About all

Pain in right side of chest near sternum: The request could not be satisfied

Содержание

Causes of Right Side Chest Pain

We hear a lot about left-sided chest pain and its relationship to heart disease, but what about right-sided chest pain? What causes this symptom? And, most importantly, when should you be worried?

Verywell/JR Bee

Overview

Pain that occurs primarily on the right side of your chest has many possible causes just as does left-sided chest pain. They may include lung, digestive, musculoskeletal, and, yes, even cardiovascular disorders.

It is important to note that pain on the right side of the chest can be due to heart disease. While heart attacks are typically felt on the left and central parts of the chest, there are exceptions, particularly if the right coronary artery is involved.

Since heart attacks involving the right coronary artery tend not to be as quickly fatal as those on the left, a person may be less likely to recognize that he or she is even having a heart attack.

It’s also important to keep in mind that cardiac symptoms in women are often different than in men. Women are less likely to experience the classic left-sided chest pain and instead may note a burning sensation on either side of the chest or even no pain at all. If in doubt, immediately check it out.

There are other emergencies that can present with right-sided chest pain. These include pulmonary emboli (blood clots in the legs that break off and travel to the lungs) and dissecting aortic aneurysms (in which the aorta bulges abnormally).

Right-Sided Chest Anatomy

If you have pain on the right side of your chest you may first think about what “lives” on the right side of your chest cavity or “thorax.”

This area is home to a portion of the right side of the heart, the right lung (three lobes), large blood vessels such as the ascending aorta and pulmonary blood vessels, the esophagus, and other structures such as lymph nodes, and nerves. The ribs lie in this region, and disorders of the spine may be felt in this region as well.

Pain that is felt on the right side may be due to a problem in that particular area or instead can be due to referred pain. With referred pain, pressure or damage to a nerve that runs through the chest may cause pain to be felt at a location some distance from where the pain actually originates.

Upper abdominal disorders may be felt on the right side of the chest, and if the diaphragm is irritated, this may be associated with pain in the right shoulder as well. The liver, the gallbladder, and part of the pancreas lie in this region.

In an uncommon condition affecting around one in 10,000 people, situs inversus, the organs of the chest cavity and sometimes other structures are reversed in their location, so that sometimes the heart is found on the right side of the body.

Symptoms

The pain experienced in the right side of the chest may be persistent or recurrent, acute or chronic, localized or generalized. It may be deeply felt, typically indicating an internal cause, or be experienced in bone, muscle, or skin. The healthcare provider will use these clues, as well as your description of the pain (“sharp,” “dull,” “throbbing,” “burning”), to help pinpoint the cause.

Other symptoms may include:

Cardiovascular Causes

As noted above, angina, a heart attack, or other conditions may lead to pain anywhere in the chest including the right side. Some other heart and blood vessel-related conditions which may cause right-sided chest pain include the following conditions.

Coronary Artery Disease

As noted earlier, heart disease may cause pain on both sides of the chest or only on the right side. This is more commonly found with conditions involving the right side of the heart.

Pericarditis

Pericarditis is an inflammation of the pericardium, the protective membrane surrounding the heart. There are many causes of pericarditis ranging from infections to cancer treatment, to kidney disease, to autoimmune disorders such as rheumatoid arthritis.

Pericarditis is also common after people have had a heart attack. The pain is often worse in certain positions and becomes more intense with a deep breath.

Dissecting Aortic Aneurysm

A dissecting aortic aneurysm occurs when a tear in the aorta allows blood to flow between the layers of the blood vessel wall and dissects or tears the blood vessel.

The pain is often severe, sudden, and sharp, and may be described as a tearing pain. Unconsciousness may follow rapidly. Perhaps best remembered as the form of trauma Princess Diana sustained, it may also occur without any trauma in people with high blood pressure or connective tissue conditions such as Marfan syndrome.

When to Call 911

Call 911 or seek emergency care if the chest pain is crushing or squeezing and is accompanied by any of the following:

  • Cold sweat
  • Shortness of breath
  • Choking or difficulty swallowing
  • Nausea or vomiting
  • Fast or irregular heart rate
  • Numbness or discomfort in the hand or arm
  • Pain that spreads from the chest to the neck, jaw, or one or both arms or shoulders

Lung-Related Causes

The three lobes of the right lung, as well as the lining of the right lung and associated lymph nodes, are located on the right side of the chest. The lungs themselves do not have pain receptors, but you may still experience pain that “feels” like it is in your right lung. Possible causes of pain may include the following conditions.

Pulmonary Embolism

Pulmonary emboli occur when blood clots in the legs (deep venous thrombosis) break off and travel toward the lungs. If the clot lodges in vessels of the right lung, pain may occur.

This pain is often sudden and sharp and may be associated with severe shortness of breath. With large clots, unconsciousness may follow rapidly. People may or may not recall having pain, redness, or swelling in one or both legs prior to a pulmonary embolus.

Unfortunately, pulmonary emboli are very common, occurring in over half a million people each year. They are fatal around 10 percent of the time. Risk factors include many chronic diseases, prolonged bed rest or surgery, and long-distance travel by plane or by car, yet a significant number of people do not have any obvious risk factors.

Lung Cancer

Tumors in the right lung, the lining of the right lung, or nearby lymph nodes can cause pain on the right side of the chest. Roughly half of people, looking back, have some pain in the chest, in their shoulder blades or pain between the shoulder blades, or into their shoulders, prior to the diagnosis of lung cancer.

Other symptoms may be present such as shortness of breath or a persistent cough. Since lung cancer is often diagnosed in the later stages after it has spread, it is important to have any unexplained pain on the right side of your chest evaluated.

Other Tumors

Tumors other than lung cancer may occur in the chest cavity as well, particularly lymphomas. In addition, metastases (spread) from other cancers such as breast cancer and colon cancer may occur to the lungs.

Pneumonia

Pneumonia, especially infections of your right lung could cause chest pain on the right side of your chest. People with pneumonia often, but not always, have a fever and cough.

Pneumothorax

A collapse of a lung called a pneumothorax may occur and cause pain on the right side of the chest.

Pleural Effusion

A pleural effusion is a build-up of fluid in the space between the pleural membranes surrounding the lungs. There are many causes of pleural effusions. When an effusion is small, there may only be discomfort, but with large effusions shortness of breath is often present as well. With lung cancer and breast cancer, cancerous pleural effusions (malignant pleural effusions) can be quite painful.

Pleurisy (Pleuritic Chest Pain)

Inflammation of the linings of the lung, called the pleura, can cause often persistent right-sided chest pain. This pain often increases with a deep breath and can sometimes feel scratchy.

When to Call 911

Acute lung disorders are characterized by breathing problems. Call 911 if the chest pain is accompanied by:

  • Shortness of breath
  • Blood-streaked sputum
  • Rapid heart rate
  • Blue-tinged skin or lips (cyanosis)
  • Pain that worsens when taking a deep breath or coughing

Gastrointestinal Causes

Abdominal conditions, especially those involving the esophagus or organs on the right side of the abdomen such as the gallbladder and liver may cause pain restricted to the right side of the chest. Some conditions which may cause right-sided chest pain include:

Gastroesophageal Reflux Disease (GERD)

GERD may cause classic symptoms of heartburn and indigestion, but may also be felt as pain in the right side of the chest alone.

Esophageal Foreign Body

A cause of right-sided chest pain that is sometimes overlooked is that of an esophageal foreign body. If your symptoms began while eating, especially meats, make sure to let your healthcare provider know.

Esophageal Spasm

Esophageal spasm can cause right-sided chest pain. Pain from esophageal spasm may be easily confused with that from heart disease as it often improves with nitroglycerine.

Gallbladder Disease

Both gallstones and cholecystitis (an infection of the gallbladder) may be felt as right-sided chest pain. This pain often radiates through to the back and may also radiate to the right shoulder.

Pancreatitis

The pain associated with pancreatitis can be worse with lying down and better with sitting up. People with diabetes and excess alcohol intake are at an increased risk.

Peptic Ulcer Disease/Gastritis

Both peptic ulcer disease and gastritis may cause pain which is felt in the right side of the chest, though it is more common on the left. The pain may initially actually improve somewhat with eating.

Liver Disease

Liver diseases such as hepatitis, cirrhosis, and even tumors that have spread to the liver (metastases) may cause pain which is felt on the right side of the chest. There is sometimes associated jaundice, a yellowish discoloration of the skin and the whites of the eyes.

When to Call 911

Call 911 or seek emergency care if the pain or pressure in the right side of your chest is accompanied by:

  • Sudden, severe abdominal pain
  • A rigid or tender abdomen
  • Vomiting of blood
  • Bloody diarrhea

Musculoskeletal Causes

With trauma, fractures and damage to soft tissue such as muscles and ligaments can cause chest pain. Without a history of trauma, there are several conditions which may also give rise to right-sided chest pain. Some of these include the following conditions.

Costochondritis

Costochondritis is a condition in which there is inflammation of the cartilage where the ends of the ribs join with the sternum (the costochondral junction). It is usually caused by a chronic overuse type of injury so most people do not recall any specific trauma.

The pain tends to worsen with activity or with a deep breath, and there is often tenderness when pressure is placed over the rib junctions. A less common problem, Tietze’s syndrome is similar but includes swelling and usually involves only one rib.

Muscle Strain

Muscle strains are one of the more common causes of right-sided chest pain. Many people can recall activities such as heavy lifting or a new workout program that they engaged in before developing this type of pain.

Chest Wall Pain

There are many conditions which may cause chest wall pain in addition to costochondritis ranging from fibromyalgia to stress fractures to sickle cell crisis.

