The chest hurts in the middle of the cause. Heart pain: when inhaling, sharp, pressing, aching, stabbing, how to distinguish from non-cardiac

Sometimes women experience pain in the chest. They are called mastalgia. In most cases, these sensations are characterized as tingling. Moreover, they can be both a sign of a serious illness, and normal.

Tingling in the chest in women - the main causes

In some situations, this symptom is harmless and does not require treatment. Pain can be caused natural processes in female body. Many girls note such complaints on the eve of menstruation. Most often, this phenomenon is regular. This is the most common reason that causes such a delicate problem.

There are also tingling in the mammary glands during pregnancy, in preparation for feeding. During this period, the milk ducts change, which leads to new sensations. They do not pose a danger to the health of the girl. But if a pregnant woman is worried, then she can ask questions to her doctor, who will give her exhaustive explanations.

tingling in mammary gland during lactation is the norm and should not cause alarm. This is the process of milk formation. But if a young mother found seals in her chest, and the pain is strong enough, then you definitely need to visit a specialist.

In many situations this symptom may indicate a number of diseases. Moreover, they can affect not only the mammary glands, but also other body systems. Diseases that manifest themselves in this way include:

• thyroid pathology;
• neoplasms in the breast (benign and malignant);
• cysts sebaceous glands;
• heart diseases;
• spinal pathology.

Obviously, there are many reasons for tingling in the breast, and not all of them are harmless. Some require serious medical attention. Such conditions should be diagnosed as soon as possible. faster, and do not let them drift.

If a girl notes that light tingling in her chest is cyclical and depends on critical days, then she should consult a mammologist. He will inspect and help you sort out the problem. This may require a mammogram, breast ultrasound, some tests.

If there is no dependence of painful sensations on menstruation, then it is better to make an appointment with a therapist. The doctor can refer to the cardiogram, x-ray of some parts of the spine, ultrasound of the heart and thyroid gland.

The causes of pain in the sternum on the left can be various factors that are provoked various diseases. Pain in the left side of the chest is felt at least once in a lifetime by every person. Such symptoms do not have sex and age differences, affecting men and women, both old and young. People react in the same way: they begin to worry, because problems can concern the heart.

Issues of etiology

Pain is of a different nature:

1. 1. People have pain under the chest, cuts, ache, burns or pierces on the left side.
2. 2. The intensity of manifestations in men and women can vary from mild to severe pain, periodic and constant.
3. 3. Gives to different parts of the body. Usually pricks under the shoulder blade, in the region of the heart, abdominal cavity, jaw, neck, upper limb or shoulder.
4. 4. Soreness can change location when inhaling, changing posture, performing hand movements.

The causes of such symptoms may be diseases:

1. 1. Digestive tract.
2. 2. Thoracic spine.
3. 3. Heart, especially angina pectoris and heart attack, lesions of the membranes and cardiac tissues.
4. 4. Lesions of a rheumatic nature.
5. 5. Neurological diseases.
6. 6. Lesions of the ribs.

Why does it hurt in the heart area? Pain in the region of the left sternum is associated with the heart, and this is precisely the reason for contacting cardiologists to explain what this or that symptom means.

Doctors divide heart pain into 2 large groups:

1. 1. Anginal, which are associated with coronary disease.
2. 2. Cardialgia due to inflammatory diseases hearts, congenital pathologies, vegetative-vascular dystonia.

Ischemic and angina pectoris, severe or mild chest pain occurs when a person experiences emotional stress, stress, increased pressure or blood flow. They manifest themselves during movement, emotional disorders, exit from a state of rest, and proceed in the form of seizures.

Pain differs in character:

• burning;
• pressing;
• compressive.

Localized in the left shoulder, arm, behind the sternum, mandible accompanied by shortness of breath. If the pain is strong and pressing, gives to the sternum, then this is a sign of a heart attack. It is urgent to call an ambulance or take the patient to the hospital, since the pain cannot be removed with nitroglycerin preparations.

The cardiological group of heart pain manifests itself in diseases such as:

1. 1. Rheumatic pathologies.
2. 2. Myocarditis.
3. 3. Pericarditis.

