What causes sharp, stabbing pain in middle of chest?
Patient: i have been having chest pains for about three months now,it starts on the right side goes to the middle and the left side and in my back.I have had a doppler stress test done and ekg and blood work and they said it all turned out good.I still have the pains in my chest what could it be,I get sharp stabing pains in the middle.What could this be? Doctor: Hi and thank you for choosing H C M to post your concern.I read carefully your question and in my opinion your chest pain is a noncardiac chest pain since your cardiac examinations turned out good.Do you have any other complain for example cough ,difficulty breathing?I am supposing no since you  don't mention in your question. This make me think that is less possible a chest pain associated with the respiratory systemIs your pain infuenced by eating or does it worse while supine,or increase in intensity with movements of the body?It would help me to have this information to narrow the differential diagnosis of your chest pain.Now my conclusion is that the most possible causes of your chest pain are as follows:Gastroesophageal reflux disease,spasm and gastritis and if this is the cause, your pharmacologic therapy may include antacids such as Ranitidine,protons pomp inhibitor such as omeprazole and lifestyle and dietary modification.Costochondritis is an other possible cause and the treatment include painkillers such as Ibuprofen.Sometimes chest pain can be a manifestation of anxiety disorders.I hope my answer can help in resolving your complain.Kind regard Dr.Dushi