Cervical or Thoracic Spine Conditions

Conditions such as disc disease or compressed vertebrae may cause pain that is felt on the right side of the chest, either due to the location of a condition or due to referred pain from involved nerves. Sometimes metastases to the spine from breast cancer, lung cancer, and other tumors are first noted as chest pain on the right side.

When to Call 911

An acute musculoskeletal infection can cause symptoms similar to a heart attack. Call 911 if you experience:

  • Generalized chest pain not well localized
  • Shooting arm pain or numbness
  • Rapid heart rate
  • Body chills
  • A high fever that doesn’t respond to fever medication

Other Causes

There are several other possible causes of pain in the right side of the chest. Some of these include:

Shingles

Shingles is a condition that occurs when the chickenpox virus (which lives in nerve roots) is reactivated. If the virus has been lying dormant in nerve roots supplying the right side of the chest, pain may occur in this region.

A rash usually occurs in the distribution of the nerve roots and helps to make the diagnosis, but the pain may precede the rash by several days making the diagnosis at first difficult.

Mediastinal Tumors

Tumors or enlarged lymph nodes in the mediastinum, the area of the chest between the lungs, can cause chest pain felt on either side of the chest but may occur only on the right side.

Enlargement of the mediastinal lymph nodes may occur with both Hodgkin disease and non-Hodgkin lymphomas as well as from the spread of lung cancer or breast cancer. Thymomas, bronchogenic cysts, and other benign tumors may occur in this region.

Breast Pain

If pain due to a breast condition occurs deep in the breast it may feel like the pain lies deeper in the chest.

Anxiety and Panic Disorder

About 40 percent of people with panic disorder experience frightening chest pain at some time.  Atypical chest pain associated with panic disorder is unique in some ways, but you always want to err on the side of caution. People who have anxiety or even panic disorder can also experience life-threatening causes of chest pain.

Diagnosis

Depending on your symptoms and other factors, there are several tests your healthcare provider may order. The first thing they will do is to make sure your “ABC’s” are stable. This stands for airway, breathing, and circulation, essentially the function of your heart and lungs. If you appear stable she will then ask you many questions (take a careful history looking for any risk factors) and do a physical exam.

Some conditions can be diagnosed during a physical exam, for example, tenderness over the joint between your ribs and sternum may suggest costochondritis or a classic rash may suggest shingles.

Other tests may include:

Questions Your Healthcare Provider May Ask

Your healthcare provider will ask you many questions to try and narrow down the possible causes of your symptoms. If you are waiting to see your healthcare provider, you may want to write down anything that comes to mind so you can give her as many “clues” as possible. Questions may include:

  • When did your pain begin?
  • Have you ever had the pain before?
  • Did the pain begin rapidly or did it come on gradually?
  • Did it come on with activity or at rest?
  • Were you eating when the pain began?
  • How would you describe the pain? Is it sharp or dull, mild or severe, or does it have any other characteristics such as a tearing feeling, burning, crushing, or squeezing?
  • Does anything make your pain worse or make it better?
  • Does the pain get worse with breathing or eating?
  • Does the pain radiate (move) anywhere, such as to your back, your jaw, or elsewhere?
  • Where exactly is the pain located? Is it is a specific area or is it diffuse across your chest?
  • What other symptoms have you had, for example, shortness of breath, a persistent cough, hoarseness, unexplained weight loss, difficulty swallowing, nausea or vomiting, or jaundice?
  • What other medical conditions do you have?
  • Are you on any prescription medications or do you take any over-the-counter medications or nutritional supplements?
  • Do you smoke or have you ever smoked?
  • How much alcohol do you drink?
  • What medical problems run in your family?

Frequently Asked Questions

What causes right side chest pain when you swallow?

A number of conditions may cause chest pain on the right side when you swallow. Common causes involve the esophagus, including:

What causes right-sided chest pain when you move?

The causes could vary from mild to severe. It may be related to a pulled muscle or costrochondritis, an inflammation of cartilage. Chest pain with exercise could also be caused by angina or a heart attack. Seek medical care if you have any new or worsening chest pain.

Should I take an aspirin for chest pain?

According to the American Heart Association, if you think you’re having a heart attack, call 9-1-1 immediately. Don’t wait to take aspirin before calling for emergency help. Your emergency medical team or other healthcare provider will help you decide whether aspirin is OK for you to take.

A Word From Verywell

Right-sided chest pain is not as likely as left-sided chest pain to be related to heart disease, but that doesn’t mean it is any less serious. If your pain is severe or if you’re noticing shortness of breath, or even wonder if your symptoms could be life-threatening don’t wait. Call 911.

If you will be seeing your healthcare provider, consider the questions above. Finding the source of right-sided chest pain is sometimes like putting together a puzzle, and the more puzzle pieces available, the easier it sometimes is to solve.

If you’re not getting answers, keep asking questions. Pain is a message to our minds that something is wrong. If it’s lasting, talk to your healthcare provider again. Sometimes further testing is needed, for example, one in four people with lung cancer had normal chest X-rays at the time of diagnosis, and a CT scan was needed to find the tumor. If you still don’t have answers, ask for a second opinion.

Is This Why My Chest Hurts or Am I Having a Heart Attack?

If you have sudden chest pain, always have it checked out by a doctor to make sure your heart is healthy.

Chest pain isn’t always serious. It could be caused by a mostly harmless condition called costochondritis, an inflammation of the cartilage that connects your ribs to your breastbone.  If you press on your upper ribs and it feels tender, you may have it. One study found that 30% of those complaining of chest pain had costochondritis. 

While costochondritis is a common cause of chest pain, injury, physical strain, respiratory infection, rheumatoid arthritis or psoriatic arthritis, chest wall infections, tumors, or rare conditions like relapsing polychondritis may also cause chest pain.

Costochondritis affects both children and adults, and it’s more common in women and Hispanics.

 

Causes

There isn’t one known cause of costochondritis. It’s often triggered by strenuous exercise or strain from severe coughing. It can also be brought on by an infection from chest surgery or intravenous, or IV, drug use.

 

Symptoms

Chest wall pain is a main symptom. Most people describe the pain as sharp, achy, and pressure-like. It usually gets worse if you breathe deeply or move your upper body.

When you press on your chest, it feels tender and painful.

The pain usually lasts for a few weeks or months, but about a third of those with costochondritis will have it for about a year.

Diagnosis

Your doctor will do a physical exam, pressing on your chest to check for areas of tenderness. They will also take a look at your range of motion and listen to your breathing. If you’re over 35, at risk for coronary artery disease, a blood clot, or you recently had a respiratory infection, your doctor may order additional tests like a chest X-ray and EKG to rule out more serious problems.

How Is It Treated?

Your doctor will focus on pain relief, and will probably recommend one or more of the following:

  • Pain relievers like aspirin or ibuprofen
  • Hot compresses or a heating pad to the area
  • No physical activities that make the pain get worse

Your doctor may also give you information on how to improve your posture and fix any muscle imbalances.

If the pain won’t go away, your doctor may give you a shot of an anti-inflammatory medicine, or corticosteroid, in the area that hurts.

23 Reasons Why You Have Random Left or Right Side Chest Pain

4. Rib bruise

Like a pulled muscle, a bruised rib can cause chest pain. A bruised rib is usually caused by a direct blow to the chest, and although the pain can be quite severe, the condition usually heals on its own. Car accidents, falls, or sports injuries are common culprits of rib bruises.

Symptoms of a rib bruise include pain and tenderness near the injured rib along with chest pain that increases when you breathe deeply, move, or cough. Chest pain after sneezing or coughing can also increase in intensity the more one coughs or sneezes and aggravates the bruise.

Often, rib bruise pain can be relieved with over-the-counter pain medications and ice compresses, but patience is the best treatment, as it typically takes a month for rib cage pain to heal. If this does not improve, especially if you had a trauma that caused the pain and/or are short of breath, be sure to get checked out, as sometimes this indicates an injury to the underlying lung.

Usually managed as an outpatient by your doctor with prescription medication

5. Bronchitis

The same viruses that spread colds can also cause acute bronchitis, but it can also be caused by a bacterial infection or exposure to harsh pollutants, such as smoke, smog, fumes, and vapors from harsh toxins, like industrial cleaning products.

The symptoms of bronchitis include a dry, hacking cough, fatigue, and expelling yellowish, whitish, or greenish sputum (that can be streaked with blood). Bronchitis can also cause shortness of breath, fever, and a feeling of tightness in the chest. This chest tightness combined with a strenuous cough can lead to chest pain.

The chest pain associated with bronchitis is usually mild but coughing will often worsen the pain. Bronchitis can clear up on its own after a few days of rest, but if you’re finding that your cough and other symptoms are getting worse instead of better with time, you need to see a doctor.

If your infection is viral, your doctor can provide you with supportive care to make you feel better as your body fights the infection. If it’s bacterial, antibiotics can help quickly relieve the symptoms of the infection. If your bronchitis continues to return, you might have chronic bronchitis, which requires serious medical attention and monitoring.

6. Asthma

Bronchial asthma affects 24.6 million Americans. For most individuals, asthma symptoms are mild and manageable. But often, especially when aggravated by allergies, the event of an asthma exacerbation can be serious.

Asthma attacks can cause wheezing, shortness of breath, coughing, and chest tightness.

If you’ve been diagnosed with asthma and are experiencing chest pain, it could be a symptom of a mild asthma attack. There is no cure for asthma, so it’s important to avoid triggers such as allergens, pollutants, and excessive physical activity.

