Chest pain: causes of pain in the chest

Content

  • 1Features of pain in the right side of the chest and its causes
    • 1.1Symptoms
    • 1.2Diseases of the digestive tract
    • 1.3Intercostal neuralgia
    • 1.4Osteochondrosis
    • 1.5Mechanical damage
    • 1.6Oncological diseases
    • 1.7Stress and weakening of the immune system
    • 1.8Pathology of the respiratory system
    • 1.9Conclusion
  • 2Pain in the sternum to the right of the cause
    • 2.1Pain in the chest can be a sign of problems with the heart, spine and lungs
    • 2.2burning in the chest
  • 3Pain in the sternum: the causes of pain on the left, right and in the middle of the chest (video)
    • 3.1The main causes of pain in the center of the sternum
    • 3.2Aching behind the sternum on the right
    • 3.3Pressing left pain
    • 3.4What does pain mean when you inhale and exhale?
    • 3.5Sore throat with cough
    • 3.6When driving
    • 3.7Chest pain requiring urgent treatment
    • 3.8Myocarditis
    • 3.9Rheumatic carditis
    • 3.10: Causes of pain in the middle
  • 4Why does the chest hurt in the middle: a possible diagnosis. What to do if the chest hurts in the middle - first aid
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    • 4.1The chest wall hurts in the middle: the causes
    • 4.2The thorax hurts in the middle: the first help at an injury
    • 4.3The thorax hurts in the middle: treatment if the injury was not
    • 4.4The chest hurts in the middle: when to see a doctor

Features of pain in the right side of the chest and its causes

The chest pain on the right is one of the common signs of a malfunction in the work of not only the respiratory system, but also other vital organs. In this case, it is recommended to quickly diagnose the cause of the pathology, make an appointment with a specialist and follow his recommendations.

Pain in the right side of the chest

Studies have shown that the chest hurts to the right more often than the left.

And there is logic in this, because in the second case, discomfort is caused by cardiovascular system disorders, when the heart is aching.

While the causes of chest pain on the right may indicate unpleasant pathologies:

  • failure of the respiratory system and lungs;
  • pathology of the liver;
  • difficulty with the gallbladder;
  • weakness of the immune system;
  • congenital pathological changes;
  • disorders in the digestive tract;
  • intercostal neuralgia;
  • mechanical damage in the right side of the chest and not only.

The pain in the right breastbone of men and women can be indicative of various problems.

Symptoms

The manifestation of any kind of pathological changes is in the form of subjective complaints or objective signs of the disease. First, the pain sensations on the right in the chest. They make themselves felt always, but in different incarnations:

  • acute or dull pain in the sternum on the right;
  • aching pain under the sternum;
  • stitching pain in the sternum;
  • intense severe pain on the right in the chest or weak manifestation of it;
  • pressing pain under the sternum;
  • constant or periodic pain on the right side opposite the heart;
  • pain under the right hypochondrium, from the side or in the back;
  • when there is an increase in pain during inspiration, with coughing (with a deep inspiration), while moving.

Practice shows that pain in the chest on the right is not the only sign of pathological changes in the human body. It is accompanied by additional symptoms, which together constitute a common clinical picture.

And in order to correctly diagnose, the attending physician must perform a physical examination of the patient and examine his complaints about health and complaints. From the patient it is necessary: ​​to answer clearly and honestly all the questions without constraint or concealment.

Otherwise, an inaccurate diagnosis is possible, and the specialist will need more time to search for the truth.

Diseases of the digestive tract

Some pathological changes in the digestive system can cause pain in the right side of the chest:

  • Heartburn is manifested when a surplus of acid begins to spill into the digestive tract, hitting (burning) its cavity. Often such a nuisance makes itself felt within half an hour after a meal, when the digestion process is in full swing. Heartburn can cause pain in the right side, and even pain shock, spreading from the top of the esophagus and above, almost to the beginning of the throat. Therefore, for some people this is a common burning sensation, and for others - pain in the right side of the sternum. To avoid these problems or to eliminate them, it is recommended to use special medicines.

