has been ruled out satisfactorily, you can move on to other possible causes such as GI (e.g. hiatal hernia, ulcer, esophageal spasm), pulmonary (e.g. pleurisy, pneumonia) or musculoskeletal (e.g. costochondritis, intercostal muscle strain, sternal fracture). If your pain has worsened, I would suggest you go into urgent care or express care and be evaluated again. The work up could include a chest CT if the doctors there wanted to get a quick look at what is going on inside the chest. It would provide some information about all these systems from chest to back.