Skip to main content

Severe Pain in Chest. What are the Causes?

severe chest pain-causes of chest pain Chest pain is one of the most common problems which a common man may experience. It could be as serious as myocardial infarction ( to understand heart attack in simple language click here) or just muscular pain.
Chest pain may occur due to the pathology of structures present on and inside the chest.
The chest is composed of skin, muscles, ribcage and important organs present inside the rib cage.
Following important organs are present inside the chest cavity, and any damage to these organs may give rise to chest pain.
- Intercostal Muscles,
- Heart
- Lungs
- Blood vessels
- Oesophagus
- Nerves
- Bones and Joints.
- Breasts
- Lymph nodes
The following structures are not present in the chest cavity but are covered by the ribcage.
- The upper end of the stomach
- liver
Now any abnormality or disease of the above structure can cause chest pain.
Severe and localized chest pain, in which the patient can tell the exact location of the pain is mostly muscular in origin, which resolves spontaneously after some time,
Squeezing, tight, and heavy and uncomfortable feeling can occur due to cardiac (heart) disease or stomach or oesophagal ulcers.
The burning feeling is mostly due to the reflex of acidic stomach contents into the oesophagus.
Whenever a patient comes to you with chest pain, exclude the following causes of chest pain by asking relevant questions.

Cardiac Causes of Chest Pain.

Angina Pericarditis
Myocardial Infarction Hypertrophic Cardiomyopathy
Aortic Stenosis Myocarditis

Pulmonary Causes of Chest Pain.

- Pleuritis
- Pneumonia (lung infection) ( see an article on Pneumonia )
- Pneumothorax

Musculoskeletal Causes of Chest Pain

- Cervical Disc Disease
- Costochondritis
- Arthritis of Shoulder or spine.

Vascular Causes of Chest Pain

- Pulmonary embolism ( pulmonary embolism causes )
- Aortic Dissection

Gastrointestinal Causes of Chest Pain

- Reflux esophagitis
- Esophageal Spasm (see article on reflux esophagitis)
- Peptic Ulcer ( see an article on peptic ulcer )

Other Causes of Chest Pain

- Disorders of Breast
- Herpes Zoster
- Emotional
So whenever a patient comes to you with chest pain, think about the above causes, there is a specific history of each cause,  for example, chest infections are associated with cough with yellow sputum, cardiac pain is usually associated with, dyspnea, sweating, vomiting and oedema, Musculoskeletal pain is localized patient can tell you the exact location of pain. gastrointestinal pain is usually associated with food intake and bitter taste in mouth. Aortic dissection gives unequal radial pulses.


Popular posts from this blog

Human Parasites, Types of Parasites, and Classification

Parasite: A parasite is a living organism which gets nutrition and protection from another organism where it lives. Parasites enter into the human body through mouth, skin and genitalia. In this article, we will generally discuss the types and classification of parasites. It is important from an academic point of view. Those parasites are harmful, which derives their nutrition and other benefits from the host and host get nothing in return but suffers from some injury. Types of Parasites Ecto-parasite: An ectoparasite lives outside on the surface of the body of the host. Endo-parasite: An endo-parasite lives inside the body of the host, it lives in the blood, tissues, body cavities, digestive tract or other organs. Temporary parasite: A temporary parasite visits its host for a short period of time. Permanent parasite: Permanent parasite lives its whole life in the host. Facultative parasite: A facultative parasite can live both independently and dependently. It lives in the

How to taper off, wean off beta blocker, atenolol, Propranolol, Metoprolol

Beta blockers include, atenolol (Tenormin), propranolol (Inderal ) and metoprolol (Lopressor) and are used to treat high blood pressure, certain cardiac problems, migraine and few other conditions. People usually take atenolol, propranolol or metoprolol for many years as a treatment of high blood pressure or after having an episode of heart attack . Sometimes, it becomes necessary to withdraw these beta blockers due to their potential side effects that trouble the patients or sometimes doctor wants to change the drug and shift the patient to some other anti-hypertensive medicine. No matter whatever the cause is, whenever, a patient who has been using a beta blocker for a long period of time, and he needs to be stopped from further usage of that beta blocker, must not stop taking it. One should taper off the dose of a beta blocker. Now a question arises how to wean off or taper off a beta blocker? The method of tapering off beta blocker varies from individual to individual. Allow you