Chest pain - causes, diagnosis and treatment
author: doctor Ilona Lesnaya
There are a lot of diseases in which a frequent complaint is soreness in the chest of various localization. Sometimes even a highly qualified doctor is difficult to understand where the pain comes from. Pain in the projection of the chest can occur with diseases of the organs of this localization, lesions of the spine, ribs, cartilage, muscles of the cervical region or the shoulder girdle. Plus, the pain can be psychogenic.
Types of pain
Depending on where the pain comes from, it is divided into vertebrogenic (as a result of a lesion of the spine) and non-embryogenic.
Nonvertebrogenic pain, or pain from the internal organs, is associated with such diseases as:
1) Diseases of the lungs. This includes pleurisies, pneumonia, various malignant and benign formations, lung abscesses, etc. In order to exclude this type of pathology, it is necessary to conduct an X-ray examination, in case of dispute, a computer tomography or MRI. Treatment is prescribed only by a doctor, depending on the disease.
2) Diseases of the heart and blood vessels. The most dangerous situations are those in which the left side of the chest hurts . These situations include diseases such as hypertension, myocardial infarction, aortic aneurysm, angina attacks, pulmonary embolism. The main diagnostic methods can be ultrasound of the heart, chest X-ray, ECG. Therapy is prescribed by either a cardiologist or a physician-therapist. These can be nitrates, for the arrest of an attack of angina, or antihypertensives for the treatment of hypertension.
3) Diseases of the gastrointestinal tract. These include the stomach ulcer and 12-типерстной intestines, pathology from the liver or pancreas, gastroesophageal reflux disease.
Vertebrogenic pain (pain arising from diseases of the spine)
1) Osteochondrosis of the spine in the cervical region. There are complaints of pain in the cervical region or between the shoulder blades.
2) Osteochondrosis of the spine in the thoracic region. With this type of osteochondrosis pain is blunt, aching, and sometimes shingles.
3) Injuries of the spine. Most often occur at various incidents, road accidents, etc.
4) Tumors of the vertebral column. They cause metastases from tumors of internal organs, or they are primary tumors.
5) Osteoporosis of the spine. Occurs in the vertebrae, as a result of various changes in the structure of bone tissue and a decrease in mineral density. Therefore, the bone becomes fragile.
Also read the publication on pain in the chest during movement .
All kinds of vertebrogenic pains are diagnosed with the help of a chest x-ray of the spine, computed tomography and MRI. Treatment is prescribed by a doctor.
Other causes that contribute to the emergence of tenderness in the chest include shingles. This infectious disease is caused by the herpes virus and affects the endings of the nerves. As a result, pain in the chest arises, which are both girdle and unilateral. After this disease, a complication such as herpetic neuralgia may develop. It can also be the cause of pain and hypersensitivity of the skin. Treatment is started with antiviral drugs, and pain relievers are used to reduce pain syndrome.
Pain localizes in the projection of the lateral and anterior surface of the chest. They appear due to the fact that deep and superficial muscles spasmodic and involve bone-cartilaginous structures of ribs and sternum.
Pains of a psychogenic nature
This kind of pain does not have a certain localization and arises in quite emotional and impressionable people. This diagnosis is established only after a thorough examination and exclusion of other causes of pain in the projection of the chest.
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author: infectious diseases doctor, Ph.D. Andreeva S.G.
Rashes are extremely diverse in appearance, prevalence, and in the dynamics of its extinction. Sometimes it disappears without leaving a trace, in other cases leaves behind scars or pigment spots. Isolate infectious and non-infectious causes of rash. However, in either case, it is only a symptom, that is, an external manifestation of the general health problem. Therefore, you should not leave it without attention.
author: doctor Ilona Lesnaya
Quite often, most people, looking at themselves in the mirror, note that they have veins on their chest. However, that this may mean not everyone can guess. Virtually always veins are visible in people with thin skin. This is not a pathology; this is your anatomical feature or the veins are too closely located.
author: doctor Vasil'tsov AG
Pain in the chest during movement can be a symptom of the defeat of the heart, blood vessels, organs of the gastrointestinal tract, in addition, it can indicate damage to the peripheral nervous system and the musculoskeletal apparatus of the chest. Also, do not forget about neoplasms and inflammatory processes in the lungs, which also manifest themselves pain in discomfort in the chest during movement, breathing or at rest.
author: doctor Maslak AA
Very often if there is pain in the chest, first of all think about heart problems and turn to the cardiologist. However, it is not uncommon that the matter is not in the heart, but in the intercostal nerves, which for some reason are compressed and irritated either by a pathologically altered spine or by strained muscles.
author: doctor Derjushev A.N.
Neuralgia is pain that spreads along the nerve trunk, or along the course of its branches, which is often accompanied by an increase in sensitivity in the area of its (nerve) innervation. Usually neuralgia is considered the earliest stage of damage to the peripheral nerve region as well as its root. The cause of this phenomenon can be trauma, intoxication, infectious and allergic factors, metabolic disorders, especially if it is accompanied by such factors as hypothermia.
author: doctor Angela Apercoy
Usually, a specific localization of pain indicates a problem in any organ located in this area. Accordingly, with the localization of pain in the right hypochondrium, the pathology of the liver, gallbladder and bile ducts should first be assumed. In this case, the presence of any other symptoms accompanying tingling in the right side under the ribs, helps to understand which organ develops the pathological process that caused the appearance of pain.
author: doctor Okan N.A.
Under the intercostal neuralgia is understood the pain in the chest, which appear as a result of irritation of the nerves located along the lower edge of the ribs, or their compression.