They have a aching, stabbing long-term character. The pain is localized to the left of the sternum, becoming stronger with coughing or sighing. Eliminate for a short time can be painkillers, but not Nitroglycerin.

Other reasons. Factors that provoke pain in the region of the heart are also caused by other diseases, not only heart ones. You can classify according to the manifestations and intensity of pain:

1. 1. When turning the body or tilting, moving the arms, breathing, very painful - this is a symptom of the development of thoracic sciatica, costal cartilage.
2. 2. During movement, severe pain appears that affects the intercostal space, which indicates the activation of the shingles virus in the human body. If, when walking, there is a slight or periodic soreness, then this is evidence of the onset of a neurosis.
3. 3. Depression or stress provokes pain that radiates to the neck and shoulder.
4. 4. Shortness of breath occurs due to problems with the gastrointestinal tract when there is pressure on the heart, especially after eating. Pathologies are especially distinguished small intestine, stomach ulcers, gastritis, dyspepsia, accompanied by nausea and pain, the development of a hernia of the esophagus, the formation of oncological growths that occur in the gastrointestinal tract.
5. 5. Shortness of breath and pain can be triggered by pinching of the heart nerve, curvature of the spine, the development of osteochondrosis.
6. 6. Problems with the spleen, its inflammation or pathology provoke a heart attack. This should include an abscess, a spleen cyst, its injuries, rupture, twisting of the leg, the development of infectious mononucleosis. These processes can result in a heart attack, ischemic disease hearts.
7. 7. Problems with the bronchi and lungs, among which pneumonia and left-sided pleurisy stand out. Their symptoms include dull, mild pain in the side, back, chest.
8. 8. Oncological diseases of the mammary glands, or the occurrence of a cyst, abscess, fibroadenoma there.

Diagnostic methods

It is necessary to clarify the initial diagnosis, which the doctor puts on the basis of symptoms and clinical manifestations. Therefore, you need to undergo a special diagnosis, which is prescribed by a cardiologist or a cardiac surgeon. Traditional methods surveys are:

1. 1. Passage of the electrocardiogram.
2. 2. Passing a stress ECG or bicycle ergometry.
3. 3. Holter monitoring electrocardiogram, which is carried out within 24 hours.
4. 4. Phonocardiographic method aimed at detecting heart murmurs.
5. 5. Echocardiography - performed using ultrasound to understand the state of the heart muscles, valves, their structure, the movement of blood through the cavities.
6. 6. Coronary angiography - the state of the coronary arteries.
7. 7. Myocardial scintigraphy - features of the blood supply to the muscles of the heart.

In order to exclude the causes of pain that may not be caused by heart disease, a CT scan, X-ray, MRI of the spine is prescribed. Additionally, visits to such doctors as:

1. 1. Medical psychologist.
2. 2. Gastroenterologist.
3. 3. Neurologist.
4. 4. Orthopedist.

Doctors found that if a person describes his condition in detail, then the causes of pain are of non-cardiac origin. This gives reason to look for diseases outside the heart. A stingy description of symptoms and manifestations, on the contrary, evidence of the appearance serious illnesses hearts.

This sensation is only a symptom, which may indicate the presence of a number of diseases. These can be very serious illnesses or the simplest ailments that provoke colitis. The causes that cause it range from myocardial infarction to a pinched nerve. If you suddenly feel chest pain, you should assess its severity as soon as possible.

Causes of the development of colitis in the chest with a sigh

Colitis can present in a variety of ways different reasons. Pain can appear unexpectedly. The duration of pain also varies from a few seconds to weeks. When you breathe in, you may feel choking, pressure, numbness, or other uncomfortable feeling in your chest. The cause of colic can also be associated with pain in the throat, hands or head.

The causes of the disease can be:

inflammation of the pleura;

inflammation of the walls of the heart;

rupture of a cyst in the tissues of the lungs;

inflammation of the cartilage in the ribs;

rib fractures;

pressure on the intercostal nerves.

Most serious reasons colic when inhaling:

Angina pectoris manifests itself in the form of an uncomfortable sensation (pressure, pulling feeling), which is caused by a lack of oxygen in the heart muscle. As a rule, atherosclerosis leads to this.

With myocardial infarction, colitis is localized in the chest on the left. Feelings are similar to angina pectoris, only brighter and longer expressed.