Heartburn with exhalation and inspiration at the chest level on the right side

  • After the failure of the patency of food along the digestive tract, its stagnation is observed. At this point, she gets stuck in the esophagus, involuntarily carrying out pressure on his cavity. Pain in the chest with inspiration and swallowing will only increase. In fact then the diaphragm needs to be strained again. A small gulp of water - and the food will pass. Most often this is a sure way to solve the problem.
  • Various liver diseases in acute and chronic form can cause pain behind the breastbone, then it seems: like a tunic in the side and does not get any easier with an exhalation. To understand whether the pain is associated with this body, it is recommended to perform a simple manipulation: make a slight pressure on the liver and try to cough. In this case, in the chest on the right, more precisely, in the hypochondrium, there will be a stabbing pain. Such spasmodic changes and become the cause of the manifestation of hepatitis, when the liver increases in size, its upper shell lends itself to stretching, and spasm increases. But over time, it ceases, giving dull echoes in the chest to the right. Although there may be a sharp pain syndrome of special intensity. And its localization can be observed not only at the top in the right side of the thorax, but also in the region of the right scapula and forearm.
  • Pathological changes in the gallbladder can be manifested by pain in the chest area. Cholecystitis in chronic form can be accompanied by painful sensations in the upper part of the chest. It occurs because of infection. Everyone knows the consequences of this disease. Changed the characteristics of bile, there is a violation of its outflow, and ends with all the formation of stones in the gallbladder. It becomes painful for a person to move, breathe, especially to inhale.
  • Separately it is worth highlighting the failure of the normal movement of bile. This can not become the root cause of pathological changes of an organic or structural nature. But violations of the opening and closing of the ducts are possible. Factors provoking this ailment may be psychological disorders or a simple failure of the body to take certain products.
  • Gallstone disease can be accompanied by the fact that the right side of the chest hurts. And discomfort can be intolerable. Often the cause of such an ailment can be a wrong way of life, abuse of alcoholic beverages and fatty foods. In the cavity of the gall bladder, including in the ducts, the salts of potassium begin to crystallize, grouping into solid lumps.

To appoint a course of treatment in this case should a specialist. Self-medication here is fraught. Because the stones can migrate into the ducts, plugging them completely, and cause a rupture of the gall bladder directly into the abdominal cavity. It is extremely difficult to wrest a patient from the hands of death in this case.

Intercostal neuralgia

Another reason why it hurts in front and in the corner of the chest can be intercostal neuralgia - infringement of roots of spinal nerves in the region of the spine or inflammation of the nerves in the region ribs.

The main source of the disease is osteochondrosis or spondylitis. Diagnosis of pathological changes is extremely easy. After all, in a passive state, the patient feels relief, and the pain subsides.

So, in the absence of physical exertion, coughing or sneezing, the pain is not felt. But if you sharply make a sigh or cough, jump or climb the steps, then again, think about the problem.

And acute pain will manifest not only in the sternum on the right, hypochondrium, spine, but also in the lower back.

It is recommended that bed rest. You can not actively move. Be sure to call the doctor at your home to prevent worsening of your health.

The disease itself is not considered difficult and treatable. But provided a timely course of treatment and compliance with all the recommendations of the treating doctor.

Osteochondrosis

Pathological changes in the spine occur most often in adulthood.

They are accompanied by a malfunction of normal blood flow and metabolism in the spine due to a variety of infection, trauma, poor posture, genetic predisposition, harmful vibration and many others.

The pain is continuous, aching and regular. This is not a sharp syndrome that passes. Moreover, there is an increase in discomfort during physical exertion.

If osteochondrosis is chronic, then it should be treated strictly according to the doctor's prescription. If this is a primary manifestation, then do not resort to folk medicine. It is necessary to make an appointment with a specialist and exclude the lifting of gravity with an indirect back.

Mechanical damage

There is a similarity with the manifestation of osteochondrosis. But the nature of injuries can be different. For example: rupture or stretching of tissues, swelling, fractures and severe bruises of the chest. And if after a trauma pain again made itself felt, it is worthwhile to be on the alert.

Return of the pain syndrome indicates the resumption of the problem.

And the damaged area can not be completely restored when the new damage has already taken place. In doing so, it is recommended to do repeated X-rays.

And if the recovery after the injury is not over, return to the previous physical stress is not worth it.

Oncological diseases

Oncological diseases can be accompanied by various symptoms. Therefore, they are often confused with other diseases. Although cancer is diagnosed without much difficulty, if you perform a series of tests and clinical studies.

There is a huge number of cancer, but not all can be accompanied by pain in the right side of the chest. If it is a lung cancer, then the pain can manifest. And maybe not manifest.

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But as an additional sign appears a wet cough, bloody mucus discharge, which causes a need for rapid diagnosis. Practice shows that pain is most often acute character of seizures.

But not necessarily.

