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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Occasional Chest Pain In The Night?

For the last 4 months, about once or twice a month, and always while asleep, I have been having chest pain.
Every time, it has occurred between 2:30-4:00 am. It begins with pressure and within 5-10 minutes, the pressure turns into pain, almost like muscle cramp.
I haven't thought a lot about it until it happened back to back nights this week. It happened last night and I haven't felt quite right all day.
I am 46, 6'3"180lbs and in great physical condition.
Any ideas?
Mon, 15 Dec 2014
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General & Family Physician 's  Response
HI, thanks for using healthcare magic

Chest pain can originate from any structure in the chest from the skin inwards. In addition to pain related to these structures, the other cause would be stress or anxiety.

Pain that occurs at rest however, is not likely related to the heart so this can be eliminated. Heart related pain tends to occur with activity and is then relieved by rest.

The most likely options would be pain related to the soft tissues (muscles and other soft tissue), bones, GERD (most common in night or early morning) or stress related pain.

You would need to visit your doctor for assessment to determine the cause.

I hope this helps
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What Causes Occasional Chest Pain In The Night?

HI, thanks for using healthcare magic Chest pain can originate from any structure in the chest from the skin inwards. In addition to pain related to these structures, the other cause would be stress or anxiety. Pain that occurs at rest however, is not likely related to the heart so this can be eliminated. Heart related pain tends to occur with activity and is then relieved by rest. The most likely options would be pain related to the soft tissues (muscles and other soft tissue), bones, GERD (most common in night or early morning) or stress related pain. You would need to visit your doctor for assessment to determine the cause. I hope this helps