What causes recurrent pain in the chest?
Patient: Hi. My name is Kim and I have been experiencing pain that comes and goes right in the middle of the chest area below my breasts. It was so bad two nights ago which caused me to go to the emergency room. And I m having the pains again. They come and go and sometimes are pretty sharp! What is going on? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.  If cardiac diseases have not been ruled out then it should be done first because sharp chest pain at night is commonly seen with heart diseases. So get done ECG, 2D echo, and stress test. If all these are normal then no need to worry for heart diseases. Sometimes stress and anxiety can also cause similar symptoms. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic drugs (Propranolol and Flunarizine combination) too. Don't worry, you will be alright with all these. Avoid stress and tension, be relax and calm.   Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Kaushal Bhavsar