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How is the pain in the left chest?
Etiological analysis of chest pain

It turns out that many people have had chest pain. Some people think it is a heart disease, and more people ignore it. Yes, it may be a symptom of coronary heart disease, but it may also be trivial chest wall pain or stomach acid. You won't be flustered when you figure it out.

Case chest pain is like fire.

Mr. Cai, 49, is engaged in the construction industry. Three years ago, I felt pain in my shoulder, especially my left shoulder. In addition, my heart beat very fast, and I suspected that there was something wrong with my heart, so I went to a public hospital to see a doctor.

The doctor familiar with Mr. Cai's condition said that he actually had other symptoms, such as stomach discomfort, chest pain, burning pain like fire, and lying down because of gastric acid upwelling.

Guan Zhibang, a member of the Hong Kong Gastrointestinal Motility Society, pointed out that people in acid reflux may also suffer from coronary heart disease at the same time, especially people like Mr. Cai who have three high-risk factors of heart disease-male, smoking? And high cholesterol, doctors are also worried that they will suffer from both diseases at the same time.

Only gastric acid reflux has been confirmed.

While waiting for various inspections in public hospitals, Mr. Cai was still very worried. Finally, he went to see a private cardiologist. The doctor pointed out that there is no reason to suffer from coronary heart disease and the chest will be hot. Have you already taken "Angina Pectoris Control"? I took pills twice, but my chest still hurts.

Mr. Cai heard that the pain of coronary heart disease attack was like pressing three books on his chest. He also tried three books, but the feeling was completely different from what he had suffered.

Finally, in the past six months, he had three different heart tests, and the doctor really couldn't find any evidence of his heart disease. In addition, after doing a gastroscope, he confirmed that Mr. Cai suffered from gastric acid reflux and esophagitis.

Chest pain has different causes.

Cardiologist Gao Deqian pointed out that many patients with chest pain usually guess that it is a heart attack. In fact, most patients who seek treatment from cardiologists suffer from chest pain due to other diseases.

Comprehensive ranking: first

■ chest wall pain is also called musculoskeletal pain.

trait

● The pain area is only concentrated, and the patient can clearly point it out.

Low pain time is not long, generally only lasts for one or two seconds at a time, there is the possibility of recurrence.

● When the patient takes a deep breath, coughs, sneezes or turns around, the chest will sting and even hurt.

● Pain may be more severe than chest pain caused by other diseases, but most of them will get better within a few days to two or three weeks.

● It can happen at any age.

The cause of disease

● The patient sprained the cartilage between ribs and became inflamed, namely costal chondritis, which is one of the more common diseases in chest wall pain.

● Inflammation caused by influenza and other viruses, which is the syndrome of Tietze. The flu itself can also cause bone pain all over the body. )

● Rib fracture is rare, but it is also the most painful.

treat cordially

● The inflamed area will heal itself without taking medicine, and the doctor or prescription will take analgesic and anti-inflammatory drugs (such as ibuprofen).

If the rib is broken, you can only wait for the wound to heal itself.

Don't take antibiotics, because it has no effect on the virus.

Chest pain caused by anxiety

Comprehensive ranking: second

■ Anxiety-related chest pain.

trait

● Patients claim that the pain lasts for hours, days, years or even more than ten years.

● The whole chest may hurt anywhere, and patients usually feel "stuffy" and "stuffy".

When resting, such as sitting down, lying down or not working, patients begin to feel chest discomfort.

● Do not use it at work or during exercise.

● Is the patient anxious just after sitting down? I counted all kinds of "symptoms": dizziness, sweating, nausea, shortness of breath, fear of heat, fear of cold, paralysis of hands, feet or lips. I really want the doctor to "cure" his illness quickly.

The cause of disease

Too nervous.

treat cordially

Focus on mental state and explain in detail that patients' chest pain has nothing to do with the heart. Gao Deqian said that when it comes to this, patients are much more at ease. "We should also talk to them patiently and instruct them how to cope with stress easily. Need to find a psychologist or clinic when it is serious? Psychologists help. 」

Comprehensive ranking: third

■ Angina pectoris caused by coronary heart disease

■ The most serious disease

trait

Contrary to the symptoms of chest pain caused by anxiety, it hurts only when walking, exercising, chasing buses, climbing stairs, etc. ; It stops when the pain stops.

The pain lasts for five to ten minutes.

● Feel a sense of oppression in the chest, especially in the upper chest, or feel "resisted" by objects.

● If the pain lasts for fifteen to thirty minutes and you are sweating, it may be a myocardial infarction. You must go to the emergency room immediately.

The cause of disease

Coronary artery embolization supplies heart nutrition.

treat cordially

When people with coronary heart disease take "angina pectoris"? Diwan can dilate blood vessels and relieve the disease. Or accept "wave pass" and heart bypass surgery to restore normal blood flow.

Comprehensive ranking: fourth

Gastroesophageal reflux disease (GERD)

trait

● I ate too much, and when I was lying or sleeping, something came up.

● The chest is swollen and hot, and there is even sour taste in the mouth.

● Sit up? Improve.

The cause of disease

The "door" (a group of sphincter muscles) between esophagus and stomach is relaxed, and gastric acid is upwelling.

treat cordially

● Change living habits, such as not eating too much.

● Take medicine to control gastric acid secretion.

■ Inflammation of gallbladder

trait

● It hurts when you are full.

● The range is concentrated between the lower chest and the stomach.

● Feeling "resisting" or "bulging".

● It lasts for several hours.

The cause of disease

Stones in the gallbladder can cause inflammation.

treat cordially

Surgery is needed to remove the gallbladder.

Gastric acid reflux and chest pain

Patients with gastric acid reflux will feel burning pain in the chest, and patients with coronary heart disease will also feel chest discomfort. Although the stomach and heart belong to different organs, Guan Zhibang explained that both of them originally sent pain information from the same nerve line.

In addition, he also pointed out that drugs for treating esophagitis caused by gastroesophageal reflux disease can not directly cure esophagitis, but drugs can inhibit gastric acid secretion. The gastric acid upwelling is less, the time and frequency of stimulating the esophagus are also reduced, and the damaged esophagus has a chance to heal slowly.