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Noncardiac Chest Pain


Noncardiac chest pain is pain or discomfort in your chest not caused by a heart problem. It may be caused by acid reflux, nerve or muscle problems within your esophagus, or anxiety. It may also be caused by depression or chest wall, muscle, or rib pain.


Return to the emergency department if:

  • You have severe chest pain.

Contact your healthcare provider if:

  • Your chest pain does not get better, even with treatment.
  • You have questions or concerns about your condition or care.


  • Medicines may be given to decrease acid reflux or pain, or to relax your muscles.
  • Take your medicine as directed. Contact your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him of her if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Follow up with your healthcare provider as directed:

Write down your questions so you remember to ask them during your visits.

Cognitive therapy:

Cognitive therapy can help you change how you react to events that trigger your chest pain, such as anxiety.

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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.