If, with a wet cough, gives pain to the left or right side of the chest, be sure to sign up for a consultation with a doctor. After all, cancer is not a joke. And if you do not diagnose the ailment, everything will end in a lethal outcome.

Tumors accompanied by pain in the right side of the chest

Stress and weakening of the immune system

The stressful condition is the primary cause of the manifestation of pain in the right side of the sternum. The brain is a willful body and affects everything in the body.

The treatment of weakening of the immune system and the consequences of stress requires a course of vitamins, an active lifestyle, normalization of the daily regimen and physical exercises. Recommended therapeutic respiratory gymnastics and herbal medicine. It is not necessary to exclude the need for a psychotherapist to consult.

Pathology of the respiratory system

In the case of simultaneous appearance of cough and pain on the right side, the malfunction of the respiratory system is suspected. And this is understandable.

The cause of the pain are pneumonia, pleurisy, pneumothorax, oncological disease of the lungs.

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It becomes difficult to inhale and exhale, there is shortness of breath and spotting.

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In clinical studies, rales, heart murmurs, and a weak respiratory function are observed.

Conclusion

By itself, the pain in the right side of the sternum does not indicate its nature. And you can determine pathology by examining additional signs of the disease.

And from the time of diagnosis and the accuracy of determining pathological changes depends on the speed of recovery of the patient and possible complications.

And if it so happened that certain symptoms were manifested, do not "put it off the shelf." It is necessary as soon as possible to make an appointment for a consultation with a specialist.

A source: http://lechiserdce.ru/simptomyi/2998-boli-v-pravoy-storone-grudnoy-kletki.html

Pain in the sternum to the right of the cause

Modern man sometimes has time to visit polyclinics, he is constantly worried about problems associated with material support for himself and his loved ones.

As a rule, most people do not pay attention to minor ailments, writing off painful feelings for weather events, magnetic days, fatigue. This attitude to one's own health is extremely dangerous.

After all, pain is the reaction of the body and the first signal that tells a person about any disruption in the functioning of its organs and systems.

If a person begins to notice pain in the chest on the right, it is necessary to conduct a check with a qualified doctor.

The chest pain on the right can easily signal problems with the cardiovascular system or organs digestion, excessive muscle strain, respiratory system diseases and other problems with health.

Quite often, such a disease, as angina, is characterized by pain in the chest on the right. The reason is the lack of oxygen to the heart muscle.

A person experiences severe, pulling, pressing pains that can be given to the right side of the chest, arm, back, neck, throat.

Manifestations of angina are generally quite extensive, a person experiences nausea, heartburn, increased sweating, severe weakness.

Another problem with health, manifested in pain sensations on the right side of the chest, is a disease of pericarditis - an inflammatory process that occurs in the cardiac membrane of pericarditis. The cause of the disease is considered to be a viral infection.

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Painful sensations in this case are expressed by severe acute pain in the chest on the right, left and in the middle of the chest. The pain is greatly enhanced with a paroxysmal cough, deep breathing, and finding the person in a horizontal position.

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With physical exertion, pain does not increase, but sometimes it is accompanied by weakness, chills.

In addition to cardiovascular problems. pain in the chest to the right can be associated with respiratory diseases. In particular, the possible cause of their occurrence is thromboembolism of the pulmonary artery.

The intensity of pain depends on the size of the thrombus and the nature of the lesions of the pulmonary arteries.

Also, noticeable pain manifestations can occur with the dissecting aneurysm of the aorta, a person feels intense, pressing pain, giving back to the lower jaw, neck.

Such a disease as pneumonia caused by the action of pathogens and viruses is accompanied by a cough, severe chest pain on the right and left. Pneumonia can affect the lungs from both sides, this disease is recognized by high body temperature, coughing, chills.

Inflammation of the pleura (pleurisy) also gives a feeling of pain in the chest on the right, especially when coughing. In this case, the pain is sudden, the person with difficulty breathes, complains of suffocation.

In most cases pleurisy is a consequence of previous pneumonia, cardiovascular diseases, tuberculosis.

Sometimes the pain in the chest to the right may be due to excessive physical exertion. For example, when lifting weights, there is an overstrain or stretching of the muscles of the chest.

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After a rest such unpleasant phenomena practically always pass. Also, chest injuries are marked by pain in this area of ​​the human body.

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A slight displacement of the rib responds to severe painful attacks on the right side of the chest.