Everyone with asthma should carry an over-the-counter inhaler with them at all times. If you are having an asthma attack and notice that your chest pain is accompanied by severe difficulty breathing, seek medical attention immediately and use your inhalers as directed by your doctor.

7. A hiatal hernia

A hiatal hernia occurs when some of the stomach pushes through an opening of the diaphragm, which is a muscle that separates the abdomen from the chest. While the exact cause of hiatal hernias isn’t known, it is suspected that weak supporting tissue is the typical cause.

The risk of developing a hiatal hernia increases with age and weight gain. Symptoms are mild for most, but pain in the chest after eating can occur, along with heartburn, esophagus problems, regurgitation, or trouble swallowing.

Various tests are required to diagnose the condition, and treatment may include surgery, medications to control stomach acid, a change in diet, and eating smaller meals – all of which can help ease the pain and discomfort of a hiatal hernia. If these measures fail, surgery can usually correct this.

8. Shingles and chest pain

Shingles is caused by the same virus that causes chickenpox. If you’ve had chickenpox in the past, you’re at risk for developing shingles.

Early symptoms of shingles include burning, tingling, and a numbness in nerve distribution that the varicella virus has been dormant in. If the rash is going to involve one of the dermatomes of the chest, this will often be painful, burn or tingle.

A painful, blistering rash typically follows, This is a red rash with blisters on it, whch ultimately pop, scab and heal. If you feel chest pain that seems to be nerve-related instead of muscle or internally-related, have had chickenpox in the past, and have not been vaccinated against shingles, call your doctor to discuss your options or get to a hospital immediately. Shingles can be very painful if it’s not caught quickly. Luckily, there is a vaccine for adults over age 65 and anti-virals can shorten the duration of symptoms, if caught early enough.

9. GERD /acid reflux and heartburn

Heartburn or GERD can be described as a burning sensation in the chest and behind the breastbone. The sensation can move up and down the throat and often is accompanied by a taste of food or a feeling of burning acid in the throat. This often happens after eating, especially if you eat large meals, consume alcohol with them/smoke and lie down too soon after eating.

Many people confuse this sensation with having a heart attack, since this can be uncomfortable and cause pain in the middle of the chest.

GERD is a common kind of chest pain during pregnancy, so if you’re pregnant and you feel like your heart hurts, speak with your doctor to see if you have GERD.

Gallbladder Symptoms & Issues | Gallbladder Stones & Inflammation

The most common gallbladder symptom is pain or tenderness in the abdomen, which may occur just after eating. This pain can manifest as epigastric pain just below the breastbone, generalized abdominal pain, upper right side abdominal pain, or pain that radiates around the right rib cage and into the back. It can also occur under the right arm in the center, in the chest, or in between the shoulder blades. A common term for pain due to blockage of bile flow from the gallbladder is biliary colic. Other symptoms of a gallbladder attack can include nausea, vomiting, jaundice, and a palpable abdominal mass or lump.

The gallbladder is an organ of the digestive system located in the upper right side of the abdomen under the liver. The gallbladder is a hollow, pear-shaped sac that concentrates and stores bile, which is a digestive substance produced by the liver. Bile is produced by the liver. It then flows from the liver into the gallbladder for storage. When you eat food, the gallbladder squeezes the stored bile into the cystic duct and down the common bile duct into the duodenum of the small intestine where bile helps digest food. Diseases, disorders and conditions that damage the gallbladder, liver, or bile duct and interfere with digestion can cause gallbladder symptoms.

Gallbladder symptoms can occur all the time or only after eating and drinking. Gallbladder symptoms in women are as common as in men. They can affect any age group or population. Gallbladder symptoms can vary in character and intensity depending on the underlying cause and individual factors. They can appear suddenly or gradually build for weeks or months.

Many people have no symptoms and may not know they have a gallbladder condition, such as gallbladder stones or gallbladder cancer. In other cases, people mistake gallbladder symptoms for symptoms of other conditions, such as gastroenteritis, heart attack, hiatal hernia, indigestion, or a peptic ulcer. It is important to seek prompt medical care if you have gallbladder symptoms. Do not assume they are due to a less serious condition, such as indigestion. Only a thorough evaluation by a physician or licensed healthcare provider can determine the cause of symptoms.

Left untreated, gallbladder conditions can lead to serious complications, such as tissue damage, tears in the gallbladder, and infection that spreads to other parts of the body. Seek prompt medical care if you are being treated for gallbladder conditions but mild symptoms recur or are persistent.

In some cases, symptoms of a heart attack can mimic gallbladder symptoms. Seek immediate medical care (call 911) for serious symptoms, such as chest pain, shortness of breath, and severe abdominal pain.

What Causes Upper Back and Chest Pain?

When upper back and chest pain occur together, the symptoms can vary widely depending on the cause or severity. Some people may experience mild discomfort or tightness while others may have sharp or intense pain. This pain may be one-sided (left or right) or on both sides. Below are potential causes of upper back and chest pain appearing at the same time.

Causes of Upper Back Pain Video

Save

Upper back pain can be caused by several conditions that affect the muscles and joints of the spine.
Watch:
Causes of Upper Back Pain Video

advertisement

Common Causes of Upper Back and Chest Pain

Some of the more common causes of upper back and chest pain include:

Muscle strain

Several muscles in the chest and upper back are used together while performing activities related to the upper body, such as rowing, throwing a ball, lifting weights, painting walls, or washing windows. It is possible for muscles in both the chest and upper back to be strained at the same time, such as from overuse or lifting something that is too heavy.

It is also possible for a muscle strain in the chest to refer pain to the upper back and vice versa. For example, a strain in an intercostal muscle (muscle between adjacent ribs) can cause a band of pain felt along the rib in both the chest and upper back area.

See Upper Back Pain from Intercostal Muscle Strain

Thoracic spondylosis

Degeneration in the thoracic spine, also called thoracic spondylosis, can involve thoracic osteoarthritis, thoracic degenerative disc disease, and other wear-and-tear conditions of the thoracic spine. As the spine eventually starts to degenerate with age, one or more intervertebral foramina (bony openings where the spinal nerves exit the spinal canal) may become smaller, called foraminal stenosis. With less space, a spinal nerve may become compressed or inflamed, causing pain to radiate from the spine in the upper back along a rib to the chest.

Watch Spondylosis Video

Slipping rib syndrome

A traumatic injury, such as from a major collision or fall, can potentially displace a rib where it connects to the spine at the costovertebral joints in the upper back. Also called slipping rib syndrome, a displaced rib can irritate or compress a nearby intercostal nerve, which may cause sharp or electric-like pain to travel along the path of the rib from the spine to the upper abdomen or chest. Slipping rib syndrome most commonly occurs at the 8th, 9th, or 10th rib. While rare, sometimes slipping rib syndrome occurs with no known injury or trauma.

Sometimes upper back and chest pain may have more than one cause. For instance, a bike collision may cause a herniated disc, fracture, and muscle strain that all contribute to the upper back and chest pain.

In This Article:

Other Causes of Upper Back and Chest Pain

Some other causes of upper back and chest pain may include:

Thoracic herniated disc

When a thoracic disc’s tough outer layer (annulus fibrosus) tears or partially tears and the gel-like inner layer (nucleus pulposus) begins leaking outward, the nearby nerve root can become inflamed and painful. While relatively rare, a thoracic herniated disc may radiate pain along the path of the nerve from the upper back to the chest.1,2

Watch Thoracic Herniated Disc Video

Myofascial pain syndrome

This condition of unknown cause includes painful trigger points that can appear in muscles and fascia (connective tissues) in different parts of the body, including the upper back and chest. Trigger points can feel tender or tight, and when pressed they can refer sharp or intense pain to other nearby areas.

Fibromyalgia

This syndrome usually involves widespread pain, fatigue, trigger points, and associated mental health issues. The upper back is a common location for myofascial pain in people with fibromyalgia. Many other locations in the body may also become painful, including the chest.

Watch Video: What is Fibromyalgia?

Costochondritis

This condition involves inflammation in the cartilage that connects the sternum (breastbone) to the ribs, which can cause pain in the chest. This pain may also be referred to the back.

Costovertebral osteoarthritis

This condition involves wear-and-tear breakdown of the cartilage within the costovertebral joint(s)—where the rib connects with the thoracic spine.

advertisement

Heart conditions

Various heart conditions may cause pain in the chest and upper back or shoulder(s):

  • Angina occurs when the heart muscle does not get enough blood.3
  • Heart attack involves heart muscle damage, typically due to reduced or complete loss of blood supply from the blockage of an artery.4
  • Pericarditis is inflammation of 2 thin layers (pericardium) that surround the heart.5

While heart conditions are most commonly associated with chest pain, it is important to note that chest pain is not always present or severe. Heart-related pain may also be felt in other areas, such as the shoulder or upper back.

Lung conditions

Some lung conditions may cause upper back and chest pain:

  • Pleurisy is inflammation of the linings (pleura) of the lungs and chest wall.6
  • Lung cancer tumor(s) may grow in a manner that eventually causes pain in the chest and upper back (or shoulder).7,8

Painful lung conditions may also involve increased pain when breathing.

Many other causes of upper back and chest pain exist. Visit a doctor for any unexplained chest pain that persists or recurs. Seek immediate medical attention if upper back and chest pain are accompanied by any red flag symptoms, such as numbness, weakness, nausea, dizziness, fever, chills, or problems with balance or coordination.

