Pain in the Right Breastbone
Pain in the right breast bone, also referred to as the sternum, may cause you to worry, especially if symptoms develop suddenly. Fortunately, not all pain in the right side of the sternum is caused by a severe health condition, although if you develop chest pain, make sure to get a medical evaluation 1. Most cases of pain in the right sternum are preventable through lifestyle changes and treatable with medication.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
Features
Pain in the right side of the sternum can develop suddenly and without warning, explains MayoClinic.com. This pain might feel like a dull ache or be sharp and stabbing. The pain might worsen with activity or after eating a large meal. Additional symptoms can include a sour taste in the mouth, trouble swallowing and chest tenderness.
- Pain in the right side of the sternum can develop suddenly and without warning, explains MayoClinic.com.
- The pain might worsen with activity or after eating a large meal.
Causes
Causes of Pain on the Right Side of the Chest When Breathing
Learn More
Dull aches in the right sternum that worsen with coughing or deep breathing could result from costochondritis, an inflammation of the sternum, explains the American Academy of Family Physicians 34. Pain in the right sternum and upper right abdomen that is accompanied by a feeling of fullness could result from gallbladder disease. A burning sensation that worsens after eating or drinking could be due to acid reflux. Cardiovascular problems, such as angina, cardiomyopathy and heart attack, can also cause pain in the right side of the sternum.
- Dull aches in the right sternum that worsen with coughing or deep breathing could result from costochondritis, an inflammation of the sternum, explains the American Academy of Family Physicians 3.
- Pain in the right sternum and upper right abdomen that is accompanied by a feeling of fullness could result from gallbladder disease.
Warning
Do not ignore chest pain near the breast bone, especially if accompanied by additional symptoms such as:
- shortness of breath
- nausea
- sweating
- dizziness
- weakness 1
These symptoms could indicate a life-threatening emergency such as a heart attack. Contact emergency medical services immediately or dial 911.
Treatments
Causes of Pain in the Lower Right Quadrant
Learn More
Treatments for pain in the right side of the sternum depend on the cause of the pain. Cardiovascular diseases patients are sometimes prescribed medications such as blood thinners, anticoagulants, aspirin, beta-blockers or nitroglycerin; pain caused by heart attack might require emergency surgical treatments such as heart bypass or angioplasty; and patients with costochondritis may need anti-inflammatory medication such as ibuprofen 3.
Prevention
Avoid drinking alcoholic or caffeinated beverages, and eating large meals or foods that are greasy, fatty or spicy, suggests the American Academy of Family Physicians 4. Doctors often recommend taking a daily aspirin to prevent right sternum pain from cardiovascular problems such as heart attacks.
Related Articles
References
- Mayo Clinic: Chest Pain
- Mayo Clinic: Heart Attack Prevention
- MedlinePlus: Costochondritis
- American Academy of Family Physicians: Chronic Chest Pain
- Kumar NS, Bravian D, More AB. Xiphoid foramen and its clinical implication. Int J Anat Res. 2014;2:340-343.
- Gkantsinikoudis N, Chaniotakis C, Gkasdaris G, Georgiou N, Kapetanakis S. Morphological approach of the sternal foramen: an anatomic study and a short review of the literature. Folia Morphol (Warsz). 2017;76(3):484-490. doi:10.5603/FM.a2017.0006
- Khoriati AA, Rajakulasingam R, Shah R. Sternal fractures and their management. J Emerg Trauma Shock. 2013;6(2):113-6. doi:10.4103/0974-2700.110763
- Anderson BW, Burns B. Anatomy, thorax, xiphoid process. Treasure Island, FL: StatPearls Publishing. Updated December 9, 2018.
- Proulx AM, Zyrd TW. Costochondritis: diagnosis and treatment. Am Fam Physician. 2009;80(6):617-620.
- Yoo WG. Effects of combined chest expansion and breathing exercises in a patient with sternal pain. J Phys Ther Sci. 2017;29(9):1706-1707. doi:10.1589/jpts.29.1706
- Ayloo A, Cvengros T, Marella S. Evaluation and treatment of musculoskeletal chest pain. Prim Care. 2013;40(4):863-87. doi:10.1016/j.pop.2013.08.007
- Singh K, Anderson E, Harper JG. Overview and management of sternal wound infection. Semin Plast Surg. 2011;25(1):25-33. doi:10.1055/s-0031-1275168
- El-Ansary D, Lapier TK, Adams J, et al. An evidence-based perspective on movement and activity following median sternotomy. Phys Ther. 2019. doi:10.1093/ptj/pzz126
Resources
Writer Bio
Jessica Lietz has been writing about health-related topics since 2009. She has several years of experience in genetics research, survey design, analysis and epidemiology, working on both infectious and chronic diseases. Lietz holds a Master of Public Health in epidemiology from The Ohio State University.