Often the pain in the right side of the chest is an indicator of the presence of problems with the gallbladder. Such feelings persecute a person after the abuse of fatty foods.

In addition, liver diseases speak of themselves as such unpleasant manifestations.

Often in pathological problems with the liver, a person experiences severe pain in the right shoulder, which gives to the right hypochondrium, back.

Some long-term drug medications cause pain in the right side of the chest. An example is antacids.

Even heartburn can be a consequence of the above ailments. Often cause muscle spasms in the right side of the chest psychological problems, long-term stress.

Do not ignore this problem, be sure to carry out diagnostics.

Pain in the chest can be a sign of problems with the heart, spine and lungs

The word - ourexpert, angioenterologist, author of books on a healthy lifestyle, doctor of medical sciences Yevgeny Shirokov .

With pains in the chest area from time to time, each of us faces. However, it is not an easy task to find out what they are caused by. There are many reasons for such pains. It can be:

Diseases of the lungs also often give pain in the chest area. Most often this pleurisy (inflammation of the pleura - the shell lining the chest cavity from the inside and covering the lungs).

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Severe pain can also occur with pneumothorax (penetration of air into the pleural cavity). This happens with infectious diseases of the lungs (tuberculosis).

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But with pneumonia pain in the chest is rare: in the lungs there are no pain receptors.

As manifested.

A sharp, paroxysmal pain in the right side of the chest, often accompanied by shortness of breath.

Who to contact. To the therapist or to the pulmonologist who will conduct the examination (pneumothorax is easy to recognize by characteristic signs when listening to a phonendoscope), and if necessary will assign an X-ray image of the lungs.

Thoracic radiculitis. associated with irritation or damage to the nerve root, from which the intercostal nerve is formed, is a more rare cause of pain in the chest. The trigger for their occurrence may be hypothermia, excessive physical activity or trauma.

As manifested.

Most often, such pains from the spine pass to the anterior or lateral surface of the chest and are more sharp, one-sided (either on the right or on the left).

Sometimes, with such pains, there is a violation of sensitivity in the corresponding zone, which may be due to damage to the nerve and requires an urgent call to the doctor.

Who to contact. To the neurologist, vertebroneurologist, neurosurgeon.

Intercostal neuralgia (not contrived, but the most that neither is real) can also be the cause of pain in the chest.

Most often it occurs as a consequence of herpetic ganglionvrita, which in people is called shingles.

Recognize it can be along the lines of the ribs, itchy crusts or bubbles.

As manifested.

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By striking the nodes of the nerves, the virus causes rather strong pain sensations. With herpetic ganglion-pain, sharp, burning pains sometimes occur at the slightest touch to the skin and require the use of painkillers, and sometimes novocaine blockades.

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Who to contact. To the neurologist.

Heart diseases. Pain sensations in the chest area can be manifestations of cardiovascular problems. In the first place - ischemic heart disease.

A slight violation of the blood supply to the heart muscle, and the hungry heart begins to scream, announcing oxygen deficiency paroxysmal pain (stenocardia), dyspnea, arrhythmia (violation heart rate).

As manifested.

Most often, such pain occurs in the left side of the chest, is paroxysmal and is associated with physical and / or emotional stress. Although in the case of angina, it is sometimes difficult to carry out differential (refining) diagnostics even in hospital settings.

Much more often with stenocardia, burning, discomfort, compression in the center of the chest, behind the sternum, and even in the esophagus region is felt.

Who to contact. To a cardiologist who will appoint a comprehensive examination of the heart.

Diseases of the spine (spondylosis, scoliosis, etc.) occur in 60-80% of adults and most often cause pain in the chest.

Congenital anomalies of the osteoarticular apparatus, trauma, sedentary work, weight bearing lead to disruption of the normal configuration of the spine.

When the weather changes, the load on the intervertebral joints causes inflammation in them, followed by pain.

As manifested.

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The pains associated with diseases of the spine can be very long and, as a rule, do not have a clear localization - they give it in the hand, then in the the forehead, then in the heart region - and depend not so much on the movements as on the positional load (for example, after a long sitting in an airplane, etc.).

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Who to contact. To a neurologist, a vertebroneurologist, a manual therapist.

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burning in the chest

Burning, squeezing or discomfort in the chest is a clinical sign that can point to a number of diseases.

The thorax includes a large number of different organs, the damage of each of which can manifest as a burning sensation. Therefore, in order to get rid of burning in the chest, it is first necessary to determine precisely the cause that caused it.