Read more about Causes of Upper Back Pain

References

  • 1.Kato K, Yabuki S, Otani K, et al. Unusual chest wall pain caused by thoracic disc herniation in a professional baseball player. Fukushima J Med Sci. 2016; 62(1):64-7. doi: 10.5387/fms.2015-25 .
  • 2.Baranto A, Borjesson M, Danielsson B, Hellstrom M, Sward L. Acute chest pain in a top soccer player due to thoracic disc herniation. Spine (Phila Pa 1976). 2009; 34(10):E359-62. doi: 10.1097/BRS.0b013e3181a16d41.
  • 3.Angina (chest pain). American Heart Association website. https://www.heart.org/en/health-topics/heart-attack/angina-chest-pain. Accessed September 12, 2019.
  • 4.Heart attack. U.S. Department of Health & Human Services, National Heart, Lung, and Blood Institute Website. https://www.nhlbi.nih.gov/health-topics/heart-attack. Accessed September 10, 2019.
  • 5.Symptoms and diagnosis of pericarditis. American Heart Association website. https://www.heart.org/en/health-topics/pericarditis/symptoms-and-diagnosis-of-pericarditis. Accessed September 12, 2019.
  • 6.Pleurisy and other pleural disorders. U.S. Department of Health & Human Services, National Heart, Lung, and Blood Institute website. https://www.nhlbi.nih.gov/health-topics/pleurisy-and-other-pleural-disorders. Accessed September 12, 2019.
  • 7.Lung cancer symptoms. Lung Cancer Association website. https://www.lung.org/lung-health-and-diseases/lung-disease-lookup/lung-cancer/learn-about-lung-cancer/symptoms/. Accessed September 12, 2019.
  • 8.Symptoms of lung cancer. Canadian Cancer Society website. https://www.cancer.ca/en/cancer-information/cancer-type/lung/signs-and-symptoms. Accessed September 12, 2019.

Chest pain in children: When to take it seriously

More often than not, a child complaining of chest pain doesn’t suggest a serious problem.

Children, young ones especially, aren’t very reliable when it comes to describing their own pain.

“Most of the time, chest pain in children is not caused by a heart problem,” said Brian J. Holland, M.D., a pediatric cardiologist with Norton Children’s Heart Institute and UofL Physicians – Pediatric Cardiology. “A young child may be able to tell that something in the area of their chest feels uncomfortable, but families often have questions about the heart because the child cannot give more details .

If a child’s chest pain is accompanied by a fever, trouble breathing, pale appearance, a fast heart rate, or the child ‘passes out’ or ‘blacks out’ – get help immediately. Call 911.

If there’s a family history of Marfan syndrome, call 911.

Chest pain in children can be scary, but is rarely a sign of heart trouble. Consider these questions when your child complains of pain in the chest.

Is the pain brief and sharp? Is it worse when taking in a breath?

  • This could be a sign of chest wall pain. A recent injury can be the cause, but often the cause of chest wall pain isn’t known. Muscles and joints in the chest can be sore or strained and become inflamed. The ribs, sternum, back and other bones may be injured.

Depending on the cause, there may not be much that can be done for chest wall pain except nonsteroidal anti-inflammatory medications such as ibuprofen.

Has the child had a cold or persistent cough? What about stress?

  • A respiratory infection like a cold or cough can cause chest pain. Stress or anxiety, whether or not there’s a clear cause like start of school or changes in routine, can make the chest feel painful.

Does the pain feel like burning? Does the pain seem to happen after meals?

  • Stomach pain or the burning pain of acid reflux can be easy to describe for adults, but they can also happen in children and can be difficult to describe, especially if they are new.

 

Is the pain in the upper and middle rib area on either side of the breast bone? Is it sharp, an ache, or does it feel like pressure? Possibly affecting one or more ribs? Does it worsen with deep breaths or coughs?

  • You should seek medical attention to rule out heart trouble. But the cause may be costochondritis — inflammation of the cartilage that connects the rib to the breastbone. The pain can mimic a heart attack or other heart condition.

Is it a sudden, sharp, intense pain that only lasts seconds or minutes on the left side of the chest? It only happened once or a few times? Is it unaccompanied by physical activity or even happens while resting? Made worse by inhaling, exhaling or moving?

  • Precordial catch syndrome could be the cause. Also known as Texidor’s twinge, this common cause of chest pain in children, while scary, isn’t serious. The sudden pain leaves about as quickly as it happens.

The cause of precordial catch syndrome isn’t known and it probably doesn’t have anything to do with the heart. Some physicians suspect muscle cramps or a compressed nerve is the cause.


Explained by a Pediatric Cardiologist • MyHeart

Chest Pain in Kids:  A Common Complaint

Chest pain in kids is a very common complaint that is often heard from young children to teenagers. More often than not it is not a symptom of heart disease in children. In fact, over 95% of children referred to see a pediatric cardiologist for chest pain, do not have any identifiable heart cause.

Parents will appropriately ask what is the cause of chest pain. As there are multiple structures in the chest, there are many different causes of chest pain. I try to think about different causes of chest pain as follows.

Chest Pain in Kids:  Musculoskeletal Causes

Probably the most common forms of chest pain in kids are related to some irritation in the chest wall or the musculoskeletal system. People will use the term growing pains and I think this usually represents costochondritis or inflammation of the joints between the ribs and the breastbone. This usually hurts to push on the chest. As this is an inflammation, using anti-inflammatory medications such as Motrin or Aleve can help. Another common cause is what we term as precordial catch syndrome. I have had this pain and describe it as a sudden and severe pain in the left chest. It will sometimes hurt when I breathe and I’ll try to move to allow the pain to “release”. As quickly as it comes on it will often disappear quickly in a matter of minutes. We are unaware what causes this type of pain, but it is very common and does not seem to be associated with any more severe illness. Sometimes children will also strain or injure the chest wall during sports or workouts. Like other types of soreness, allowing time and over the counter pain medications will allow these symptoms to resolve.

Chest Pain in Kids:  Lung Causes

There are many lung causes of chest pain. Asthma can lead to chest tightness and difficulty catching ones breath. This is a very important cause of chest pain in kids that can be treated and improves ones quality of life. More significant pulmonary causes of chest pain in kids can occur too. Fever and chest pain could represent a lung infection. Severe and persistent chest pain can be a symptom of pneumothorax or air around the lungs. Obviously, severe and persistent chest pain, especially associated with a fever should be evaluated by a physician.

Chest Pain in Kids:  Stomach Causes

Some children will experience chest pain at night while lying down for bed or even wake up at night. As adults, we will feel heart burn after certain meals, children can also experience these symptoms. These symptoms can be treated with antacid medications. And just like stress and anxiety can make people feel uncomfortable symptoms, sometimes children can feel this into their chest.

Chest Pain in Kids:  Cardiac Causes

As I state above, over 95% of chest pain referrals to a pediatric cardiologist are non-cardiac and with that, most are not life threatening. However, there are important cardiac causes of chest pain in children. As with pulmonary causes of chest pain, persistent and severe chest pain, associated with fever can represent pericarditis or an inflammation in the sack the surrounds the heart. Chest pain that occurs repetitively with exercise and symptoms of passing out with exercise can be very important. There are rare coronary artery origin anomalies that can cause these types of symptoms. Other causes can be severe valve abnormalities or hypertrophic cardiomyopathy. In general, many of the cardiac causes of chest pain can be sorted out with good historical evaluations and physical examination and simple tests such as an electrocardiogram and echocardiogram.

4.5/5 (230) 90,000 Right chest pain

Pain in the chest on the right is a fairly common symptom of many diseases. It is very important to determine the nature of pain and the duration of spasmodic reactions in order to correctly diagnose the disease. In no case should you close your eyes to signals such as pain, because it is never unreasonable. Even if you know what causes your chest pain on the right side, self-medication without examination and doctor’s conclusions is highly discouraged.

In order for you to be aware of the risks of diseases associated with pain in the chest on the right, we have prepared for you complete and detailed information about their causes, symptoms, treatment and prevention.

Causes of chest pain on the right

Right chest pain due to chest trauma, excessive exercise, sprains and injuries:

  • Strong physical exertion and stretching can cause pain in the intercostal and pectoral muscles.This pain is also called dyspnoea. She appears after active exercise in the gym or hard physical work. This is a completely harmless pain, which is caused by the release of lactic acid in the connective tissues of the muscles, as well as partial damage to the muscle and ligamentous structures of those muscles that tensed the most. The appearance of such pain is the result of an inadequate approach to the training schedule, an incorrect calculation of the load on the body. It usually manifests itself as an intramuscular pulling unpleasant sensation, and with sudden movements it can intensify.
  • Injury and damage to the chest and organs under its strong but still vulnerable protection can also cause pain in the chest on the right. For example, a fracture of the ribs reminds of itself with stabbing pain directly at the site of the injury, especially when the chest is compressed. It also manifests itself strongly when coughing and calms down, if the patient only has to sit down and relax.

With bruises on the body, bruises and bruises can be observed.A slight bruise is not at all dangerous to humans, although it can cause minor hemorrhages and ruptures. While a severe injury can lead to rupture of the lung and death.

Right chest pain due to viral and infectious diseases:

  • Viral diseases can cause pain when breathing deeply, sneezing or coughing. In this case, the localization of pain will depend on the weakest part of the organs affected by the infection.In such a situation, the lung on the right side or the intercostal muscles of a weakened body may hurt. Sometimes with a simple cold, this pain can go away after a course of special drug treatment, and the patient’s mandatory stay in bed. But there are times when the patient’s health condition deteriorates significantly, which leads to serious disturbances in the vital functions of the respiratory system.