Pneumonia gives fever and colic in the chest, which is caused by irritation and inflammation of the pleura.

Inflammation of the pleura, accompanied by cough and colitis with deep breathing, is called pleurisy.

Diagnosis of colic in the chest

When examining a patient, the doctor first of all tries to find out the seriousness of the cause, causing pain in the chest. Correct diagnosis is of great importance in order to provide the patient with needed help. In order to correctly be able to assess the degree and severity of pain, some nuances should be taken into account:

colitis can be caused by any located organ (heart, lungs, muscles, bones, esophagus);

there is a complex arrangement of nerves and muscles in the chest, so that pain can also occur for other reasons or in another part of the body;

organs that are located in the abdominal cavity can also cause pain in the chest.

Medical treatment for colitis in the chest

Basic principles of medical tactics:

With any nature of the pain syndrome, an electrocardiographic study is performed to exclude the most formidable pathology - acute myocardial infarction.

"Doubtful" patients over the age of 40 - 50 years with intense chest pain (even if it is atypical for angina pectoris), it is advisable to hospitalize them until the diagnosis is clarified, where they must be treated as patients with acute myocardial infarction. It will not be a gross mistake to refer to the cardiology department and observe a patient with “radicular” pain syndrome there for several days, however, a missed myocardial infarction can lead the patient to death.

In all cases, it is necessary to strive for the maximum removal of the pain syndrome. If, with acute abdominal pain, there are always doubts about the advisability of using painkillers, and if you suspect acute abdomen non-narcotic and narcotic analgesics most often contraindicated, then in acute colitis there are practically no contraindications to the use of painkillers. Naturally, the relief of chest pain is carried out taking into account its pathogenesis and should be only part of complex therapy known or suspected underlying disease.

Unpleasant sensations in the chest appear from time to time in almost everyone. Most often it is just a failure in the hormonal system. But in some cases, a feeling of discomfort can be the beginning of changes and, unfortunately, not always harmless. Be that as it may, it will not hurt to arm yourself with knowledge, because our health belongs not only to us, but also to our loved ones.

Disruption of the hormonal clock

Hormonal processes in the female body are subject to a very subtle mechanism " biological clock", which can fail due to the "grain of sand" that has fallen into them. The most common cause failure - a violation of the production of hormones by the ovaries and thyroid gland due to premenstrual syndrome, pregnancy, poorly matched hormonal contraceptive, stress. Doctors call this disorder mastodynia, it can affect both mammary glands or one, and sometimes only upper part chest with outside or nipple and is considered ... normal! "In what period menstrual cycle pain?" - this is the first question that a gynecologist asks. Usually discomfort in the chest appear in the second half of the cycle, when it occurs hormonal imbalance(the ovaries do not produce enough progesterone or produce too much estrogen), and go away with onset.

It also happens that mastodynia is not related to the cycle at all: it appears due to severe stress, too tight underwear, or after a banal but prolonged illness, such as the flu, for example.

Pain in the nipples- another consequence of malfunctions in the hormonal system. And if it is also accompanied by secretions, then the cause of these symptoms may be diseases or blockage of the milk ducts. But that's not all: the appearance of milk droplets from both glands(if it is not related to pregnancy and feeding) against the background of a cycle disorder, it most likely indicates a violation hormonal balance and too much prolactin production. This hormone is also responsible for milk production. If the body produces prolactin in excess quantities, a woman will produce milk even if she is not pregnant. In search of the cause, the gynecologist will offer to do an examination to exclude a pituitary tumor (which, in fact, produces prolactin), and a study of the level of prolactin in the blood.

Reddish discharge from one mammary gland? Most likely, we are talking about inflammation of the duct. But sometimes it can be malignant tumor that blocks the flow. In this case, the doctor will offer to do an additional examination: analysis of secretions, X-ray of the duct, puncture and biopsy of the breast. Always remember: if the disease is detected in time, treatment always gives good results.

There is, however, another rather banal reason for the appearance of discharge: an uncomfortable bra, the seam of which falls precisely on the nipple and irritates it.