Considering the above, it becomes clear that the main role in the treatment of this symptom is a thorough diagnosis.

What pathologies can cause burning in the chest?

One of the most important organs located in this area is the heart with all its membranes and vessels that transport blood to the lungs or carry it through the body.

It should be remembered that the heart is located behind the sternum, somewhat shifted to the left. Therefore, "heart" pain is most often localized to the center of the sternum, and not to the left, as many think.

Burning, squeezing or "tightness" behind the sternum, less frequently in the left half of the chest are a classic symptom of an attack of angina pectoris.

Pain syndrome or discomfort in this disease occurs usually during physical or emotional load, increases with the continuation of the load and quickly passes after its termination or reception nitroglycerin. The duration of an attack of angina does not exceed 10-15 minutes.

With myocardial infarction there is an intense attack of angina, lasting more than 15 minutes, usually not docked with nitroglycerin. Pain and burning in the chest serve as one of the main signs of the disease. In such a situation, the patient needs emergency medical assistance.

  • Pulmonary embolism

Often, its cause is deep vein thrombosis of the lower extremities. The blood clot, detached from the wall of the venous vessel in the legs, can migrate and cause blockage of the branches in the pulmonary arteries, causing ischemia of the lung tissue.

Symptoms of thromboembolism, in addition to the pain syndrome, which increases with breathing, include pronounced dyspnea, cough with blood impurities, intermittent breathing.

This condition also threatens the patient's life and requires emergency medical intervention.

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One of the target organs of this systemic disease is the heart and its membranes. Therefore, burning in the chest can be a sign of the onset of inflammatory rheumatic complications.

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This pathology can be the result of a viral or other heart attack, can develop due to allergic or autoimmune lesions of the heart. And burning and pain behind the breastbone in some cases are symptoms of the onset of myocarditis.

This disease occurs as a result of persistent psychoemotional stresses and chronic stress.

The main role in its development belongs to the autonomic nervous system, which is of great importance in the innervation of the heart.

One of the characteristic manifestations of this pathology is pain in the heart, usually localized at one point, in the left half of the thorax, but there may be a burning sensation in the thoracic cell.

A distinctive feature of pain in neurosis is that it is of a lasting nature, not associated with physical load, does not go away after taking nitroglycerin, but can disappear on the background of therapy soothing means.

Other causes that can cause burning sensation behind the sternum.

  • intensive physical exercises;
  • persistent cough;
  • fracture of ribs, sternum;
  • bruises of the chest;
  • heartburn;
  • stomach ulcer;
  • pathology of the gallbladder;
  • hernia of the esophageal opening of the diaphragm;
  • inflammation of the esophagus with a cast of gastric contents;
  • stomach ulcer;
  • Scoliosis of the thoracic spine;
  • herpes zoster;
  • neuralgia of the intercostal nerves;
  • inflammation of the intercostal muscles (myositis), etc.

In order to relieve you of burning sensation in the chest, the specialists of the CTEL clinic will conduct a series of surveys designed to find out the cause of this condition.

The professionalism of our doctors, their knowledge and modern equipment of the clinic will allow us to establish the diagnosis in the shortest time and start the most effective treatment on time.

Sources: http://www.ja-zdorov.ru/blog/bol-v-grudnoj-kletke-sprava-trebuetsya-diagnostika/, http://www.aif.ru/health/life/32982, http://www.celt.ru/depart/kdo/napravlenija/kardiologija/simptomy/zhzhenie-v-grudnoj-kletke/

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Pain in the sternum: the causes of pain on the left, right and in the middle of the chest (video)

Such a symptom as the pain in the sternum, as a rule, takes a person by surprise, and the first thing that comes to mind is the thought of heart problems and well-founded fear. Sometimes this is really an alarming sign, calling for an emergency call.

Non-urgent cases involve an independent visit to the doctor. In addition, there are a number of diseases that are not related to the heart muscle, but which provoke pain in the chest. To know these nuances means to be able to take care of your health in time.

The main causes of pain in the center of the sternum

Compressive (pressing, burning) pain in the middle of the chest is a common symptom of ischemic heart disease (angina).

Sometimes it extends to the left half of the thorax, the left arm (scapula, hypochondrium, back). It usually occurs with physical activity, stress, less often - at rest.

The attack lasts up to 10-15 minutes, is removed by nitroglycerin.

