Does Constipation Cause Chest Pain?

Constipation can produce chest pain. It’s crucial to distinguish this from chest pain caused by heart or vascular conditions, which may sometimes be triggered or exacerbated by constipation.

Constipation may be more than an inconvenient change in bowel habits. It can also be responsible for chest discomfort and certain cardiac-related issues.

Below we’ll examine the connection between constipation and chest pain, when to seek medical care, how clinicians diagnose the root cause, and approaches to easing chest pain related to constipation.

Can constipation cause chest pain?

Constipation can lead to chest pain for two main reasons.

Pain originating from gas

The most frequent cause of chest pain associated with constipation is trapped gas.

When you’re constipated, excess gas often accumulates in the intestines. This can produce pressure in the abdomen that may radiate upward and create pain or discomfort in the chest region.

Learn more about chest pain stemming from gas.

Pain from cardiovascular problems

Although less common, constipation can be linked to cardiovascular complications or problems with the heart and blood vessels. A 2019 review outlines a few possible mechanisms.

First, constipation can alter the gut microbiome (the community of beneficial bacteria and other microbes in the gut). Such shifts may contribute to:

• elevated blood pressure
• atherosclerosis
• additional cardiovascular complications

Second, straining during bowel movements, a common feature of constipation, can raise blood pressure and potentially lead to:

• congestive heart failure
• arrhythmias
• acute coronary syndromes
• aortic dissection (tear in the aorta)

How does constipation relate to shortness of breath?

Shortness of breath is an uncommon accompaniment of constipation. However, in some cases, the discomfort and abdominal pressure from constipation can produce sensations of breathlessness or difficulty breathing. This happens because the diaphragm — the main muscle involved in breathing — may be affected by pressure from the intestines.

Learn more about chest pain caused by abdominal pressure.

When to contact a doctor

If chest pain or shortness of breath continues beyond 1–2 days, it could indicate a more serious problem. Contact a healthcare provider if you have persistent chest pain or breathing difficulties alongside constipation.

Medical emergencyChest pain or breathlessness can be initial signs of a heart attack. Call emergency services or have someone drive you to the nearest emergency department if you experience any of the following symptoms: chest pain or pressure, feeling weak, light-headed, or faint, discomfort in the jaw, neck, or back, pain or pressure in one or both arms or shoulders, trouble breathing, nausea, or sudden sweating.

How is the underlying cause diagnosed?

To identify why you’re experiencing chest pain, a clinician will usually perform a full physical exam and order diagnostic tests, such as:

• blood work
• electrocardiogram (ECG or EKG)
• chest X-ray, computed tomography (CT) scan, or other imaging studies

These investigations help determine whether the chest pain stems from constipation, cardiac disease, or another medical issue.

How to ease chest pain caused by constipation

If gas buildup from constipation is producing chest discomfort, several steps can relieve pain and support regular bowel function. Recommendations include:

• increasing dietary fiber by eating more fruits, vegetables, whole grains, and legumes
• drinking adequate water throughout the day to stay hydrated
• engaging in regular physical activity to encourage bowel movements
• considering over-the-counter laxatives or stool softeners under the guidance of a healthcare professional
• practicing relaxation methods, such as deep breathing or meditation, to lower stress that can worsen constipation

Also see guidance on essential oils for constipation that some people use to support digestive comfort.

Learn more about home treatments for constipation.

Common questions about constipation and chest pain

Here are some questions people often ask when they experience chest pain related to constipation.

Can constipation trigger a heart attack?

Constipation alone isn’t directly responsible for heart attacks. However, intense straining during bowel movements can raise blood pressure, potentially increasing the risk of a heart attack, particularly in people with existing cardiovascular disease. Regular heart health monitoring is important to reduce this risk.

Can heart problems or chest pain cause constipation?

Heart disease or chest pain don’t typically cause constipation, though it can occur in certain heart conditions.

More often, medications prescribed for heart conditions can have constipation as a side effect. Examples include calcium channel blockers and some diuretics.

If you have a cardiac condition and notice worsening constipation, discuss it with your healthcare provider.

What does trapped gas in the chest feel like?

Trapped gas near the chest can produce tightness or sharp pain, sometimes described as stabbing or burning. This discomfort may worsen with movement or deep breaths. Other symptoms may include:

• bloating
• excessive belching
• a sensation of heaviness in the abdomen

Takeaway

If you have chest pain or significant discomfort — especially when accompanied by shortness of breath, dizziness, or pain radiating to the arms, jaw, back, or neck — seek immediate medical care.

Addressing constipation through dietary changes, lifestyle modifications, and appropriate medical advice can reduce chest pain related to constipation and support overall digestive health.