List check

It may happen that one day, while taking a shower, you will feel a small painful induration under the skin. They will most likely be benign tumor, in the appearance of which hormonal imbalance and stress play an important role. What are these nodules? The mammary gland consists of glandular, connective and adipose tissues. The glandular tissue in its structure resembles a bunch of grapes. These grapes (alveoli) are interconnected by ducts that pass into the milk ducts. It is the alveoli that are especially sensitive to changes hormonal background- so there are various seals. And now let's talk about them in more detail.

Mastopathy in contrast to mastodynia, it is already a disease. There is a feeling of heaviness, and sometimes pain in the mammary glands in the 2nd half of the cycle, nodules are felt. Young women most often have diffuse mastopathy: many small nodules in both glands. It is curious that at the beginning of the century, doctors described mastopathy as "hysterical breasts." They believed that multiple nodules in the chest appear mainly in young people prone to hysteria.

Diffuse mastopathy often goes away on its own after marriage, pregnancy and breastfeeding.

Small and large, resembling an apple or a pear in shape ... The mammary glands can be different. Even their tissue is dense or loose. You will be surprised, but even one woman does not have glands of the same size, and they can be at different heights. You can find out if this is the case in your case by looking at yourself. It is worth doing this not only out of curiosity. Study yourself in order not to miss the emergence of a serious problem. You will not be mistaken in your conclusions if you remember that during the menstrual cycle, the breast changes.

In the first 14 days (starting from the first day of menstruation), when the production of estrogen gradually increases, the breast does not change in any way. In the second phase of the cycle (this is the next 14 days), the glands increase (production of progesterone increases), swell and become sensitive. During menstruation, the level of hormones decreases, tension disappears and the mammary glands become soft again.

At the end of menstruation, arrange a small exam for yourself (it is advisable to do this every month): lie on your back, put your right hand under your head, and with your left, feel in a circular motion, first the mammary gland, and then the nipple. Now right hand carefully examine the left breast.

At the slightest suspicious symptom, it is necessary to go for a consultation with a doctor, firstly, in order to calm down (in nine cases out of ten, the formation is benign), and secondly, in order to detect a problem in time that can cause complications. Therefore, starting from the age of 18, it is recommended to visit a gynecologist at least once a year.

Unexpected Reasons

Unpleasant sensations in the chest may not be associated with the processes occurring in the mammary glands.

1. Muscular and intercostal pain. This type of pain can sometimes radiate to the pectoral muscle, which is associated with the chest. In this case, the doctor prescribes painkillers, massage and a course of manual therapy.
2. What if it's back pain? Very often, pain in the back, shoulders or ribs causes a tingling, pulling or burning sensation in the mammary glands, and at any time during the menstrual cycle. The fact is that the nerve endings suitable for the chest come from the back, and even a slight irritation of them can be felt as pain in the chest.

A few words about treatment

Since the cause of discomfort in the chest is a hormonal, or rather, estrogen-progesterone imbalance, this means that these problems are treated with hormones, although not always. Sometimes it’s enough just to change your lifestyle to feel more comfortable, change your diet (less animal fats, stimulating foods: coffee, chocolate, strong tea, more vegetable fats, vegetables and fruits), go in for sports, yoga. If hormone treatment is still necessary, then depending on each case, pain intensity, age, examination results, the doctor prescribes pills containing progesterone (they are taken in the 2nd half of the cycle) or combined (estrogen-progesterone) drugs. I must say that for the treatment of pain and tightness in the chest, doctors use drugs that are well known to us - those that protect against unwanted pregnancy namely contraceptives.

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Pain in the left chest is a very common symptom that occurs with many diseases and disorders. internal organs. As a rule, it is associated with lesions of the heart muscle. However, the reasons can be very diverse.

Pain may have different character. There are aching, cutting, dull, sharp, pulsating, etc. Regardless of their intensity and severity, it is urgent to contact a specialist.

Cardiovascular diseases

Often, pain in the left chest is associated with cardiovascular diseases. They can all be divided into two broad categories:

• coronary;
• non-coronary.

The first group of diseases includes infarction and ischemia. Non-coronary ones are more insidious because they are more difficult to diagnose, especially in initial stages. These include:

• pericarditis;
• angina;
• myocarditis;
• aortic aneurysm.