Acute, sharp, intense pain in the center of the chest or on the left, accompanied by a cold sweat, suffocation, nausea, severe fear of death is a clinical sign of myocardial infarction. It arises spontaneously, without binding to the load, even at night in a dream, lasts more than 15 minutes, is not removed by means of angina pectoris. In case of a heart attack, urgent hospitalization is required.

Pain in the sternum is localized in the middle with lung diseases (pneumonia, bronchitis, tracheitis), gastrointestinal tract (gastric ulcer and duodenal ulcer, gastritis, esophageal diseases), thoracic spine (osteochondrosis), peripheral nervous system (vegetovascular dystonia, intercostal neuralgia), with diaphragmatic abscess or oncological diseases of the thoracic region.

Gastroesophageal reflux disease causes a constant burning sensation in the middle of the chest and in the throat (heartburn).

If the pain is worse, when a person lies down, this indicates a possible hernia of the diaphragm.

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Painful symptoms in the upper chest are probable diseases of the upper respiratory tract.

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With the diseases listed above, tenderness, usually located in the middle of the chest, sometimes extends to the left side of the body (less often the right side or back).

Only the doctor can diagnose, therefore, except for cases of emergency hospitalization, it is unreasonable to postpone the visit to a specialist.

It is important to keep track of and tell the therapist about the attendant symptoms: shortness of breath, sweating, swelling, fever, coughing, the nature of pain at work / rest, eating, different body positions.

Aching behind the sternum on the right

Pericarditis (inflammation of the membrane of the heart), as a rule, is accompanied by a constant moderate (sometimes intensifying) aching pain, which worries about the heart and above it, sometimes spreads to the right half of the chest, as well as the epigastric region and the left shoulder blade. If a person lies on his back, the pain sensations increase.

Other diseases with a characteristic pain symptom in both the right and left side of the sternum may be neurological problems.

Inflammation, abscess, swelling of the right lung are accompanied by a different characteristic of constant pain (aching, pressing, stupid, burning), sometimes with irradiation on the healthy side, abdomen, neck, shoulder, and strengthening with coughing.

Pressing left pain

In addition to such typical myocardial diseases as infarction and angina pectoris, problems with other organs can mask the illness of the heart.

So, problems with the pancreas, located on the left side of the abdominal cavity, can cause a pressing dull pain in the sternum to the left. Another possible cause is the hernia of the esophageal opening of the diaphragm.

Aching, pressing pain on the left side is a symptom of vegetovascular dystonia, inflammation of the left lung or pleura.

What does pain mean when you inhale and exhale?

Pain in the sternum when exhaled or inhaled is not directly related to the myocardium, but is a sign of the following diseases:

  • intercostal neuralgia (the pain is localized more often on the left, unpleasant sensations amplify at attempt to take a deep breath or at a cough);
  • pneumothorax (when air accumulates between the chest wall and the lung, is characterized by pain on the left, which increases when the person breathes deeply);
  • pre-kordial syndrome (severe pain suddenly occurs during inspiration, repeated several times a day, not related to stress, does not require specific treatment).

Sore throat with cough

If the pain symptom in the chest occurs or worsens on coughing, this may be a sign:

  • diseases of the pleura (the shell of the internal surfaces of the thoracic cavity);
  • violations of mobility of the thoracic spine and ribs;
  • intercostal neuralgia;
  • catarrhal diseases of the respiratory tract (tracheitis, bronchitis);
  • renal colic;
  • pneumothorax;
  • Oncology of the lungs;
  • injuries of the chest.

Exacerbation of osteochondrosis of the thoracic spine is sometimes mistaken for the pathology of the cardiovascular system, because

The accompanying pain in the sternum is localized, as a rule, in the region of the heart, sometimes with irradiation to the right half, back or side. The pain symptom arises suddenly, paroxysmally or characterized by a non-intensive prolonged course.

The intensification of unpleasant sensations occurs at an inspiration, exhalation (at an episode it can be hardly to breathe), a cough, movement of arms or hand and a neck.

The similarity of symptoms with heart attack and angina leads to the fact that patients unsuccessfully try to ease their condition with medicines from these diseases.

With improper treatment or its absence, internal organs (pancreas, liver, intestine), there may be a malfunction of the cardiovascular system, so you should not visit a doctor save.

When driving

In many diseases (angina pectoris, heart attack, myocarditis, pleurisy, osteochondrosis, chest injury, rib fracture), the pain in the sternum becomes worse during movement.

Sometimes unpleasant sensations bother only with certain movements, for example, with tilts, sharp bends, lifting weights, pressing on the breast bone.

