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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 chest wall, muscle, or rib pain. It may also be caused by panic attacks, anxiety, or depression.


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 treat the cause of your chest pain. You may be given medicines to decrease pain, relieve anxiety, decrease acid reflux, or relax muscles in your esophagus.
  • 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.

Cognitive therapy:

Cognitive therapy may be helpful if you have panic attacks, anxiety, or depression. It can help you change how you react to situations that tend to trigger your chest pain.

Follow up with your healthcare provider as directed:

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

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Learn more about Noncardiac Chest Pain (Aftercare Instructions)

Micromedex® Care Notes