Symptoms of Chest pain could
be due to:
and indications: The main symptom is
pain behind the breastbone, brought on by exertion
and relieved by rest. The pain may be more or less
severe and often passes to the left arm and face.
There may be a numbness or feeling of heaviness
and tingling in the whole or part of the left arm.
Also, there may be a feeling of choking and breathlessness
and tightness across the chest. A person with symptoms
of angina should always seek medical advice.
Diagnosis is usually confirmed in hospital by means
of an electrocardiogram. Treatment involves rest
and avoidance of the exertion that caused the angina
attack. The patient needs to keep warm, especially
in severe winter weather, and may need to adjust
the diet and lose weight. Changes in lifestyle may
be necessary to avoid tiredness and stress. Medication
in the form of glyceryl trinitrate tablets (or amyl
nitrite for inhalation) are used to bring immediate
relief during an angina attack. It may be necessary
for the patient to undergo coronary-artery bypass
surgery or angioplasty.
commonly affected: More common in men
in middle and older age, and postmenopausal women.
(Coronary heart disease or Ischaemic heart disease)
and indications: Often there are no or
few symptoms until the arteries are severly narrowed.
The disease advances until it causes angina pectoris
or coronary thrombosis (which leads to heart attack).
These conditions both require immediate medical
Requires admittance to hospital and balloon angioplasty
(a procedure for dilating the arteries), or coronary
bypass surgery may be needed. Various drugs may
be prescribed, including painkillers, beta-adrenergic
blockers, vasodilators, anticoagulants, and nitroglycerin.
The diet should be low in fat and salt and the person
should undertake a programme of moderate exercise
under doctor's advice. Preventative measures include
no smoking, eating a low-fat, low-salt diet, taking
regular exercise, and measures to avoid stress.
commonly affected: Adults of both sexes
but much less commom in premenopausal women. There
is equal incidence in adults during later years
and indications: Unpleasant burning sensation
in stomach, gullet and throat.
The treatment is relieved by taking antacid tablets
or alkaline substances such as sodium bicarbonate.
commonly affected: Adults of all ages
and both sexes. Pregnant women.
Pleurisy or Pleuritis
and indications: Generally, a chest pain
that starts suddenly and varies in severity from
relatively mild to intense. The pain is of a stabbing
nature and is worse with movement, breathing, and
coughing. Hence, breathing is shallow and rapid,
and eventually, a characteristic sound called pleural
frictional rub may develop, which can be heard with
a stethoscope. The sound may be of a crackling,
rasping or grating nature. Fluid may collect between
the two layers, called pleural effusion, and this
tends to deaden the pain but may decrease lung volume
through pressure so that breathing is even more
laboured. Sticky fibrous material may be discharged
onto the surface of the pleura, which can cause
adhesions, although this does not occur in all forms
of pleurisy. A person with symptoms of pleurisy
should seek medical advice.
Depends upon the underlying cause of the pleurisy,
and is likely to require admittance to hospital.
It involves the use of various drugs, including
analgesics, antibiotics and bronchodilators. Strapping
of the whole chest with elastic bandages and the
use of heat may be needed to ease pain. Measures
to ease the coughing up of bronchial secretions
(such as the use of humidifiers) may be advised.
In some cases, drawing off or aspiration of pleural
effusion is required via a small incision in the
chest wall. This relieves distressed breathing by
enabling the lung(s) to expand properly once more.
commonly affected: All age groups and
Other problems that could cause
Symptoms of Chest pain could be connected
to: Aneurysm, Aortic valve disease, Artial fibrillation,
Coronary thrombosis (Heart attack), Pericarditis,
Pneumothorax, Pulmonary embolism, Pulmonary hypertension,
Pulmonary valve stenosis and others.