Do not neglect the examination, if the pain has passed, or rely on folk methods of treatment, tk. these symptoms may be the primary sign of a serious problem.

Chest pain requiring urgent treatment

If severe pain occurs suddenly and is accompanied by a shortage of air, shortness of breath, clouding of consciousness, nausea, you should immediately seek medical help.

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Emergency hospitalization is indicated for such diseases that have a high percentage of deaths without timely assistance, such as:

  • myocardial infarction;
  • pulmonary embolism;
  • spontaneous rupture of the esophagus;
  • exfoliating aortic aneurysm;
  • ischemic disease (angina pectoris);
  • spontaneous pneumothorax.

Myocarditis

This inflammation of the heart muscle is characterized by a variety of (stitching, aching, pressing) pain in the chest left and in the middle, shortness of breath, weakness, arrhythmia.

People with such clinical symptoms should immediately consult a doctor, because some types of myocarditis can provoke a more serious disease - dilated cardiomyopathy and even lead to a lethal outcome.

Rheumatic carditis

If you do not treat rheumatic myocardial damage (rheumatic carditis), then 20-25% of cases result in the formation of heart disease. Symptomatology depends on the type of disease, severity and is not always expressed.

The following signs may indicate the possible development of rheumatic heart disease (especially if they appeared 2-3 weeks after the transferred acute nasopharyngeal infection): chest pain (severe or not intense) in the heart, shortness of breath, tachycardia, swelling of the legs, coughing load.

: Causes of pain in the middle

Suspected for myself or a loved one myocardial infarction or other dangerous cardiovascular disease, it is necessary to quickly call an ambulance.

What else is important to remember about chest pain, how to prevent such problems and how to help, if the disease has already occurred, you will learn by watching the video presented with the recommendations of specialists.

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Why does the chest hurt in the middle: a possible diagnosis. What to do if the chest hurts in the middle - first aid

Many people know firsthand what chest pains are.

However, not all pay attention to them, believing that this is a trifle, which itself will pass.

But in fact such a symptom can indicate the presence of a variety of disorders in the body.

The chest wall hurts in the middle: the causes

The appearance of pain in the chest in the middle can be associated with the pathology of the heart or blood vessels, diseases of the spine, especially of the thoracic region, problems in lungs or bronchi, disorders of the gastrointestinal tract, intercostal neuralgia, thyroid gland diseases or even somatic dysfunction of the nervous system.

Consider these diseases in more detail.

The causes of pain in the chest may be:

• Coronary heart disease, angina pectoris, myocardial infarction are characterized by pressing pains that arise mainly on the left, but can be felt in the middle.

• chest osteochondrosis is a disease of the intervertebral discs.

They become thinner, their damping function worsens, as a result of which the gaps between the vertebrae are enlarged, their approach is closer and the nerves may be jammed.

In this case, a person has ache in the chest, as intercostal neuralgia. If they are not treated, further progression of the disease occurs.

As the height of the discs decreases, they will grow more and more, and, in the end, fall outside the limits spine, forming a hernia that squeezes the nerve roots and causes pain in the chest in the middle or in the area of ​​the heart.

• diseases of the lower respiratory system, such as bronchitis, pneumonia, pleurisy, tuberculosis, and swelling. Pain occurs during a fit of cough and intensifies with a deep breath. In this case, there is an increase in temperature, headaches, aches in the body, shortness of breath.

• pleurisy pleural cavity accumulates a lot of fluid, which presses on the intercostal muscles and diaphragm, causing painful sensations.

• With tuberculosis and tumors, in addition to pain in the chest cavity, blood veins appear in sputum, general weakness and a slight increase in body temperature (up to 3, degrees).

• With a neurosis of the heart, the chest often hurts in the middle. This is a functional disorder of the nervous system that arises from its overstrain.

With a heart neurosis, often the pain is paroxysmal, less often they become permanent. The attack begins with a feeling of lack of air and tingling in the chest. Then the pulse is accelerated.

It seems to the person that he will suffocate now. Most often, an attack provokes emotional tension.

• intercostal neuralgia is characterized by soreness in the area of ​​intercostal nerves. It increases during inspiration and movement, subjectively perceived by a person, like pain inside the chest.

• with a stomach ulcer or duodenal ulcer very often the chest hurts in the middle. Such pains are often accepted by a person as pain in the heart. But there is one difference.

The appearance of pain in gastric diseases depends on the intake of food. The ulcer is characterized by so-called "hungry" pain, which occurs 1-2 hours after eating.

