What Does it Mean?: Kishore K. Arcot , MD, FACC, FSCAI, FSVM, RPVI: Cardiology

Chest Pain Plus Nausea: What Does it Mean?: Kishore K. Arcot , MD, FACC, FSCAI, FSVM, RPVI: Cardiology

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When chest pain and nausea occur together, they’re usually signs of a gastrointestinal or heart condition. If they’re related to your heart, they’re a red alert indicating a possible heart attack. 

In this blog, Kishore K. Arcot, MD, FACC, FSCAI, FSVM, RPVI, at the Memphis Vein Center explains the conditions that cause chest pain and nausea and offers some tips on how to recognize a heart problem.

Most importantly, don’t second-guess chest pain and put off seeking medical care because nausea suggests it’s a gastrointestinal problem. Nausea can also occur during a heart attack, and you should always seek help for symptoms that could be related to your heart. 

Gastrointestinal causes of chest pain and nausea

The gastrointestinal conditions that can cause nausea and chest pain include:

Esophagitis

Esophagitis, an inflamed esophagus, is defined by symptoms such as nausea, chest pain, and difficulty swallowing.

Gastritis

Gastritis occurs when the stomach lining is inflamed, often due to an infection. In addition to nausea, gastritis causes stomach pain and a burning ache in your upper abdomen that can mimic chest pain.

Pancreatitis

Acute pancreatitis (an inflamed pancreas) causes nausea and sudden severe pain around the top of your stomach. As the pain increases, it can travel into your back and shoulder blades and feel like heart-related pain.

Gastroesophageal reflux disease (GERD)

GERD is well-known for causing severe chest pain (heartburn). Though nausea isn’t a common symptom, the burping, coughing, and burning that GERD causes can result in nausea and vomiting.

Gallbladder disease

Gallbladder disease may or may not cause nausea, but it’s known for sharp pain. The pain originates in your upper right abdomen, where it’s often so severe it’s mistaken for a heart attack. 

Gastroparesis

Gastroparesis occurs when food moves through your stomach too slowly. Slow stomach emptying leads to digestive symptoms like nausea, vomiting, and abdominal bloating, with or without upper abdominal pain. If you have stomach pain, it may radiate upward and feel like chest pain.

Heart-related chest pain and nausea

Chest pain is the most common sign of a heart attack in men and women. Other symptoms people frequently experience include shortness of breath, sweating, and dizziness.

One of the most important signs of a heart attack is chest pain that lasts longer than a few minutes and gets progressively worse. By comparison, many gastrointestinal conditions (but not all) improve over time, and they typically respond to antacids, acid blockers, or other medications. 

Nausea can also occur during a heart attack. Women are more likely to experience this symptom than men.

In addition to nausea, your chest pain may be accompanied by other symptoms you don’t expect, including:

• Indigestion
• Abdominal pain
• Vomiting
• Fatigue
• Pain in your shoulder, jaw, neck, arm, or upper back
• Anxiety or a sense of doom

One thing is certain: When chest pain occurs with other symptoms (including nausea), there’s a significant chance it’s due to a heart attack. That’s why you should always seek immediate medical attention for chest pain and nausea.

Call 911 for emergency medical attention if you have sudden, severe, and persistent chest pain. 

If you have any questions about chest pain and nausea, or if you want to schedule a heart assessment, call us at Memphis Vein Center in Memphis, Tennessee, or request an appointment online today.

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Chest Pain and Dizziness: Causes, Other Symptoms, Treatment

Chest pain and dizziness are common symptoms of many underlying causes. They often occur by themselves, but they can happen together as well.

Usually, chest pain with dizziness isn’t a cause for concern. This is especially true if your symptoms quickly go away. In this case, you can visit a doctor if you’re concerned.

But if your chest pain and dizziness last for more than 15 minutes, call 911 or your local emergency number. You should also get emergency help if you can’t breathe or if the pain spreads to other parts of the body.

Read on to learn possible causes, accompanying symptoms, and treatment options.

The causes of chest pain and dizziness range in type and severity. Pay attention to your symptoms, which can help you determine the underlying cause.

Anxiety

It’s normal to feel anxious every now and then. But if anxiety builds up, or if you have an anxiety disorder, you might experience chest pain and dizziness.

