You may feel like you're having a heart attack. The pain is often sharp and felt when you breathe in deeply. The pain can stop you from being able to take a deep breath. You also may feel it when you cough, bend or lean over.
“It may feel like a shooting pain that starts in your front and travels to the back in the chest area,” says Dr. Tran. “You may also feel chest heaviness or pressure that lasts. If it's just fleeting, goes away and doesn't happen again, you're probably not dealing with a blood clot.”
Main symptoms of a pulmonary embolism include chest pain that may be any of the following: Under the breastbone or on one side. Sharp or stabbing. Burning, aching, or a dull, heavy sensation.
A blood clot in the heart or lungs could include symptoms such as chest pain, shortness of breath, and upper body discomfort in the arms, back, neck, or jaw, suggesting a heart attack or pulmonary embolism (PE).
A blood clot in a leg vein may cause pain, warmth and tenderness in the affected area. Deep vein thrombosis (DVT) occurs when a blood clot (thrombus) forms in one or more of the deep veins in the body, usually in the legs. Deep vein thrombosis can cause leg pain or swelling. Sometimes there are no noticeable symptoms.
You may notice the pain throbs in your leg, belly, or even your arm. Warm skin. The skin around painful areas or in the arm or leg with the DVT may feel warmer than other skin. Trouble breathing.
In most cases, the hope is your body will eventually dissolve the clot on its own. If it doesn't, more drastic measures may need to be taken. Clot dissolvers called thrombolytics are a medication reserved for life-threatening situations because they can cause sudden and severe bleeding.
Symptoms from a pulmonary embolism, like shortness of breath or mild pain or pressure in your chest, can linger 6 weeks or more. You might notice them when you're active or even when you take a deep breath. Exercise can help with this. A blood clot puts serious stress on your body.
Diagnosis and Tests
Blood tests can, in some cases, be used to rule out a blood clot. Ultrasound provides a clear view of your veins and blood flow. CT scan of the head, abdomen, or chest, may be used to confirm that you have a blood clot. This imaging test can help rule out other potential causes of your symptoms.
This evaluation, known as Homan's Test, consists of laying flat on your back and extending the knee in the suspected leg. Have a friend or family member raise the extended leg to 10 degrees, then have them squeeze the calf. If there's deep pain in the calf, it may be indicative of DVT.
A pulmonary embolism (PE) is a blood clot in the lungs. Usually these clots form in the legs, break off and travel through the blood vessels, then get stuck in the lungs. Common symptoms of a PE are chest pain (particularly during a deep breath), shortness of breath, lightheadedness, and a fast heart rate.
Pulmonary embolism chest pain
You may experience pain that especially gets worse when you breathe, cough, or move. Pain does not decrease with rest and only worsens with activity.
Clot removal.
If you have a large, life-threatening clot in your lung, your health care provider may remove it using a thin, flexible catheter threaded through your blood vessels.
A blood clot can partially or completely block blood flow in the vein. When a DVT is left untreated, a part of the clot can break off and travel to the lungs, causing a blockage known as a pulmonary embolism (PE).
About 25% of people who have a PE will die suddenly, and that will be the only symptom. About 23% of people with PE will die within 3 months of diagnosis, just over 30% will die after 6 months, and there is a 37% mortality (death) rate at 1 year after being diagnosed.
Symptoms of coronary thrombosis (a blood clot that forms in the heart) include severe pain in the chest and arm, sweating and trouble breathing.
If you think you have a blood clot, call your doctor or go to the emergency room right away! Blood clots can be dangerous. Blood clots that form in the veins in your legs, arms, and groin can break loose and move to other parts of your body, including your lungs.
Does blood clot pain come and go? Unlike the pain from a charley horse that usually goes away after stretching or with rest, the pain from a blood clot does not go away and usually gets worse with time.
These symptoms of a blood clot may feel similar to a pulled muscle or a “Charley horse,” but may differ in that the leg (or arm) may be swollen, slightly discolored, and warm. Contact your doctor as soon as you can if you have any of these symptoms, because you may need treatment right away.
1) Constriction of the blood vessel. 2) Formation of a temporary “platelet plug." 3) Activation of the coagulation cascade.
You can have DVT and not know it, especially if the clot is small. The most common symptoms of DVT are swelling in an arm or leg, tenderness that isn't from an injury, and skin that feels warm and is red in the area of the clot. A clot usually forms in just one leg or arm, not both.
Calling 911 for Chest Pain
A visit to the ER for chest pain can be life-saving. When your chest pain persists, is severe, or is accompanied by shortness of breath, nausea, radiating pain, and changes in heart rate and blood pressure, call 911 immediately.