It is enough to eat at least a slice of bread, and they practically disappear.

• biliary dyskinesia. In the gallbladder, spasms occur, resulting in pain in the chest. Because the pains are very similar to the angina attack, it is necessary to conduct an additional examination for diagnosis.

• The pathology of the thyroid gland can cause pain in the chest in the middle. In this case, there may also be a tumor in the cervical region or chest, general weakness, changes in patient weight, pressure jumps, and increased body temperature.

• vegetative-vascular dystonia causes malfunctioning in the vegetative department of the nervous system. It manifests itself painful sensations in the head, stomach, heart, panic attacks. This may hurt the chest in the middle.

The thorax hurts in the middle: the first help at an injury

The thorax can be ill not only with various diseases, but also after an injury, in which often fractures of ribs or damage to vital organs.

Breathing relief after an injury:

• give the patient a sitting or semi-sitting position;

• In the presence of tight outer clothing, unfasten it;

• give the victim a sniff of ammonia or rub their skin in the area of ​​the temples;

• provide the patient maximum rest;

To improve heart activity:

• Give the patient 15-20 drops of Corvalolum or another vasodilator;

To avoid shock:

• Give the victim 2 tablets of anesthetic (ketans, analgin);

• Put something cold on the chest;

• In the presence of visible rib fractures, immobilize them;

• Warm up the patient;

• monitor the condition before the arrival of the ambulance.

In case of injury other than the above measures, it is necessary to treat the skin around the wound antiseptic solution (hydrogen peroxide, iodine, zelenka), superimpose a sterile bandage on the wound and apply cold.

The thorax hurts in the middle: treatment if the injury was not

Treatment of pain in the chest depends on the disease that caused them.

With angina pectorisit is enough to put 1-2 tablets of nitroglycerin under the tongue. If after 4-5 minutes the pain does not go away, you need to call an ambulance, as this may indicate a more serious pathology, such as myocardial infarction.

In chest osteochondrosisit is necessary to restore the correct mobility of intervertebral discs. For this, a set of exercises is selected, and fortified preparations are prescribed.

In case of detectioninflammatory diseases of the respiratory systemIt is necessary to take anti-inflammatory drugs and substances that improve the expectoration of phlegm.

Treatmentintercostal neuralgiais the intramuscular injection of analgesics and B vitamins.

To curecardioneurosisyou need to eliminate the cause of the disease and strengthen the body.

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It is recommended to avoid stressful situations, observe the daily routine and consume the maximum amount fresh fruits, which contain vitamins and trace elements, contributing to the recovery of nervous system.

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Forincreased stress resistanceyou can take a course of relaxing massage.

Acupuncture and vacuum therapy also favorably affect the nervous system, removing excess stress.

Doctors practice the use of phytopreparations, which help to get rid of excessive emotionality, as a result of which pains in the chest cavity and other symptoms of neurosis of the heart disappear.

Treatmentgastric and duodenal ulcersis aimed at eliminating the cause of its occurrence and healing the formed defect. Here you can not do without a diet. For the period of treatment it is necessary to exclude from the diet fried and spicy dishes, freshly squeezed juices, sweets.

If the cause of the disease isbacterium Helicobacter pylori, a specific antibiotic complex is needed.

The drugs are used to reduce the acidity of gastric juice and restore the integrity of the mucous membrane of the stomach or duodenum.

Strong pain relieve antacids.

Fordisposal of the IRRuse psychotropic drugs, substances that improve cerebral circulation and vitamin complexes. Also a good effect is provided by physiotherapy.

The chest hurts in the middle: when to see a doctor

As you can see from the above, the pain in the chest in the middle is a pretty unpleasant phenomenon, which can indicate a serious illness.

Emergency medical help is needed:

  • with severe pain in the chest, accompanied by a syncope or a fit of cough after physical exertion;
  • with burning pain or a feeling of strong raspiraniya in the chest cavity, which gives in the region of the left shoulder, neck or lower jaw;
  • with severe pain, not passing for 15 minutes and not relieved after rest;
  • when there is a feeling of compression inside the chest cavity, combined with an acceleration of the pulse, heavy breathing, sweating, dizziness, a sense of anxiety;
  • pain of high intensity with shortness of breath and the appearance of blood when coughing.
  • You need to visit a doctor:
  • with pains similar to heartburn, which do not go away after taking medications for heartburn;
  • with repeated pain after eating, which removes antacids.

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