You may also have:

• headaches
• dry mouth
• rapid breathing (hyperventilation)
• fast heart rate
• irregular breathing
• nausea
• trembling
• chills
• excessive worry
• tiredness
• gastrointestinal problems

High blood pressure

If you have high blood pressure, the force of blood in your arteries is too high. It’s also called hypertension and usually doesn’t cause early symptoms.

In severe or advanced cases, high blood pressure is associated with:

• chest pain
• headache
• dizziness
• nausea
• vomiting
• fatigue
• restlessness
• shortness of breath
• blurry vision
• ringing ears

Panic attack

A panic attack is a sudden episode of intense anxiety. It involves four or more of the following symptoms:

• chest pain
• dizziness
• lightheadedness
• palpitations
• trembling
• feeling of choking
• nausea
• digestive problems
• feeling too hot or cold
• sweating
• shortness of breath
• numbness or tingling
• feeling detached from reality
• fear of death

It’s also possible to have a limited-symptom panic attack, which includes fewer than four symptoms.

Intestinal gas

Everyone has intestinal gas (air in the digestive tract). If the gas builds up, you might experience:

• abdominal pain
• burping
• flatulence (passing gas)
• feeling of fullness (bloating)

If you have upper abdominal pain, you might feel it in the chest. The pain may also lead to nausea or dizziness.

Angina

Angina, or chest pain, happens when part of your heart doesn’t receive enough blood. It often appears during physical activity, but it can also happen at rest.

Medical emergency

Angina that lasts for several minutes might be a sign of a heart attack. Call 911 immediately if you have chest pain with:

• dizziness
• shortness of breath
• nausea
• fatigue
• weakness
• sweating

Heart disease

Heart disease is an umbrella term for heart-related conditions. It can involve many aspects of the heart, including the heart’s rhythm, blood vessels, or muscle.

While different types of heart disease cause different symptoms, it generally causes:

• chest pain, tightness, or pressure
• shortness of breath
• dizziness
• fainting
• fatigue
• irregular heartbeat

Heart disease can cause many complications, so it’s best to seek immediate help if you have these symptoms.

Arrhythmia

Arrhythmia, or dysrhythmia, is an abnormal heartbeat. This happens when the heart beats irregularly, too fast, or too slow.

If you have an arrhythmia, you might experience chest pain and dizziness. Other symptoms include:

• skipping heart beats
• lightheadedness
• shortness of breath
• sweating

Heart attack

Your coronary arteries send oxygen-rich blood to the heart. But if an artery becomes blocked with plaque, this blood flow is interrupted.

The result is a heart attack, or myocardial infarction. Common symptoms include:

• chest pain that spreads to your arms, jaw, neck, or back
• sudden dizziness
• cold sweat
• fatigue
• shortness of breath
• nausea
• heartburn
• abdominal pain

Medical emergency

A heart attack is a medical emergency. If you think you’re having a heart attack, call 911 immediately.

Migraine

Migraine is a neurological condition that causes intense, throbbing headaches. Chest pain isn’t a common symptom, but it’s possible to have it during a migraine.

Other symptoms include:

• dizziness
• lightheadedness
• nausea
• vomiting
• sensitivity to light or noise
• sweating
• feeling cold
• vision changes
• ringing ears

Food poisoning

Food poisoning happens when you eat a food contaminated with harmful bacteria. This can cause:

• stomach cramps
• gas pain that can spread to the chest
• diarrhea
• vomiting
• fever
• nausea

If you have a high fever or become dehydrated, you may also feel dizzy.

Atrial fibrillation

Atrial fibrillation is a type of arrhythmia where the heart beats too fast. It affects the heart’s chambers, which interrupts blood flow to the rest of the body.

This can cause chest pain and dizziness, along with:

• palpitations
• tiredness
• trouble breathing
• fainting
• low blood pressure

Mitral valve prolapse

The heart’s mitral valve stops blood from flowing backward by regularly closing up. But in a mitral valve prolapse (MVP), the valve doesn’t close correctly.

MVP doesn’t always cause symptoms. But if it does, you may have:

• chest pain
• dizziness
• exercise intolerance
• anxiety
• hyperventilation
• palpitations

Cardiomyopathy

In cardiomyopathy, the heart muscle has a hard time pumping blood because it’s too thick or big. There are several types, including hypertrophic cardiomyopathy and dilated cardiomyopathy.