Pain in the chest on the right due to impaired functioning of the respiratory system:

  • Pneumonia is one of the most serious lung diseases, manifested in the patient’s body as inflammation, which can affect both one part of the organ and affect both sides of it.There is a fairly wide range of viruses and infections that can cause this disease, but the most important fact that everyone should know is that pneumonia, which is so difficult to treat and can be fatal in severe cases, can be provoked by improper medication. Pneumonia usually presents with fever, chest pain, wheezing, and coughing.
  • Pleurisy is a disease of the lungs associated with inflammation of their membranes.This inflammation causes pain in the right side of the chest, especially when coughing or other strains of the diaphragm. Pleurisy is recognized with sudden painful spasms in the chest, as the ability to breathe deeply is lost, and patients with pleurisy often experience suffocation. Inflammation of the pleura often manifests itself as a post-symptom of pneumonia, and also accompanies the course of tuberculosis, or in cardiovascular diseases.
  • The presence of a tumor in the lungs and bronchi, as the most difficult and not comforting diagnosis for a patient, can also cause pain in the right chest.As a rule, tumors in the pulmonary region are classified by oncologists as bronchopulmonary cancer, the main distinguishing feature of which is a dry, suffocating cough with bloody expectoration. Lung cancer is accompanied by a host of different symptoms, including chest pain.

Pain in the chest on the right due to diseases of the digestive system:

  • Heartburn is the most common cause of discomfort in the chest on the right.It appears as a result of excess secretion of gastric juice and its ingress into the esophagus. An unpleasant sensation can appear immediately after eating or after half an hour, but there are also cases when heartburn appears on an empty stomach. The painful effect of heartburn can spread throughout the esophagus, which causes a lot of inconvenience to the patient, as heartburn begins its journey in the stomach and rises to the throat. In this case, the patient feels a burning sensation in the chest from several minutes to an hour.
  • Stagnation of food in the digestive tract.For this reason, chest pain on the right may also appear. The fact is that during the digestive process, food or liquid can get stuck in the esophagus. This phenomenon often causes pain in the chest on the right, which is explained by strong pressure on the walls of the esophagus and is aggravated by swallowing and tension of the diaphragm.
  • Diseases of the liver, including any acute or chronic inflammatory process, as well as parasitic lesions of the liver, can cause a dull pain in under the ribs on the right side.It becomes especially strong when pressing on the organ, sneezing and coughing. Separately, it is necessary to highlight one of the types of liver inflammation, such as hepatitis.
  • Hepatitis, which has several forms (A, B, C, D), is popularly called jaundice, since the skin and the white part of the eye take on a yellowish tint due to the ingestion of bilirubin, which is not processed in the liver, into the bloodstream. However, there are also such cases of hepatitis, when jaundice does not appear, however, in any case, the disease is given by pain spasms in the right hypochondrium.They arise as a result of stretching of the liver membrane due to its enlargement. The nature of the pain can be completely varied: a dull and prolonged pain can appear, or a sharp and intense pain can occur, the impulses of which can even reach the right shoulder and scapula.
  • Dysfunction in the work of the gallbladder is one of the causes of pain in the right hypochondrium associated with abnormalities in the formation and excretion of bile from the body.
  • Biliary dyskinesia is a disorder caused by impaired movement of bile.With this disease, there are absolutely no organic or structural changes in the gallbladder, but only the motor function of the bile ducts is disturbed. Dyskinesia causes too much or, on the contrary, insufficient contraction of the gallbladder, which explains the violation of asynchronous opening and closing of the bile ducts. Doctors associate the appearance of dyskinesia with acute and chronic traumatic situations, deep intrapersonal conflicts, and the individual intolerance of the patient’s body to certain foods (allergies) is also very important.
  • Chronic cholecystitis is a disease of the gallbladder caused by its inflammation. Most often, the causative agent of chronic cholecystitis is an acute bacterial infection – it can be a mass of varieties of E. coli, enterococcus, proteus, staphylococcus, streptococcus. A parasitic infection of the biliary tract is of some importance, contributing to the long-term course of inflammatory processes, as well as a change in the properties of bile, the formation of stones and a violation of the outflow of bile.
  • Gallstone disease is an abnormal process in bile, as a result of which crystalline structures of cholesterol and calcium salts are formed in the bile ducts and in the gallbladder. A disease of this kind indicates an improper lifestyle, excessive consumption of fatty foods and alcohol. Gallstone disease immediately makes it known about its appearance with unbearable stinging pain in the right hypochondrium. In this case, it is imperative to consult a doctor, since only a qualified specialist can diagnose the disease and prescribe effective treatment.Do not try to cure gallstone disease at home, because it will not lead to anything good.

Pain in the chest on the right, due to malfunctions of the cardiovascular system:

  • Angina is a heart disease that manifests itself as attacks of sudden chest pain on both the left and right sides. Angina pectoris is a consequence of an acute lack of blood supply to the myocardium. This is a severe form of coronary heart disease that requires hospital treatment.Due to the lack of oxygen supply to the necessary parts of the heart and lungs, pressing pain in the chest manifests itself. She can take a person by surprise both during the day during physical exertion and at night at rest. Doctors can recognize this disease at the first visit of the patient, while its complications require tests and continuous monitoring of the patient in the hospital.
  • Myocardial infarction, or heart attack, is the death of part of the heart muscle, which is directly related to a lack of blood and oxygen supply to this muscle.It is also one of the results of clinical forms of coronary heart disease. It is characterized by the sudden onset of sharp pain that spreads to the chest area and radiates to the left shoulder and neck. In case of a heart attack, an ambulance is immediately called, since if assistance is not provided as quickly as possible, the person may die.
  • Pericarditis is an inflammatory process of the pericardium – the pericardium, which is the protective shell of the heart. Very often, pericarditis manifests itself as a symptom of infectious, autoimmune and oncological abnormalities and heart diseases, and much less often acts as an independent disease.The manifestations of pericarditis directly depend on the intensity of inflammatory processes and their form. Thus, the main indicators of pericarditis in its dry form are pain signals in the heart. By their nature, they are very similar to angina pectoris or dry pleurisy, which is why the correct treatment of pericardial inflammation often begins with a long delay due to complex diagnostics. One of the hallmarks of pericardial pain is that it increases with a deep breath, cough, or when the body is in a horizontal position.Pericardial effusion is accompanied by the release of fluid into the pericardial space, the patient feels pressure in the region of the heart, it becomes quite difficult for him to breathe, shortness of breath appears, as well as squeezing of the esophagus. The patient’s body reacts to such a painful process with fever, swelling of the face and neck appears, and veins appear strongly.

Symptoms of chest pain on the right

Previously, we have listed many reasons that can cause pain in the right upper quadrant.However, in order to choose the most likely cause for a particular case from the list of causes, it is necessary to know the types of pain and the symptoms that accompany it. A correct understanding of the symptoms of pain will allow the doctor to draw up a correct anamnesis and first of all carry out the most necessary tests and promptly prescribe treatment. Next, we will talk about the types of pain, its localization and what it means in each specific case:

A pulling and aching chest pain on the right can be caused by excessive physical exertion and disappears within a day.Such pain can appear after bruises and injuries to the chest. It often develops into a stabbing pain, depending on the nature of the injury, and intensifies when the diaphragm is strained, when a person sneezes, coughs, or takes deep breaths.

Pain in the upper right side of the chest can be associated with inflammation of the lungs. Usually, diseases such as pneumonia and bronchitis are accompanied by a high fever, hoarse noises in the lungs and a violent cough.

Sudden painful spasms in the chest can begin after pneumonia.Pleurisy develops and then the patient loses the ability to breathe deeply, and very often suffocation appears. Also, spasmodic pain in the upper chest, accompanied by a bloody suffocating cough, may indicate the presence of cancer in the lungs.

A burning sensation in the chest on the right arises from heartburn and spreads through the body from the esophagus to the throat itself. Such pain comes most often after eating, but it can also happen on an empty stomach, it all depends on the characteristics of the patient’s body.The duration of such pain lasts from several minutes to an hour.

Acute pain on the right under the rib cage can be caused by liver diseases such as hepatitis, cholecystitis, and gallbladder dysfunctions. With liver disease, the patient’s skin and whites of the eyes take on a yellowish tint, and if you lightly press on the diseased organ, the pain increases. It is also aggravated by any tension in the chest.

Unbearable stabbing pain occurs at the very first prerequisites for cholelithiasis.Any problems with the outflow and permeability of bile must be solved only in the doctor’s office, since diseases of the gallbladder bring a lot of pain to the patient and can lead to serious complications. Therefore, if it happened that you felt a sharp stabbing pain on the right under the ribs, immediately call the doctors.

If the pain is systematic and has the character of an attack, has clear conditions for the appearance and subsidence, that is, a certain time and external factors of influence, then most likely it will pass completely if you take nitroglycerin.Because such pain is typical for angina pectoris – one of the types of coronary heart disease. The pain appears from physical or psychological stress, and with age, the pain from angina pectoris only intensifies.

Compressing dull pain throughout the chest, starting on the left side and radiating spasm to the right hypochondrium, making it difficult to breathe, and squeezing the esophagus – this is pain from pericarditis. It is quite difficult for doctors to diagnose it, since the symptoms of this disease are significantly similar to other diseases of the cardiovascular system and lungs.

Sharp pain in the chest on the right, which has the character of an attack, differs in that it begins in the region of the heart on the left and gives a sharp impulse to the right shoulder, but then spreads to the right side of the chest. This is myocardial infarction, that is, a heart attack. If such symptoms have taken place, you need to immediately call an ambulance, since the patient’s life without the help of doctors can end at any time.

