I am 24 years old I have pain on middle of chest on center pain feel like kisi nai hammer maara ho chest kai center mai aur kabhi kabhi move krtai time aachak pain aur move kiya to pain jyda hoota hai kutch time ek he position mai rhnai kai baad theek hoojata hai am heavy smoker 5 to 6 years din mai box or 10 cig

Dear Vishwanath ji,

Aapke chest ke beech mein zor ka pain, jo movement par badhta hai aur rest lene par thoda theek ho jaata hai, wo kisi musculoskeletal issue, costochondritis, ya kabhi kabhi lungs ya heart se judi problem ka sign ho sakta hai — especially jab aap heavy smoker bhi ho (5–6 saal se daily 10 cigarettes).

Possible Reasons for Your Chest Pain

• Muscle strain ya costochondritis (rib joint inflammation)

• Lung-related issues – jaise pleurisy, pneumothorax, ya even early signs of COPD

• Heart-related concerns – although rare at 24, smoking increases long-term risk

• Acid reflux (GERD) bhi kabhi kabhi chest mein pain create karta hai

Why You Should Not Ignore This

• Smoking se lungs aur heart dono par stress padta hai

• Sudden sharp pain with movement can also be linked to lung lining inflammation

• If breathing difficulty, sweating, ya dizziness bhi hota hai to emergency check-up zaruri hai

What You Should Do Now

• Chest X-ray and ECG karaayein

• Pulmonologist ya cardiologist se consult lein

• Smoking immediately quit karein — ye sabse zaruri kadam hai

• Avoid heavy lifting or stress on chest muscles