Advanced cardiomyopathy may cause:

• chest pain, especially after heavy meals or physical activity
• dizziness
• lightheadedness
• fainting during physical activity
• irregular heartbeat
• heart murmur
• fatigue
• shortness of breath
• swelling in the legs, abdomen, and neck veins

Pulmonary hypertension

In pulmonary hypertension, high blood pressure occurs in the lungs. It involves the blood vessels in the right side of the heart, which are forced to work extra hard.

Along with chest pain and dizziness, symptoms include:

• lightheadedness
• swollen legs
• dry cough
• shortness of breath
• palpitations
• slightly blue lips or skin (cyanosis)
• tiredness
• weakness
• fatigue

Aortic stenosis

In the heart, the aortic valve connects the left ventricle and the aorta. If the valve’s opening becomes narrow, it’s called aortic stenosis.

This is a serious condition, as it can reduce blood flow from your heart to the rest of your body. As aortic stenosis progresses, it can cause chest pain and dizziness, along with:

• fainting
• shortness of breath
• chest pressure
• palpitations
• pounding heartbeats
• weakness
• fainting

Depending on the underlying cause, chest pain and dizziness can show up with other symptoms. This includes:

Chest pain, dizziness, and headache

If your chest pain and dizziness is accompanied with a headache, you might have:

• anxiety
• migraine
• severe high blood pressure

Chest pain, dizziness, nausea, and headache

Often, chest pain and dizziness with nausea and headache is related to:

• anxiety
• migraine
• severe high blood pressure
• food poisoning

Chest pain, dizziness, and ringing ears

Possible causes of chest pain and dizziness with ringing ears include:

• anxiety
• panic attack
• migraine
• severe high blood pressure

A doctor will use several tests to determine what’s causing your symptoms. This will likely include:

• Physical exam. A doctor will examine your chest, neck, and head. They’ll also listen to your heartbeat and measure your blood pressure.
• Medical history. This helps the doctor understand your risk for certain conditions.
• Imaging tests. You might get a chest X-ray and CT scan. These tests take detailed photos of your heart, lungs, and arteries.
• Blood tests. Some heart-related conditions increase blood levels of proteins or enzymes. The doctor might order blood tests to measure these levels.
• Electrocardiogram (ECG or EKG). An ECG measures your heart’s electrical activity. The results can help a cardiologist determine if part of the heart muscle is injured.
• Echocardiogram. An echocardiogram uses sound waves to capture a video of your heart, which can help identify heart muscle problems.
• Stress test. A stress test examines how physical exertion affects your heart and blood vessels. A common example is walking on a treadmill while hooked up to a heart monitor.
• Angiogram. Also known as an arteriogram, this test helps a doctor find damaged arteries. A dye is injected into your heart’s blood vessels, which makes them easier to see in an X-ray.

The goal of treatment is to manage the underlying condition. Therefore, the best treatment plan depends on what’s causing your symptoms. It may include:

Lifestyle changes

Some causes of chest pain and dizziness can be managed at home. In addition to medical treatment, the following lifestyle changes may help:

• regular exercise
• avoiding or limiting alcohol
• quitting smoking
• stress management
• healthy eating habits, like reducing salt intake

Specifically, these home remedies are ideal for controlling:

• anxiety
• high blood pressure
• migraine
• heart disease
• cardiomyopathy

Prescription medication

For most heart-related conditions, a doctor will likely prescribe medication. Generally, these drugs help by reducing blood pressure or controlling irregular heartbeats.

Medication used for heart conditions include:

• ACE inhibitors
• angiotensin receptor blockers
• calcium channel blockers
• diuretics
• beta blockers

You might also get prescription drugs for anxiety disorders or migraine.

Psychological counseling

Psychological counseling is used to manage anxiety disorders. This may also reduce the risk of panic attacks and migraine headaches, which can be triggered by anxiety.

Pacemaker

If you have arrhythmia, you may need a medical device called a pacemaker. This device is implanted in your chest and controls your heartbeat.

Valve surgery

In severe cases of aortic stenosis and mitral valve prolapse, surgery may be necessary. This might include valve replacement or repair.

Most cases of chest pain with dizziness aren’t serious. However, you should get emergency help if your symptoms last for more than 15 minutes. This could indicate a heart attack.

With a doctor’s help, it’s possible to manage underlying conditions of chest pain and dizziness. Always follow the doctor’s recommendations for best results.

Chest pain and of course vomiting

Chest pain and acid reflux? Here you will learn more about causes, symptoms, prevention and distinguish between heart attack and heartburn symptoms.