The coronary arteries are designed to supply blood to the heart muscle. If there are any malfunctions in their work, then the heart ceases to fully receive oxygen.

This can lead to a strong accumulation of cholesterol in the vessels, which causes a violation of their conductivity or complete blockage. This is mainly observed in people suffering from:

• diabetes mellitus of various forms;
• overweight;
• arterial hypertension;
• congenital predisposition to diseases of the heart and blood vessels.

With a heart attack, a person experiences pain in the left side of the sternum, which is transmitted to the shoulder blade, shoulder, arm and abdominal cavity of the same side of the body. Often a person's hand becomes numb due to circulatory disorders in coronary vessels. In addition, other characteristic symptoms appear:

• dyspnea;
• nausea;
• vomit;
• heartburn;
• increased sweating;
• apathy;
• dizziness;
• discomfort in the abdomen.

This condition is often seen in women during menopause. They undergo hormonal changes that provoke cardiovascular diseases.

Pericarditis

The pericardium is a kind of protector of the heart from overstrain and contributes to the natural filling with blood. But often a sharp, sharp pain in the left chest occurs precisely because of it.

This leads to inflammatory processes flowing in the pericardium. Unpleasant symptoms are aggravated by deep breath. Against this background, the patient notes:

• shortness of breath and suffocation;
• fainting state;
• a sharp change in body temperature.

When the body tilts, the acute painful sensations subside.

angina pectoris

This disease is associated with insufficient enrichment of the heart with oxygen. It creates permanent sharp pains against the backdrop of a normal heart rate.

There are feelings that rib cage shrinks and presses on the heart. Provoke an attack of angina pectoris can be a strong exercise stress. If the patient is at rest, then the symptoms disappear.

With myocarditis, the heart muscle is damaged. Because of this, aching and drawing pains on the left in the chest, as well as bouts of shortness of breath.

In addition, patients complain of pain in the joints and elevated temperature body. Often, myocarditis occurs with a feeling similar to cardiac arrest.

aortic aneurysm

This is a serious anomaly that can lead to lethal outcome. It is provoked by the expansion of the walls of blood vessels in certain areas. As a result, the aorta becomes thin and vulnerable. Even a light blow or a strong emotional overstrain can cause them to break.

When this happens, unbearable pain occurs. Their character can be aching, boring or pulsating. Often a person feels a burning sensation inside the chest, and pain is transmitted to the back and abdomen.

Against the background of an aortic aneurysm, a person develops:

• weakness;
• tachycardia;
• fainting state;
• dyspnea;
• pallor of the skin;
• cough;
• dyspnea;
• pain during swallowing.

Unpleasant sensations can also occur against the background of blood diseases, such as anemia, tumor formations, clotting disorders, etc.

Pain in the left chest can be manifestations of diseases respiratory organs. This symptomatology is typical for lesions of the pleura and bronchi.

The pleura is a membrane covering the lungs with a large number of nerve endings. When it becomes inflamed, severe pain, which are localized in the place where the lesion occurred.

Pleurisy

Pleurisy is characterized by an increase in pain during inhalation. Strengthening is noted when a person coughs or screams. Pain subsides if he stops breathing. A characteristic weakening of symptoms is observed when the body is tilted on the healthy half of the pleura.

With pleurisy, the patient has other signs:

• a sharp increase in temperature in the evening;
• dyspnea;
• increased sweating;
• bluish skin;
• swelling of the veins in the neck.

Spontaneous pneumothorax

Given pathological condition air from the lung enters the pleural region. This causes irritation of the membrane and attacks of stabbing and cutting pains. When a person inhales more strongly, the unpleasant sensations intensify. Often, pain in the left chest with pleurisy is transmitted to the shoulder, lower back and neck.

Occasionally severe symptoms causes loss of consciousness. Pleurisy develops respiratory failure, against the background of which tachycardia appears. Pain syndrome usually lasts throughout the day, and breathing problems are observed during physical exertion.

When blocked blood vessel pulmonary embolism occurs in the lung. Depending on which side of the lungs it occurred, there are sharp pains right or left. They get worse when you take a deep breath.

With a pulmonary embolism, people begin to breathe rapidly and deeply. There is a feeling of panic and anxiety, dizziness and weakness. Occasionally, patients experience convulsions and fainting.

