Chest pain is a common symptom that may originate from different tissues such as the heart, lungs, stomach, muscles and even nerves. But in this case, which type of pain is dangerous and when should we go to the heart doctor? For a more accurate answer, it is necessary to examine the types of pain, associated symptoms and warning signs.
Most chest pains are not a sign of a serious problem, but it is better to consult a doctor to be sure. If you experience sudden chest pain or discomfort that does not go away, seek medical help immediately. This pain may be felt as pressure, heaviness, burning, or a feeling similar to stomach sourness.
Dr. Majid Faraji As a specialist in cardiovascular diseases, they have extensive experience in diagnosing heart pain and can play a very important role in preventing serious complications.
Many people with left heart pain think they have had a heart attack. Although heart pain is usually felt on the left side; But in all cases, it does not originate in the heart. Sometimes muscle cramps, inflammation of the chest joints or even stomach reflux can cause such pain. The important difference between heart pain and muscle pain is that heart pain usually worsens with activity and decreases with rest.
Cause Chest pain on the left side and behind the shoulder
Two groups of people may experience different pains:
- The cause of chest pain on the left side and behind the shoulder blade in women is usually non-cardiac and can be caused by stress, musculoskeletal disorders or digestive problems. However, the manifestation of heart disease in women is often non-typical and may be associated with scattered pains.
- The cause of pain under the left chest of men is more related to digestive problems, stomach inflammation or muscle spasm; But in men, the possibility of heart pain should also be considered more.
Anxiety and panic attacks can cause heart pain and anxiety, which is very similar to heart pain in terms of pain intensity and pattern. Heart palpitations, shortness of breath and tingling hands can worry the patient. The diagnosis of these two conditions is only possible with a careful examination and ECG.
Cause Chest pain in young
The cause of chest pain in young people or the cause of heart pain in young people is usually non-cardiac and is mostly related to stress, muscle problems, reflux or inflammation of the chest wall. However, in young athletes or people with a family history of heart disease, special attention is necessary so that rare cases such as inflammation of the heart muscle or arrhythmias are not ignored.
pain Chest pain and middle chest pain
One of the common questions of patients is what is the symptom of pain in the middle of the chest? Central chest pain is usually associated with heart problems, reflux and esophagitis, or muscle spasms. If this pain is accompanied by spreading to the neck, jaw or left arm, the possibility of heart disease increases.
Chest caused by stomach
One of the reasons that cause confusion for patients is chest pain caused by stomach. Stomach acid, hiatal hernia, and reflux can cause severe pain that the patient thinks is coming from the heart. Stomach pain usually worsens after eating or lying down, and is sometimes relieved by antacids.
Left back pain when breathing
If the pain worsens with deep breathing, it may be related to the following:
- Inflammation of the pleura (pleuritis)
- blood clot in the lung (pulmonary embolism)
- intercostal muscle spasm
In heart pain, anti-anginal drugs, blood pressure regulation and lifestyle modification are necessary. In digestive pain, antacid drugs and diet changes are effective. Physiotherapy or anti-inflammatory drugs are also recommended for muscle pain. But what pill should we take for chest pain?
- If it is heart pain, nitroglycerin can be effective with doctor's approval.
- If the pain is caused by the stomach, antacids are necessary.
- Anti-inflammatory drugs are only recommended for muscle pain.
pain Chest: when should we see a cardiologist?
If you have any of the following symptoms, it is necessary to go quickly:
- pain lasting more than 5 minutes that does not improve with rest
- pain accompanied by sweating, nausea, shortness of breath or spreading to the arm and jaw
- Sudden and severe chest pain
- pain with irregular heartbeat
- chest pain caused by sports activity
Summary
chest pain is always a warning sign; But its origin can be cardiac, muscular, pulmonary or even digestive. Symptoms such as left heart pain, pain in the middle of the chest, pain with breathing or pain that spreads to the back of the shoulder should be carefully investigated to differentiate the cardiac cause from other causes. If the pain is prolonged, worsens with activity, or is accompanied by shortness of breath, nausea, or sweating, the best decision is to see a cardiologist quickly. Accurate diagnosis is based on echocardiogram, heart, exercise test and complete evaluation by a specialist doctor.
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