What’s up with this pain in my chest?! in Sclero Forums (MAIN) Posted 11 hours ago Hi Cathy, First of all, we should be celebrating the good news, which is that it sounds like your doctors have already ruled out the very worst causes of chest pain, such as heart or lung troubles. So let's take a deep breath while we all rejoice over that! So now it's down to troubleshooting the lesser causes. See 19 Important Causes of Chest Pain by doctor's Opinion. Given scleroderma, some of the more likely culprits would be costochondritis, heartburn or esophageal spasms, muscle tension, or anxiety. I've had random chest pains for over 20 years. Once I had the baseline testing done that ruled out the severe and acute causes, my doctor just explained it could be this, that, or the other thing, and simply not to worry about it unless it goes on for over 5 minutes, is significantly different, or is accompanied by other symptoms. Variously, my chest pains have been due to esophageal spasms, heartburn, pneumonia, pleurisy, influenza, bronchitis, pericarditis, a mammary gland infection, Raynaud's of the nipples, muscle strain (from pushing a car), palpitations, referred pain from gallbladder, mitral valve prolapse, and costochondritis. Plus, then there are just random ones that appear out of nowhere and resolve themselves without any further ado -- and a fair number that I've personally chalked up to fibromyalgia, when they occur along with other roving aches and pains. So, one thing to keep in mind is that you might be having more than one source at the same time, which can really confuse things. Overall, I like to take comfort in whatever they've proven likely won't kill me today, which helps reduce anxiety, which can also cause or worsen chest pain. Plus, one source of chest pain does NOT mean that all chest pain is due to that particular source. There's such a fine line between reacting and over-reacting, and never is the line quite as difficult to find, as when dealing with chest pain -- it is the most common cause of all for emergency room visits. So, my thoughts are with you as you get this sorted out.