Possible causes of right upper chest pain include trauma, lobar pneumonia, pneumothorax, pulmonary embolism, lung cancer and so on.
1. Trauma: external impact or violent blows to the chest can cause soft tissue contusion or even rib fracture of the chest wall, which may lead to right upper chest pain. Patients usually have obvious history of trauma, and localized subcutaneous petechiae can be found on physical examination.
2. Lobar pneumonia: Lobar pneumonia is a kind of acute bacterial infectious inflammation, patients can have high fever, rapid pulse, fatigue, cough, cough sputum and other signs of lung infection, some patients can also have chest pain.
3. Pneumothorax: Pneumothorax, especially spontaneous pneumothorax, is usually seen in the upper lobe of the lungs, and the patient mainly manifests sudden chest pain, followed by wheezing, suffocation and other symptoms of dyspnea.
4. Pulmonary embolism: pulmonary embolism is a series of syndromes caused by dislodgment of thrombus from deep veins of the lower limbs, returning to the heart with the blood flow, and embolization in the pulmonary artery, which is most common in the old people, bedridden patients, and post-surgical patients, etc. The main symptoms include sudden chest pain and chest pain. The main symptoms include sudden chest pain and dyspnea, and some patients also have hemoptysis.
5. Lung cancer: Most patients have no obvious performance in early stage of lung cancer, but chest pain can appear when the tumor invades the pleura.
Patients with unexplained right upper chest pain are advised to go to hospital as early as possible for consultation and timely treatment after the cause is clarified.