Understanding Chest Pain in Crohn’s Disease: What You Should Know

Living with Crohn’s disease involves managing various symptoms, but chest pain is one that can feel particularly alarming. While Crohn’s primarily affects the gastrointestinal tract, it can also have implications for other parts of the body, including the chest. Here’s what you need to know about this symptom and how to address it.

Why Chest Pain May Occur in Crohn’s Disease

  1. Gastro-oesophageal Reflux Disease (GORD):
    Crohn’s disease increases the risk of acid reflux, where stomach acid travels up into the oesophagus, potentially causing a burning sensation or pain in the chest.
  2. Oesophagitis or Ulcers:
    Crohn’s inflammation can extend to the oesophagus, leading to ulcers or swelling, which may result in chest discomfort or pain.
  3. Costochondritis:
    This inflammation of the cartilage connecting the ribs to the breastbone can occur due to systemic inflammation associated with Crohn’s. It causes localised chest pain, particularly when moving or pressing on the chest area.
  4. Heart or Lung Involvement:
    Although less common, Crohn’s-related inflammation can affect the heart or lungs, potentially leading to conditions such as pericarditis (inflammation around the heart) or pleuritis (inflammation around the lungs), which can cause chest pain.
  5. Medication Side Effects:
    Certain treatments for Crohn’s, like steroids or biologics, can have side effects that include chest pain or an increased risk of infections that affect the chest.

When to Seek Medical Advice

It’s important to differentiate between chest pain linked to Crohn’s and that of a more serious condition such as a heart attack. Seek immediate medical attention if you experience:

  • Severe chest pain, especially if it radiates to the arm, jaw, or back.
  • Difficulty breathing.
  • Sudden onset of dizziness or fainting.
  • Pain accompanied by sweating or nausea.

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