What causes severe chest pain in sleep?
Patient: hey i am a female, age 22 and every morning when i wake up or during my sleep i have a severe chest pain right in the center of my breast.i don t smoke nor drink nor lift heavy weights. currently am on birth control for like almost a year now and 2 months ago is when this chest pain started. my question is what may be the cause of my severe chest pain during the nights and when i m awake? Doctor: Thanks for your question on HCM.There are few possibilities in your case.1. GERD ( Gastroesophageal Reflux Disease)2. Stress and anxiety related ( mood disorder)Birth control pills can cause GERD and mood swings (anxiety). And you are taking it since 1 year. So chances of side effects Are high. And GERD and anxiety are very well known side effects of birth control pills.So better to consult gynecologist and discuss about these side effects.At present take good proton pump inhibitor and avoid stress and anxiety.You are too young for cardiac disease. So possibility of cardiac cause is very less.Side effects of birth control pills appears more in your case.