Emphysema

The disease develops with increased agitation lung tissue. It is provoked by a violation of the integrity or elasticity of the shell. Often emphysema occurs in smokers. Cigarette smoke accumulates in the bronchi and releases harmful substances that destroy the partitions between the lung tissues.

Emphysema causes stabbing pain in the chest area, which can be transmitted to other parts of the body. Common manifestations of this disease are shortness of breath and cough. Able to change voice to hoarse and nasal.

Neurological diseases

Painful sensations of a dull and aching nature can occur with intercostal neuralgia. This is a condition in which the nerve endings between the lungs and the ribs become irritated. An uncomfortable posture during sleep or excessive physical activity is capable of provoking it.

The pains are often sudden and aggravated by inhalation. They give in front from under the ribs and cause tingling in the chest area. The patient has increased sweating and uncontrolled muscle twitching.

Another possible reason is cardioneurosis, which is provoked by a series of stressful conditions or strong, sharp emotional stress. Symptoms of the disease include intermittent dull pain at the top of the chest. In some situations, they can turn into strong, but short-lived. Patients present with the following symptoms:

• high blood pressure;
• increased heart rate;
• causeless anxiety.

The most common pathology is osteochondrosis. With this disease, patients have a process of destruction of the vertebral discs. The causes of development can be very different, it is sedentary work, poor posture or excessive body weight.

Regardless of the etiology, the result is compression and irritation of the nerve roots, which leads to impaired circulation. There are pains that are aggravated by walking.

Unpleasant sensations in the chest area do not appear at the beginning of the disease, but as it develops, the following symptoms begin to occur in patients:

• discomfort when inhaling and exhaling;
• stabbing pains in the chest;
• discomfort in the left hypochondrium.

Pain intensifies and disturbs at night. They resemble signs of a myocardial infarction. Discomfort in osteochondrosis is easily eliminated after a slight warm-up or a change in body position.

Pain in the left side of the chest can be a consequence of trauma. Often for children, the cause itself becomes invisible, then manifests itself in the form aching pains. The injury is characterized by the presence of a hematoma at the site of impact, when touched, the symptoms only intensify. Discomfort provokes intense movement or increased breathing.

Chest pain can be manifestations of various organ damage. gastrointestinal tract. These include:

• gastritis - irritation of the gastric mucosa;
• an ulcer in which pain is transmitted to left side chest, there is nausea, severe heartburn, as if everything is on fire, and vomiting;
• problems in the spleen;
• pathology of the pancreas.

Women have characteristic causes of pain in the chest area. They are provoked:

• mastopathy or benign formations in the mammary glands;
• lack of iodine in the body;
• premenstrual syndrome.

In women at various pathologies discomfort may be asymmetrical. In the presence of such signs, it is necessary to urgently seek help from a specialist.

Methods of diagnosis and treatment

Any pain in the chest area (upper, lower, behind the sternum, etc.), which occurs frequently or is always present, should not be treated independently. It is mandatory to undergo an examination in clinical institutions.

It is worth contacting a general practitioner who needs to be informed of the characteristics and localization of pain. After examination, he refers to one of the following specialists:

• cardiologist;
• surgeon
• neuropathologist;
• gastroenterologist.

To identify true reason The patient will have to undergo a series of examinations:

• radiography;
• magnetic resonance imaging;
• electrocardiography;
• measurement of blood pressure;
• study of pulmonary vessels;
• Ultrasound of the heart;
• general laboratory research for the presence/absence of inflammatory processes.

After the complete diagnosis condition, doctors will be able to prescribe adequate and effective treatment. It is likely that in the future you will have to constantly be observed by specialists and adhere to certain recommendations. Can prescribe diet food for gastrointestinal disorders, psychotherapy sessions for neurological disorders, or physiotherapy procedures if the patient has injuries or other physical damage.

If you experience chest pain, regardless of the severity and intensity of their manifestation, you should consult a doctor. This is important because almost all possible reasons pose a serious threat to health. In no case should you postpone a visit to a specialist and try to reduce pain on your own. Even if the symptoms can be eliminated, this does not mean that pathological processes also disappear in the body.