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So back to your question: 1  Your chest hurts when you're emotionally sad because your brain processes physical and social pain in the same brain regions (dACC and AI) (the affective aspects of the pain). The fact that both pains overlap means the factors that decrease physical pain also decrease emotional pain.
Chest Pain Causes: Lung Problems. Problems with the lungs can cause a variety of types of chest pain. These are common causes of chest pain: Pleuritis. Also known as pleurisy, this condition is an inflammation or irritation of the lining of the lungs and chest. You likely feel a sharp pain when you breathe, cough, or sneeze.