[NOTE: if you suspect a heart attack, contact your doctor immediately]

There is no doubt that chest pain can make you feel like a heart attack or have problems with heart, but there may also be heartburn. In fact, pain and discomfort in the esophagus due to acidic abdominal contents can be very similar to myocardial infarction and angina.

Now, among other things, we will look at the signs and symptoms that the two different diagnoses share, and learning this can help you calm down a bit. Knowledge is power, and we’ll also look at methods and measures to keep your heartburn from getting worse.

However, it is very, very important that the suspicion of a heart attack is taken as seriously as possible and that you seek immediate medical attention. Learning the difference between myocardial infarction and heartburn may do well after you have been examined by your doctor.

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In this article we will look at:

• Where in the body symptoms occur
• How symptoms and pain feel
• Does pain get better or worse by changing body position
• prevention
• Associated symptoms
• Other diagnoses that may cause chest pain
• diagnostics
• Treatment of chest pain and heartburn

In this article, you will learn more about chest pain, heartburn and acid reflux as well as the various causes, how to recognize the various diagnoses and possible prevention in this clinical picture.

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Both heart disease and heartburn can cause pain behind the sternum itself, making it sometimes difficult to distinguish between the two. However, there are some important differences that can help you differentiate between the two.

Chest pain from the heart usually spreads to other parts of the body. These places include

• Arms: especially from the chest and towards the top of the left arm
• Back: from the chest and deep into the back
• Shoulders: Pain may radiate from sternum to one or both shoulders.
• Nakken

Heartburn and acid reflux do not cause these radiation symptoms.

Chest pain due to heartburn can also affect the upper body to some extent, but then the pain usually remains in and around the sternum. Heartburn also gives a characteristic “burning” sensation of warmth behind the sternum. However, it is worth mentioning that acid reflux in the esophagus can also cause muscle spasms around the esophagus itself, which can then cause pain in the throat, pharynx, and upper chest.

Read more: – This common heartburn medicine can cause kidney injury

What does chest pain feel like?

You can usually tell the difference between a heart attack and heartburn if you know what chest pain is. General descriptions, if this includes heart failure, could be:

• Pressing pain

• Tight as a trap

• Heavy, like an elephant sitting on the chest

• Deep pain

In contrast, heartburn is usually described as painful and acute. Another important way to distinguish between the two is that people with heartburn can often experience a temporary severe increase in chest pain when coughing or breathing deeply. This difference is unique – the type of inhalation in heart failure has nothing to do with symptoms.

Heartburn symptoms are often described as less profound than heart symptoms and seem to come from the outer layers of the skin rather than the deeper ones. However, they are described as more fiery and more pungent in nature.

Read more: – What you need to know about talking about stress

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Does your body position affect pain?

Check if the pain changes in character or disappears completely when you change the position of the body. Muscle problems and heartburn tend to feel much better when you are moving than when you are quiet.

In case of heartburn, you may also notice that the symptoms caused by gravity, which causes acid to return to the stomach, are significantly reduced if you correct your sitting or standing position. On the contrary, symptoms will worsen if you lie flat or lean forward, especially immediately after eating (indigestion).

Chest pain associated with the heart does not depend on body position. But they can also come and go a bit during the day depending on the cause.

Other symptoms

Looking at other symptoms that may be associated with chest pain, you can distinguish between different types of pain.

Possible accompanying symptoms of heart problems:

• shortness of breath
• Nausea
• Lightness
• Numbness in left arm and shoulder
• sweating
• dizziness

Possible accompanying symptoms of heartburn and acid reflux:

• Burning in throat, chest and abdomen
• Acid taste in the mouth due to stomach acidity and bloating
• Frequent rape and yellowing
• Difficulty swallowing

Les også: – How to recognize the signs and symptoms of a stroke

Other diagnoses: Which diagnoses cause chest pain?

We have already mentioned heart failure and heartburn as some common causes of chest pain, but they are not the only ones. Here we look at a few other possible causes and diagnoses:

• Anxiety and stress
• Asthma
• Inflammation of the pancreas
• Blood clots in the lungs
• herpes zoster
• High blood pressure
• Inflammation of the cartilage of the anterior sternum
• Chronic pain syndromes – such as fibromyalgias
• Muscular pains extending from the back of the chest to the chest (eg, musculus thoracis intercostalis)
• Rib injury

A blood clot that occurs in the lungs is fatal. If this is suspected, go to the emergency room immediately.

diagnosis

You should always take chest pain very seriously. Talk to your therapist about the symptoms you are experiencing. The doctor may then request an ECG (heart test) or stress test to see if there is any evidence of heart failure or heart disease. Blood tests and a complete medical examination will also be done to find out why your chest hurts.

