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25 Causes of Chest Pain Symptoms Treatment Preventions

November 30, 2021

Chest pain can manifest itself in a variety of ways, ranging from acute stabbing pain to a dull aching. Chest discomfort might feel crushing or searing at times. The pain may progress up the neck, into the jaw, and then spread to the back or down one or both arms in certain situations.

Chest pain can be caused by a variety of issues. The most dangerous causes involve the heart or lungs. Because chest pain might signify a major condition, it's critical to get medical attention right away.

25 Causes of Chest Pain Symptoms Treatment Preventions

Causes of Chest Pain:

  1. Injured ribs:

Rib injuries, such as bruising, breaks, and fractures, can result in chest discomfort. If a person has a fractured rib, they may have heard a snap or felt excruciating pain at the time of the accident.

2. Gastroesophageal reflux disease (GERD):

 GERD occurs when stomach acid flows back into the tube that connects your mouth and stomach(esophagus). Acid reflux (backwash) can irritate your esophageal lining.

Many people experience acid reflux on a regular basis. Mild acid reflux happening at least twice a week or moderate to severe acid reflux occurring at least once a week is characterized as GERD.

3. Collapsed lung:

When air accumulates between the lungs and the ribs, a lung might collapse, producing abrupt chest discomfort when breathing.

4. Esophageal contraction disorders:

These are spasms or contractions in the food pipe. These conditions might also induce chest discomfort.

5. Esophageal rupture:

If the food pipe ruptures, it can cause severe chest discomfort. An esophageal rupture can occur as a result of severe vomiting or esophageal surgery.

6. Angina:

Angina is a word used to describe chest discomfort produced by a lack of blood flow to the heart. This is frequently caused by the formation of thick plaques on the inner walls of the arteries that transport blood to the heart. These plaques constrict the arteries and limit blood flow to the heart, especially during exercise.

7. Pericarditis:

Pericarditis is an inflammation and irritation of the thin, sac-like tissue that surrounds your heart (pericardium). Sharp chest discomfort is a common sign of pericarditis, as are other symptoms. The pericardium's inflamed layers press against one other, causing chest discomfort.

8. Aortic dissection:

This potentially fatal disease affects the major artery coming from your heart (aorta). When the inner layers of this blood artery split, blood is pushed between them, causing the aorta to burst.

9. Mitral valve prolapse:

Symptoms of mitral valve prolapse include chest discomfort, palpitations, and dizziness, which occurs when a valve in the heart is unable to shut completely.

10. Hiatal hernia:

A hiatal hernia occurs when a portion of the stomach pushes up into the chest. This form of hernia is quite prevalent and may go undetected. After eating, however, if the top of the stomach presses towards the lower region of the chest, it can induce GERD symptoms such as heartburn and chest discomfort.

11. Pulmonary embolism:

A pulmonary embolism occurs when a blood clot becomes lodged in an artery that supplies blood to the lungs. It might cause chest discomfort, trouble breathing, and bloody coughing. If not treated quickly, pulmonary embolisms can be fatal.

12. Heart attack:

One of the five primary signs of a heart attack is chest discomfort. The others are:

  • Jaw discomfort
  • Neck or back pain
  • Light-headedness
  • Weakness
  • Breathing difficulty

Women suffering from a heart attack may also experience fatigue, nausea, or vomiting.

If a person suspects they are suffering a heart attack, they should seek emergency medical attention. The sooner a person arrives at the ER, the sooner treatment may begin.

Getting therapy as soon as possible improves a person's chances of survival and may decrease the severity of cardiac damage.

13. Pulmonary hypertension:

This disorder happens when the arteries delivering blood to the lungs have excessive blood pressure, causing chest discomfort.

14. Myocarditis:

Myocarditis occurs when the heart gets inflamed, causing symptoms comparable to a heart attack, such as chest discomfort, fever, breathing difficulties, tiredness, and an increased pulse.

15. Panic attack:

You may be having a panic attack if you have moments of great anxiety followed by chest discomfort, a fast heartbeat, rapid breathing, excessive perspiration, shortness of breath, nausea, dizziness, and a dread of death.

16. Pleurisy:

When the membrane that protects your lungs becomes inflamed, it can produce chest discomfort that intensifies with inhalation or coughing.

17. Tuberculosis:

Tuberculosis germs in the lungs can produce symptoms such as a persistent cough, coughing up blood or phlegm, or chest discomfort.

18. Muscle strain:

Inflammation of the muscles and tendons around the ribs can cause chronic chest discomfort.

19. Shingles:

Shingles are caused by a reactivation of the chickenpox virus and can cause discomfort and a ring of blisters from your back to your chest wall.

20. Peptic ulcers:

Peptic ulcers are lesions in the stomach lining that typically do not cause severe discomfort. They can, however, cause recurrent pain in the chest.

Antacids, which may be purchased online and at pharmacies, can generally reduce the discomfort produced by peptic ulcers.

21. Asthma:

Asthma is a common respiratory condition characterized by airway inflammation, which can cause chest discomfort. Shortness of breath, coughing, and wheezing are also symptoms.

22. Costochondritis:

This ailment causes inflammation and discomfort in the cartilage of your rib cage, particularly the cartilage that connects your ribs to your breastbone.

23. Esophageal hypersensitivity:

Changes in food pipe pressure or the presence of acid might cause significant discomfort. Experts are now unsure of what causes this sensitivity.

24. Pancreatitis:

A discomfort in the lower chest that is exacerbated by lying down flat is an uncommon sign of pancreatitis.