Diagnosis of chest pain on the right

A patient who comes to the hospital with pain in the chest on the right is diagnosed according to a strict algorithm.According to the nature of the pain and general symptoms, first aid is provided. For example, myocardial infarction or gallstone disease cannot be confused with an attack of another disease. Therefore, if all the signs are on the face, then in an emergency mode the patient is provided with first aid and further treatment. And if the causes of the disease when the patient is admitted to the hospital are not known, then by means of ECG and ultrasound, diseases of the cardiovascular system, such as angina pectoris, are excluded. Further, depending on what the patient complains about, the doctor makes a history and prescribes treatment.If the patient complains of a burning sensation in the chest, a special test is performed for the acidity of gastric juice and the functioning of the lower alimentary sphincter.

The doctor determines the presence of injuries and bruises visually as a result of examination of the patient, as well as with the help of palpation – tactile examination. And if, when pressing on the chest area, the pain increases, then the patient is sent from the diagnostic department to traumatology. If a patient is admitted to the hospital with a high fever, cough and characteristic wheezing, he is assigned a number of routine tests, as well as a computer scan – a tomogram, as a result of which the doctor will be able to identify damaged areas of the lungs and diagnose one of the diseases of the respiratory system.

Treatment of chest pain on the right

After the history and diagnosis of the disease have been successfully completed, the doctor prescribes treatment for the disease, which will exclude the pain in the chest on the right from the patient’s life for many years, and maybe forever, depending on the complexity of the disease.

Pain in the left hypochondrium due to bruises and trauma to the chest. The very first aid that must be provided to the patient before the arrival of the doctor is the imposition of a tight bandage around the chest.The patient must take an anesthetic – an injection of two milliliters of a fifty percent solution of analgin. If the rib fracture is multiple, in any case it is accompanied by breathing difficulties and cyanosis. After providing first aid, depending on the complexity of the fracture, the patient is hospitalized either in the intensive care unit, or in the trauma or thoracic unit. In the hospital, doctors maintain normal airway patency and the functioning of the bronchi, prescribe physical therapy and breathing exercises for this.To improve the functions of the bronchial tree, massages and inhalations are prescribed. In case of a rib fracture, antibiotic therapy is not used, since this group of patients has a high probability of pneumonia, so they are prescribed antibiotics. In order for the body to continue to recover after the hospital, the patient is prescribed wearing a special bandage or corset, which helps to maintain the ribs in the desired shape.

Pain in the chest on the right due to disruption of the respiratory system.Mild forms of respiratory diseases that cause chest pain on the right are treated in combination with simple antiviral and anti-influenza drugs. However, we have already seen that improper treatment or complications can cause the development of pneumonia. That is why it is so important to follow all the recommendations of the attending physician and follow the instructions for using the drugs. The decision to hospitalize a patient with pneumonia and other severe respiratory diseases depends on the age and condition of the patient.Most often, adults are prescribed treatment at home. But in any case, a chest x-ray and a general blood test for all patients must be performed before and after treatment. Antibacterial drugs are prescribed for the inflammatory processes of pneumonia. They must be taken under the strict advice of your doctor. Even if the patient feels better, but the course of treatment has not yet been completed, this does not mean at all that drug treatment should be stopped, as the disease can return with double destructive force. If the drug effect on the patient’s body does not give results, then the antibiotic is replaced with another after three days.Bronchodilator drugs are also prescribed. In inpatient treatment, infusion therapy is practiced, oxygen inhalation is carried out, and massage is prescribed to improve the drainage function.

Pain in the chest on the right due to diseases of the digestive system. With diseases of the digestive system, heartburn is a common symptom. Therefore, to get rid of it, you need to treat the root cause, that is, the underlying disease. In addition, the use of drugs is prescribed to help tame the excess acidity inside the stomach.But all this is done only after careful research and analysis. Remember – heartburn never comes alone, there is always a serious gastroenterological disease behind it! As we already know, pain in the hypochondrium on the right is also provoked by inflammation and pathologies of the auxiliary organs of the digestive system, such as the liver and gallbladder. Liver disease in our time is treatable, thanks to the latest advances in medicine. But still, do not forget that this is a long-term process that requires medical supervision and self-medication is inappropriate here.After all, the liver is an organ that is more susceptible to drug stress than others, it suffers from incompetent intervention, which can lead to irreversible consequences. Medication should be prescribed only by the attending physician. To cure the liver, hepatropic drugs are used, which combine three subgroups of drugs:

  • Choleretic agents: improve the secretion of bile and the process of its excretion from the body.
  • Hepatoprotective agents: normalize metabolic processes in the liver, improve its immunity to harmful substances, accelerate regeneration processes in various liver damage.
  • Cholelitholytic agents: regulate the amount of cholesterol in the liver and help dissolve gallstones

Unfortunately, there are times when liver lesions have to be removed with surgery. But to prevent this from happening in your life, you must monitor your lifestyle, habits and diet. In this case, everything depends only on yourself!

Pain in the chest on the right, due to malfunctions of the cardiovascular system.The heart is the organ without which human life is impossible. Making any independent decisions about their treatment, the patient has every chance of making mistakes and harming himself. Therefore, only a highly qualified specialist can determine the seriousness of the disease and decide on a strategy for the treatment of cardiovascular diseases. The most terrible and generalizing feature of all cardiovascular diseases is that they are all progressive in nature. That is why it is so important to consult a cardiologist at the very first symptoms in order to stop destructive processes in the early stages of the disease, quickly and effectively correct the work of the heart.Believe me, the sooner you start treating your diseased heart, the more likely it is to restore its work, the less drugs you will have to drink, the cleaner your liver will be. Remember that sometimes heart disease is of a latent progressive nature, and the patient may not even suspect that it is high time for him to start treatment.

How to prevent right chest pain

First of all, as a prevention of chest pain on the right, you need to control your lifestyle, and not go with the flow:

  • You need to eat right, eat more vegetables and fruits and pay less attention to fatty foods, preservatives and fast food.After all, a person’s eating habits affect primarily the work of his internal organs. For lovers of fatty foods, the heart and liver are filled with cholesterol plaques, which leads to diseases of the cardiovascular and digestive systems, metabolism is disturbed, and obesity appears.
  • The advice of a qualified coach will help you to exercise wisely. They will teach you how to avoid injuries and reboots, as well as dire consequences in the form of long-term treatment and pain.
  • Do not self-medicate acute respiratory diseases, the consequences of which may be extremely disappointing for you.After all, a simple cold or advanced bronchitis can one day turn into inflammatory or oncological formations.
  • If you have experienced a bruise or trauma to the chest, do not think that everything will go away on its own. There is a possibility that the organs that it protects, which are located directly under it, are also injured. Micro-tears, sprains and hematomas after an injury can remind of themselves after a few months, or even years.

Any pain is easier to prevent than to waste your energy, time and unexpected capital to cure it.But pain in the right hypochondrium is just a symptom, because it does not come out of nowhere on its own – there is always a disease behind it, and sometimes it may turn out to be too serious, there may not be enough remaining life to cure it. We sincerely hope that you have fully realized the seriousness of the situation and now you understand that no matter what the nature of the pain, it is worth turning to a qualified specialist for its reason and not expecting that it will just pass on its own.After all, pain signals do not disappear without a trace. Be attentive to your body, and it will repay you with health and longevity.

All news
Previous Next

90,000 Chest pain can be a sign of heart, spine and lung problems | Healthy life | Health

A word to our expert, an angioneurologist, author of books on a healthy lifestyle, Doctor of Medical Sciences Evgeny Shirokov .

Every one of us faces pains in the chest area from time to time.However, finding out what causes them is not an easy task. There are many reasons for such pain. It could be:

Diseases of the lungs also often give pain in the chest area. Most often it is pleurisy (inflammation of the pleura – the membrane that lines the chest cavity from the inside and covers the lungs). Severe pain occurs with pneumothorax (penetration of air into the pleural cavity). This happens with infectious diseases of the lungs (tuberculosis). But with pneumonia, chest pains are rare: there are no pain receptors in the lung tissues.

How it manifests : Acute, paroxysmal pain in the right side of the chest, often accompanied by shortness of breath.

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

Radiculitis of the chest , associated with irritation or damage to the nerve root from which the intercostal nerve is formed, is a less common cause of chest pain.The impetus for their occurrence can be hypothermia, excessive physical activity or injury.

How it manifests : Most often, such pains from the spine pass to the front or side surface of the chest and are sharper, one-sided (either to the right or to the left). Sometimes, with such pains, a violation of sensitivity occurs in the corresponding zone, which may be associated with nerve damage and requires an urgent visit to a doctor.

Whom to contact : To a neurologist, vertebroneurologist, neurosurgeon.

Intercostal neuralgia (not contrived, but very real) can also cause chest pain. Most often it occurs as a consequence of herpetic ganglioneuritis, which is popularly called herpes zoster. It can be recognized by itchy crusts or blisters located along the lines of the ribs.

How it manifests itself : Affecting the nodes of the nerves, the virus causes quite severe pain. With herpetic ganglioneuritis, the pains are sharp, burning, sometimes occur at the slightest touch to the skin and require the use of pain relievers, and sometimes novocaine blockades.

Whom to contact : To a neurologist.

Heart disease. Pain in the chest area can be a manifestation of cardiovascular problems. First of all – ischemic heart disease. The slightest violation of the blood supply to the heart muscle is enough, and the “hungry” heart begins to “scream”, announcing the lack of oxygen by paroxysmal pain (angina pectoris), shortness of breath, arrhythmia (heart rhythm disturbance).