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heartburn and rebellion?

If you have chest pain with accompanying heartburn, it can be both treated and prevented. Among others, preventive and therapeutic measures include the following:

• Restricted caffeine content
• Healthy and balanced diet with plenty of vegetables
• Cut alcohol
• Stop smoking
• Eat less fatty and junk food
• Acid neutralizers (such as Nexium)
• weight reduction
• Increased exercise

We have a variant that prefers to focus on long-term improvement rather than short-term symptom relief – and is therefore asking you who are on antacids to get your neck on and do something about your diet and other factors on the list. As mentioned earlier, prolonged heartburn and regular acid regurgitation can increase the chance of throat cancer and chronic damage to the esophagus.

Summarize h

Diet and prevention are key to reducing chest pain associated with heartburn. However, remember that chest pain should always be evaluated by a doctor, especially if you have a family history of heart defects.

Do you have questions about the article or need more advice? Ask us directly via our facebook page or via the comment box below.

Recommended self-help

Reusable Gel Combination Pad (warm and cold pad)

Heat can increase circulation to tense and sore muscles, but in other situations, for more severe pain, cooling is recommended as it reduces pain signaling. Due to the fact that they can also be used as a cold compress to reduce swelling, we recommend them.

Read more here ( opens in new window ): Reusable Gel Combination Pad (Heat and Cold Pad)

Visit “Your Health Store” if needed to see more good self-healing products

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Frequently asked questions about chest pain and vomiting

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Symptoms of Heart Disease Not to Ignore

Many patients think that heart problems are accompanied by overt symptoms and warning signs. We see in films how a person grabs his chest and then falls to the floor. In life, unfortunately, everything is not so clear. Let’s look at 11 symptoms that may be harbingers of heart disease.

But first of all, we want to give one simple advice – if you don’t know if your heart is healthy, just check it! Especially if you are over 60, have diabetes or are overweight, have high cholesterol or high blood pressure. All of these are risk factors for heart disease.

But back to the main topic of our article.

Chest discomfort

This is the most common sign of heart problems. If a person is having a heart attack, they may feel pain or pressure in their chest. Each person has their own description of this feeling. Someone feels heaviness, someone feels a burning sensation. This condition usually lasts for several minutes. And it does not depend on whether you are in motion or at rest.

If the feeling of discomfort lasts longer, is accompanied by impaired breathing, darkening of the eyes, loss of consciousness, immediately call an ambulance.

Digestive problems

Some patients experience nausea, heartburn, abdominal pain, indigestion during a heart attack. Most often, this manifestation is characteristic of women. Of course, gastrointestinal upset can be caused by really bad food or indigestion. But you should be aware that these symptoms accompany heart problems.

Pain radiating to the arm

Also one of the classic symptoms of a heart attack is pain that seems to radiate down the left side of the body. Usually, the pain still originates in the chest, and then passes into the arm, but there are patients who initially complain of pain in the arm. And only an experienced cardiologist will check the work of the heart and rule out an attack.

Dizziness

In fact, we often feel this feeling when we feel dizzy. Instant weakness and loss of balance can even be from a sudden movement. Or you are hungry and have not drunk water for a long time. But if sudden dizziness is accompanied by chest pain, see a doctor immediately.

Sore throat

In most cases, this is a symptom of the common cold. But if you experience pressure in your chest at the same time and the pain extends to the jaw, this may be a symptom of heart disease.

Shortness of breath

Sudden onset of shortness of breath or fatigue after normal activities that previously did not cause such symptoms is a reason to see a cardiologist. Doctors consider this sign to be more significant than the pain you may be experiencing.

Snoring

We are not talking about light snoring. We are talking about an unusual, choking-like snoring. When a person stops breathing for a few seconds. This can be a sign of sleep apnea and put extra stress on your heart.

Excessive sweating

Unreasonable cold sweat and perspiration may signal a heart attack. If you experience any of the symptoms listed above, see your doctor immediately.

Cough

If you have a prolonged cough, sometimes accompanied by white or pink mucus, and you do not have a cold or sickness, this may be a symptom of heart disease.