Differential Diagnosis for a Rolling Sensation in the Upper Right Chest
- Single most likely diagnosis
- Costochondritis: This condition, characterized by inflammation of the cartilage that connects the ribs to the breastbone, is a common cause of chest pain and discomfort, which could be described as a rolling sensation. It is often related to strain or injury and can be exacerbated by movement or deep breathing.
- Other Likely diagnoses
- Musculoskeletal strain: Strain or injury to the muscles or ligaments in the chest wall could cause pain or discomfort that might be perceived as a rolling sensation, especially if the strain is near the upper right chest area.
- Gastroesophageal reflux disease (GERD): Although more commonly associated with heartburn, GERD can cause chest discomfort that might be felt in the upper right chest, potentially described as a rolling sensation due to the movement of stomach acid.
- Pulmonary issues like pneumonia or pleurisy: Inflammation of the lung tissue or the lining around the lungs (pleura) can cause sharp pains that might feel like a rolling sensation, especially if the condition affects the upper right lung.
- Do Not Miss diagnoses
- Myocardial infarction (heart attack): Although less common in the upper right chest, cardiac issues like a heart attack can present with atypical symptoms, including chest discomfort that might be described as rolling. It's crucial to consider this diagnosis due to its high mortality rate if untreated.
- Pulmonary embolism: A blood clot in the lungs can cause sudden, severe chest pain that might be felt in the upper right chest if the clot is located in that area. This condition is life-threatening and requires immediate medical attention.
- Pneumothorax: Air in the space between the lung and chest wall can cause sharp chest pain and breathing difficulties, potentially felt as a rolling sensation if the pneumothorax is small or partial.
- Rare diagnoses
- Diaphragmatic irritation or hernia: Abnormalities of the diaphragm, such as irritation or a hernia, can cause unusual chest sensations, including a rolling feeling, especially if the issue affects the right side.
- Thoracic outlet syndrome: Compression of the nerves or blood vessels between the collarbone and first rib can cause pain and other sensations in the chest and arm, potentially described as rolling if the compression affects the upper right chest area.