How it manifests : Most often, such pain occurs in the left side of the chest, is paroxysmal in nature and is associated with physical and / or emotional stress.Although in the case of angina pectoris, it is sometimes difficult to carry out differential (clarifying) diagnostics even in a hospital. More often, with angina pectoris, there is a burning sensation, discomfort, compression in the center of the chest, behind the sternum, and even in the esophagus.

Whom to contact : To a cardiologist who will prescribe 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 area.Congenital anomalies of the osteoarticular apparatus, trauma, sedentary work, carrying heavy loads lead to disruption of the usual configuration of the spine. When the weather changes, the load on the intervertebral joints causes inflammation in them, and then pain.

How it manifests itself : Pain associated with diseases of the spine can be very long and, as a rule, do not have a clear localization – they give it to the arm, then to the shoulder girdle, then to the region of the heart – and depend not so much on movements as on positional load (for example, after a long sitting on an airplane, etc.)etc.).

Whom to contact : To a neurologist, vertebroneurologist, chiropractor.

Chest pain when inhaling or coughing :: Clinician

The following specialists are involved in the treatment of chest pains during inhalation of various natures, leading the reception in our centers: therapist, urologist, traumatologist-orthopedist, neurologist (neuropathologist).

Call the number of the single reference service of all our centers +7 (861) 231-1-231 and indicate which specialist you would like to make an appointment with, after which you will be connected to the selected center.Administrators will select a convenient day and hour for you to visit the doctor.


Chest pain when inhaling, coughing, or other breathing movements usually indicate the pleura and pericardial region as a possible source of pain. Respiratory movements are also likely to affect chest wall pain. Most often, pain is observed in the left or right side and can be either dull or sharp.

With intercostal neuralgia along the intercostal space there are acute “shooting” pains, sharply intensifying when inhaling.

With renal colic pain is localized in the right hypochondrium and then spreads throughout the abdomen. The pain passes under the right shoulder blade, into the right shoulder, increases with inhalation, as well as with palpation of the gallbladder region.

Also from a blow or compression of the chest fracture of the ribs may occur. With such damage, there is a sharp pain in the chest when inhaling and coughing.


Which doctor should I contact if there is chest pain on inhalation:


Do you experience chest pain when inhaling? Do you need an inspection? Make an appointment with a specialist – the Clinician network of medical centers is always at your service! The leading doctors of Krasnodar will examine you, study the external signs and help determine the disease by symptoms, advise you and provide the necessary assistance.

How to contact our centers:
Call the number of the single reference service of all our centers +7 (861) 231-1-231 and indicate which specialist you would like to make an appointment with, after which you will be connected to the selected center. Administrators will select a convenient day and hour for you to visit the doctor.

You can also contact any of the centers of the Clinicist network of medical centers, where the specialists recommended for you are received.Detailed information about our centers and the location on the city map are indicated here. Check out the presentation of our activities on this page.


If you have previously undergone any research or have already been with a specialist, be sure to take their results for a consultation with a doctor. If you have not had any experience attending studies or seeing a doctor, we will do everything necessary at our centers.

You must be very careful about your health.People do not pay enough attention to the symptoms of diseases and do not realize that they can develop into a life-threatening condition. There are many diseases that at first do not manifest themselves in our body, but in the end it turns out that it is too late to treat them. Therefore, identifying symptoms is the first step in diagnosing diseases in general. To do this, it is necessary at least once a year to be examined by a doctor , in order not only to prevent a terrible disease, but also to maintain a healthy state of all internal organs and systems.

If you want to ask a question to our specialists – use the section of the online consultation. You will also find answers to frequently asked questions there. If you are interested in reviews about visiting our centers, there is a special Reviews section for you, where you can also help other patients and leave your message after visiting our centers. We will be grateful to you!

90,000 Chest pain as a symptom of other diseases: which doctor to contact

Chest pain can be a symptom of dozens of diseases associated with the heart, stomach, lungs, musculoskeletal and neurological problems.Some situations require urgent medical attention, others do not need treatment. But only a specialist after a comprehensive diagnosis can determine the danger of the cause of painful sensations. For any chest pain, contact the NeoMed diagnostic center in Anapa. Here, the source of the anxiety will be determined and a treatment plan will be drawn up.

What can chest pain

Chest pain is familiar to people of all ages. Painful sensations arise in the middle of the chest, on the left, on the right, in the lower or upper part.They are aching, burning, sharp, growing. They last for several minutes or for a long time, they return periodically, accompanying some specific actions: coughing, inhaling, increased stress.

Inside the thorax are large vessels, heart, lungs, esophagus, muscles and ligaments. All this can cause pain of a different nature.

It is accepted to classify two types of chest pains :

  1. Vertebrogenic – associated with pathology of the spine.
  2. Nonvertebrogenic – caused by diseases of blood vessels and internal organs, as well as psychogenic in nature.

But it is often very difficult to determine what exactly hurts and where in the chest. After all, pain can occur near the problem area from pinched nerves or an inflammatory process, be irradiating or wander.

Causes of chest pain

Although chest pain is not always due to heart problems, these problems can rightly be put in the first place.

The nature of the pain in heart disease :

  • Angina pectoris – of a compressive nature, radiating to the shoulder, occurs when the load increases, for example, when walking fast or climbing stairs.
  • Heart attack – prolonged (more than 20 min.) Intense pain in the chest of a pressing character, shortness of breath, fear of death. Urgent help is required.
  • Myocarditis – not strong, but pressing, combined with an accelerated heartbeat.
  • Pericarditis – acute, exacerbated by horizontal position of the body.
  • Cardiomyopathy – Moderate, appears after exercise and eating.

Heart pains are usually difficult to localize; in cases of slowly progressive diseases, they are intermittent.

Problems of the respiratory system cause chest pain of various types:

  • Bronchitis – tense, aggravated by coughing.
  • Pulmonary embolism – acute, similar to a heart attack, urgent medical attention required.
  • Lung collapse – accompanied by severe shortness of breath.
  • Pneumonia – stabbing, aggravated by inhalation.
  • Pleurisy – accompanies each breath, becomes even more noticeable when coughing.
  • COPD – pressing with wheezing and coughing.
  • Lung cancer – irregular, may be accompanied by sputum cough and hemoptysis.

It is important to know that there are no pain receptors in the lungs, therefore the muscles in the chest hurt from tension or in case of an inflammatory process.Sensations can be localized in the middle or intensified by inflammation.

Causes and types of pain in the chest with problems with the digestive system :

  • Disorders of the esophagus – appear during swallowing.
  • Diseases of the gallbladder and pancreas – accompanied by painful sensations in the upper abdomen.
  • Gastroesophageal reflux – accompanied by heartburn: burning behind the breastbone.
  • Gastritis, stomach ulcer – aching dull pains on the left under the ribs or on the left in the sternum.

Musculoskeletal pains in the chest area cause rib injuries, scoliosis, cartilage diseases, thoracic osteochondrosis, the symptoms of which are very similar to a heart attack. A pinched nerve is accompanied by numbness in the problem area. Muscle dull pains of an unknown nature can disturb for a long period of time. They are safe, but it is important to rule out life-threatening causes.

Pain in the chest also with panic attacks and intercostal neuralgia, which is characterized by pinching sensations in the middle of the sternum.In women, diseases of the mammary glands and cyclical changes in hormonal levels can provoke painful conditions.

Which doctor to contact for diagnosis

A variety of reasons make it difficult to diagnose, but with recurrent or long-term disturbing pains, it is important to establish their true cause. Taking painkillers can only aggravate the situation, because chest pain is only a symptom, behind which is some kind of process that destroys the body.

Since there are many diseases, it is best to see a therapist first.After hearing the complaints, he will prescribe preliminary studies: a blood test, ECG, fluorography (X-ray), if necessary, a CT scan of the chest, will refer to narrow specialists for a more detailed examination. You may need to do ultrasound, gastroscopy, bronchoscopy, mammography (for women).

If you are concerned about chest pains or other discomfort in the chest, come for a consultation at the NeoMed Medical Center in Anapa. A team of specialists and modern equipment is a guarantee that the diagnosis will be made with maximum accuracy.

Tactics of behavior in case of chest pain and risk factors for the development of myocardial infarction – Prevention of diseases and healthy lifestyle – Budgetary institution of the Khanty-Mansiysk Autonomous Okrug – Ugra

The most common cause of chest pain is angina pectoris or angina pectoris.

Angina pectoris is one of the forms of coronary heart disease (CHD), the clear signs of which are considered to be pain in the region of the heart and shortness of breath. This pathology occurs against the background of a violation of the supply of the heart with a sufficient amount of blood, which is a consequence of damage to the coronary arteries by atherosclerosis.

Since this pathology is one of the forms of ischemic heart disease, if it is present, there is an obstruction in one or both coronary arteries, which prevents blood from circulating normally. This condition is accompanied by attacks of myocardial ischemia, that is, a lack of oxygen in the heart muscle.

The most obvious sign indicating the development of angina pectoris is the so-called imbalance between the oxygen demand of the heart muscle and the supply of oxygen to the heart region.Simply put, the patient’s heart receives much less blood than he needs.

Lack of oxygen makes itself felt at the moment of physical activity – that is why patients with this pathology develop seizures during physical work or under the influence of a stressful situation.

Painful sensations resemble seizures. The pain during such attacks is simply unbearable – it seems to burn, press and squeeze, arises in the area behind the sternum and radiates to the left shoulder or to the entire arm.Very often, pain is also accompanied by strong anxiety, and fear : a person is trying to find a place for himself, he clings to his left chest and cannot fully understand what is happening.

