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Is 'heartache' a figurative term or does it really hurt?

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Question - (30 October 2014) 4 Answers - (Newest, 30 October 2014)
A female United States age 36-40, *SA writes:

I've often heard of the term 'Heartache' but is it possible to feel real pain in the heart from missing someone, breaking up with someone, being hurt by someone emotionally, etc?

Often times when I think of the possibility of breaking up with my boyfriend, or big arguments, etc I do feel that physical pain in the heart. But this is more of an emotional thing, so how is it that I am feeling real pain?

Or is this a sign that I have physical medical conditions I'm not aware of?

Does anyone have experience of physically feeling heart pain but they were not physically hurt?

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A female reader, anonymous, writes (30 October 2014):

Absolutely. It physically hurts to be "heartbroken." It has happened to me and it has happened to people I know. I do not know why people feel the pang of heartache, physically, right in the dead center of their chest. That's just where it all consolidates. Your body has a network of sensory nerves that receive and share external and internal information. And when you have bruised emotions these feelings manifest themselves as physical angst in your chest. Just as other ailments such as dehydration or lack of nourishment manifests itself as a headache.

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A male reader, olderthandirt  +, writes (30 October 2014):

olderthandirt agony auntI don't know if there is really an internal cramp or not but it sure felt like it to me when I was dumped some 60 years ago. It feltlike someone was pulling my guts out through my throat. I suppose there could be a physical response to a breakup but I sure felt it.Even in my lateryears I remember like it wa last week.

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A female reader, So_Very_Confused United States +, writes (30 October 2014):

So_Very_Confused agony auntThe first thing I want to say is if you THINK there is a medical problem see your doctor.

I can tell you that when I have been in GREAT Emotional pain I will feel it in my chest or a bit lower... folks are amazed at how high their stomachs actually sit in their body.. it's near the breast bone.. and sometimes stomach acid will churn up or the muscles constrict (the heart is a muscle too)

IMO if it only happens at the thought of leaving him it probably is emotional pain manifesting itself as physical pain.

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A male reader, anonymous, writes (30 October 2014):

It's possible to actually feel something physically, because when you're stressed out after a break up your stress hormones increase, your blood pressure and heart rate go up because of your anxious state of mind. Stress causes a fight or flight reaction and your blood vessels tend to constrict.

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