25. Bronchitis:

Bronchitis develops when the bronchioles (air-carrying tubes in the lungs) become inflamed and produce an excessive amount of mucus. Bronchitis is classified into two types:

Chronic bronchitis is defined as a cough that produces sputum for at least three months out of the year for at least two years. Coughing and inflammation may be induced by an initial respiratory infection or sickness, as well as exposure to cigarette smoke or other irritating airborne chemicals. Chronic bronchitis can induce airflow restriction and is thus classified as a chronic obstructive pulmonary disease (COPD).

Acute bronchitis is more prevalent and is generally caused by a viral infection. Smoking has been linked to and exacerbated episodes of acute bronchitis. Acute bronchitis can last 10 to 14 days, with symptoms lasting up to three weeks.

When to consult a doctor:

It is generally recommended to see a doctor if chest discomfort occurs abruptly, especially if anti-inflammatory medications do not alleviate the symptoms of the condition. Anyone who is suffering pain in the chest. and difficulty breathing should seek medical treatment as soon as it is possible.

If you have a crushing feeling on your breastbone, chest discomfort that spreads to your jaw and left arm or back, and dizziness, you should seek medical treatment right away. An accelerated heartbeat and rapid breathing are other signs that you should seek medical attention right away.

Diagnosis:

The source of the pain must be identified before medical therapy can begin. You may be subjected to a battery of tests, including:

  • Electrocardiogram (ECG) - an electrical recording of cardiac activity.
  • Blood tests are used to detect markers from the heart and other organs.
  • A chest x-ray is used to examine the lungs, heart, and main blood arteries in the chest.

If your doctor suspects you have angina, he or she may request further tests to examine the condition of the blood arteries that supply your heart. They may also schedule an activity stress test (on a treadmill or exercise bike) or other tests, such as angiography or CT scan of your chest.

It is not always straightforward to determine what is causing chest discomfort. To be sure, your doctor may need to visit you more than once, and other tests may be required, or you may be sent to a cardiologist.

Treatment of:

Medications:

Among the medications used to treat some of the most prevalent causes of chest discomfort are:

  • Artery relaxers: Nitroglycerin, which is often administered as a pill under the tongue, relaxes heart arteries, allowing blood to flow more freely through the constricted gaps. Some blood pressure medications relax and expand blood arteries as well.
  • Aspirin: If physicians think that your chest discomfort is caused by a heart condition, you will most likely be prescribed aspirin.
  • Thrombolytic medications: If you have a heart attack, you may be given these clot-busting medications. These remove the clot that is preventing blood from reaching your heart muscle.
  • Blood thinners: If you have a clot in an artery that feeds your heart or lungs, you will be given medicines that suppress blood clotting to prevent further clot development.
  • Medication that reduces acid production: If your chest discomfort is caused by stomach acid pouring into your esophagus, your doctor may recommend acid-reducing medicines.
  • Antidepressants: If you're having panic attacks, your doctor may prescribe antidepressants to help you manage your symptoms. Psychological therapy, such as cognitive-behavioral therapy, may also be advised.

Surgical and non-surgical procedures for :

Angioplasty and stent placement are two procedures used to address some of the most severe causes of chest discomfort. If a blockage in an artery supplying your heart is causing your chest discomfort, your doctor will place a catheter with a balloon on the end into a major blood vessel in your groin and thread it up to the obstruction. To enlarge the artery, your doctor will inflate the balloon tip, then deflate it and remove the catheter. In most situations, a tiny wire mesh tube (stent) is inserted on the exterior of the catheter's balloon tip. When the stent is enlarged, it locks into place to keep the artery open.

Bypass surgery: During this surgery, doctors utilize a blood vessel from another area of your body to create an alternate channel for blood to get around the blocked artery.

Dissection repair: An aortic dissection, a potentially fatal disease in which the artery that transports blood from your heart to the rest of your body ruptures, may necessitate immediate surgery.

Lung reinflation: If your lung has collapsed, physicians may put a tube into your chest to reinflate it.

Prevention and Home Remedies for Chest Pain:

You can try a variety of home remedies to relieve mild chest discomfort at home. These treatments should only be taken if you are convinced that your chest discomfort is not the result of something more serious, such as angina (heart pain). Home treatments for mild chest discomfort caused by intestinal problems or muscular tension include:

Heartburn Relief with Baking Soda:

Many people believe that baking soda (sodium bicarbonate) is effective in alleviating heartburn. Consume 1/2 teaspoon baking soda mixed with 4 ounces of warm or cold water on an empty stomach. Baking soda neutralizes acid and may be beneficial in reducing heartburn after a meal.

The Use of Cold Packs to Relieve Muscle Pain:

In most cases, a strain of the chest muscles is the root cause of pain. A cold pack applied to the chest many times a day may be beneficial if you are experiencing chest discomfort as a consequence of a muscle strain or an accident. The use of cold packs has been shown to help alleviate chest discomfort and may reduce the need for painkillers medicines such as ibuprofen and acetaminophen, according to studies.

Ginger for Gastric Discomfort:

Ginger's anti-inflammatory properties may be beneficial if you are having pain in the chest. as a result of gastrointestinal problems. Ginger is a popular home treatment for stomach problems such as gas, bloating, gastritis, ulcers, and indigestion.

Turmeric for Inflammation:

Inflammation may create a variety of problems in the body and is linked to a variety of illnesses and chronic disorders, including gastrointestinal difficulties. Turmeric, a ginger-related plant, is a spice derived from the roots of turmeric plants.

Abdur Rashid
Medically Reviewed By Abdur Rashid
MSC Public Health, MCSP, MHCPC
BSC (Hon) Physiotherapy
Consultant Neuro-spinal & Musculoskeletal Physiotherapist

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