In the case of the initial forms of the development of the disease, the pain sensations recede within one to five minutes after taking the drug. If the pain does not disappear after this period of time, then this is a signal that the disease has acquired a more severe course, and, therefore, there are great chances of developing myocardial infarction.

In most cases, just one Nitroglycerin tablet helps to forget about pain. If one pill is not enough to get rid of pain, it means that the risk of developing myocardial infarction is on the face.

At the first manifestations of chest pain, you should immediately consult a doctor. One should not think that young age excludes the possibility of angina pectoris, or that a burning sensation behind the breastbone when running or walking fast uphill cannot be a sign of “angina pectoris” in a person involved in sports.

During an attack, the following measures are recommended for the urgent elimination of pain:

  • Create physical and psycho-emotional rest for the patient: lie down, sit down, or stop if chest pains appear during the exercise;
  • , you urgently need to take 1 nitroglycerin tablet under the tongue. The analgesic effect of nitroglycerin usually occurs within 1-5 minutes. To stop the attack, 1-2 tablets of nitroglycerin are enough.
  • If the attack is prolonged (lasts 15-20 minutes) and repeated nitroglycerin administrations were ineffective, you must immediately call an ambulance.

No need to self-medicate. If you do not consult a doctor in a timely manner and do not start the prescribed treatment, the disease progresses.

In conditions of “oxygen starvation” with pain, myocardial cells can live for 20-30 minutes . Then they die. This is a heart attack, a site of necrosis in the tissue of the heart. A scar remains on the affected area.

There are risk factors for the development of myocardial infarction , the elimination of which significantly reduces the risk of its development: smoking, high levels of low-density lipoprotein cholesterol and hypercholesterolemia, arterial hypertension.

In case of the first appearance of chest pain or shortness of breath with loads that were previously well tolerated, it is necessary to urgently consult a cardiologist. In the District Cardiological Dispensary, there is the whole range of diagnostic procedures necessary in this case: all the methods for diagnosing coronary heart disease known today, both carried out on an outpatient basis and in a hospital.

Experienced cardiologists of the District Cardiological Dispensary assess the patient’s condition and decide where to carry out examinations.In some cases of severe manifestation of the disease or ineffectiveness of drug treatment, cardiologists organize hospitalization of patients in a specialized department, which is also located in the cardiology center. Thus, patients receive the whole range of diagnostic and therapeutic measures in one center, which is an exclusive offer in the city of Surgut.

A.A. Seitov, cardiologist, head of the department of emergency cardiology, BU KhMAO-Yugra “OKD” CD and SSH “

90,000 Chest pain.What to do?

Chest pain can be caused by a variety of causes, and although it is most commonly associated with heart disease, many people underestimate the danger of this symptom. What can cause chest discomfort and when should an ambulance be called immediately?

What diseases can cause chest pain?

– angina pectoris

– heart attack

– heartburn

– chest contusion

– rib fracture

– increased anxiety or panic disorder

– asthma, bronchitis, pneumonia

– peptic ulcer

– spasm of the coronary arteries

– aortic dissection

When is chest pain a reason to urgently call an ambulance?

There is virtually no relationship between the severity and duration of chest pain and the risk of illness it may accompany.Even minor discomfort behind the breastbone can be a symptom of heart vascular disease. Therefore, the most correct decision is to urgently consult a doctor for any alarming sensations in the chest. And the symptoms listed below will help you make the right decision when helping another person.

So, the emergency number should be dialed if:

– A person over 40 years old and has one or more risk factors for heart disease: a family history of heart attacks and strokes, smoking, obesity, a sedentary lifestyle, high cholesterol, diabetes.

– A person of any age has already been diagnosed with cardiovascular disease.

– The pain is in the nature of severe compression, heaviness in the chest, making it difficult to breathe or very sharp.

– The pain is accompanied by nausea, weakness, shortness of breath, sweating, pallor, dizziness, or fainting.

– Chest pain radiates (radiates) to the shoulder, arm or jaw.

– Painful sensations are much more acute than those that have ever been experienced in this part of the body.

– Pain causes increased anxiety, fear, a sense of doom.

– The pain does not subside after 15-20 minutes.

– The pain is constantly increasing.

If you find at least one of the above signs in yourself or another person, you must immediately call an ambulance.

Chest pain is unlikely to be a serious hazard and is a symptom of heart disease if:

– Pain is guaranteed to go away with a change in body position.

– The painful sensation lasted for a couple of seconds and disappeared without a trace.

– The pain is caused by an injury that has just occurred.

If the ambulance team suspects you have heart disease, do not refuse hospitalization and do not ask for treatment at home.

Remember that the speed of diagnosis of a heart attack and the immediate start of its treatment can save lives and protect a person from disability. A timely diagnosis of angina pectoris allows rapid and aggressive treatment to begin and to avoid further damage to the heart muscle.

Take care of yourself and be healthy!

*****

90,000 Heart anxiety / For a healthy lifestyle! / Articles / Center for Contemporary Cardiology

Very often people complain of pain in the heart, but it turns out that the stomach hurts, suffering from osteochondrosis or stress has led to the development of depression. And the development of a heart attack is not recognized, they are attributed to the same stomach, osteochondrosis or even toothache.How to figure it out?

Let’s try to help.

“Angina pectoris”. So called in the old days that disease, which we now call angina pectoris. A heart attack usually begins with pressing or burning pain in the center of the chest (doctors say “behind the breastbone”) during exertion or stress, although it can develop at rest.

The pain is quite intense, it can radiate to the lower jaw, shoulders and arms (more often to the left, but possibly both), to the neck, throat and back.Sometimes it disguises itself as breaking pain in the same areas or pain in the stomach (upper abdomen – epigastrium), imitating an upset bowel.

The pain goes away at rest in a few minutes, and if you put a nitroglycerin tablet under your tongue (or spray a spray containing nitroglycerin) – almost instantly. Ask a question to the cardiologist.

If such pain lasts longer than 20-30 minutes and its intensity increases, the development of a heart attack is not excluded.Timely assistance significantly reduces the risk of dying from a heart attack, so you need to call an ambulance as soon as possible. Registration of an ECG in case of a heart attack almost always helps to make a diagnosis. Sign up for an ECG.

“The heart attack is canceled.” Very often, young women come to the doctor with complaints of pain in the heart. How could it be otherwise, because through the heart we pass all our troubles, worries and joys. In this case, as a rule, there is no cause for alarm.

In young women, “pain in the heart” is often of a functional nature, that is, angina pectoris is not the cause. Female sex hormones protect blood vessels from the formation of atherosclerotic plaques. And if you look, “heart” pains bother women not in the area where the “angina pectoris” likes to settle, but in the left half of the chest, in the axillary region or under the left breast gland. They wear, as a rule, the character of discomfort, stitching or aching pain, and can last from half an hour to several hours or even days.

Similar sensations arise for various reasons. Stress, lack of sleep, overwork, premenstrual period … and as a result, anxiety or depressive disorder. Skeletal muscles are tense, on the shoulders they are compacted into painful lumps – “lumps of nerves”! Sometimes a short but good rest and pleasant emotions are enough.

In more serious cases, you have to seek help from a neuropathologist , a psychotherapist. Remember: the longer the depression lasts, the more difficult it is for the doctor to completely relieve you of discomfort, sleep disturbances and bad mood.However, in addition to stress, other causes can lead to pain in the “heart area”.

“Bouquet of diseases”. Osteochondrosis, a disease of sedentary people, leads to pinched nerve roots and the development of pain. If the thoracic spine is involved, then it is the heart that falls under the patient’s suspicion – it pricks and pierces, lies on the chest with a lump or a stone, grabs with breaths and sharp turns of the body, whines for hours.

If such sensations arise with strong excitement, then a complete impression of a heart attack can be formed.But the real cause of pain in this case is the tension in the muscles of the neck and back. Unlike an attack of angina pectoris, which is quickly relieved by nitroglycerin, pain relievers, massage, kneading the back with hydro-massage jets, shock wave therapy can help. On examination, changes in the vertebrae may be found on an x-ray of the spine. But the ECG, even at the time of the most intense neuralgic pain, will be normal. Ask a question to a neurologist.

Chest pain may appear during a cold if it is complicated by bronchitis.A cough can add unpleasant sensations, since on the second day of a hacking cough, in addition to the bronchi, the pectoral muscles will be added to the pain. If the cold is complicated by pneumonia and pleurisy, then with a deep inhalation and exhalation, you can notice changes in pain. The pain increases with inhalation, when the lungs expand and “rub” against the inflamed pleura, and decreases with exhalation.

The doctor will recommend an X-ray of the lungs, listen to wheezing in the lungs with a phonendoscope.

Do not forget about the stomach, pancreas and gall bladder.A common cause of chest pain is intercostal neuralgia, herpes zoster, and in women, mastopathy.

Regular palpation of the mammary glands must be carried out by women after 30-35 years old, and if there is pain or seals, consult a doctor, who will certainly send for an ultrasound of the mammary glands and mammography.

Gender matters, since it is in women that “heart pain” during examination turns out to be a mask of other diseases, and in men over 40, any “gastritis, an attack of osteochondrosis or a sore tooth” may be a newly developed heart attack.A timely visit to a doctor is necessary if the heart is at risk. Make an appointment with a doctor.

On the other hand, all chest pains should not be “blamed” on a poor heart either.

Let’s try to understand, analyze our feelings and try to distinguish the attack that can threaten health from functional pain.