Dull pain in middle of chest. Cause of chest pain: neuralgia or heart

The first thing that comes to mind with chest pain is heart problems, which is not always true. pain syndrome in chest can occur for various reasons: from ordinary overwork to dangerous diseases.

The causes of pain can be determined by its nature and accompanying symptoms. The problem cannot be left unattended! Pain is a kind of SOS signal transmitted by the body. It is necessary to respond to it in order to avoid serious complications.

Causes of chest pain

Behind the ribs it hurts with pathologies of various organs. This is due to the structure nervous system. The nerve trunk divides into branches in the chest area.

Therefore, through a common trunk, pain in one organ responds in another. For example, stomach pain perceived as cordial and vice versa.

Pain in the chest with pathologies:

of cardio-vascular system;
musculoskeletal system;
mediastinum;
central nervous system;
respiratory organs;
gastrointestinal tract.

Note! The nature and intensity of pain vary and help establish the diagnosis. It is almost impossible to do this without the help of a specialist. Therefore, you need to see a doctor. Any pain, but sometimes they are not life-threatening, and in other cases, you need to start fighting them immediately.

Musculoskeletal system

Painful sensations in the chest in diseases of the spine are very reminiscent of "heart."

The most common cause is osteochondrosis. Due to malnutrition or excessive load on the spine with incorrect posture or excessive training, the spine is modified.

Elastic intervertebral discs, cartilage and bone. As a result, the nerve endings are compressed, which causes spasms.

Pain in the chest responds to such pathologies of the ODA as:

scoliosis;
ankylosing spondylitis;
rheumatoid arthritis;
slouch;
Tietze syndrome;
herniated discs.

Good to know! Soreness in the chest region is felt with injuries of the spine, ribs and shoulder blades. Hardware studies in a medical institution will help establish the diagnosis.

The cardiovascular system

Vascular and heart diseases confidently occupy the first place in terms of mortality. Therefore, it is especially important to take time to see anxiety symptoms. This is the only way to prevent tragedy.

"Heart" pain is conditionally divided into two subgroups, depending on the origin:

anginal causes ischemia;
cardialgia is characteristic of defects, inflammation of the heart muscle and congenital pathologies, as well as vegetative-vascular dystonia.

Pain accompanies the course of the most dangerous diseases. Among them:

myocardial infarction;
angina;
rheumatic lesions;
inflammation of the heart;
aortic aneurysm;
embolism pulmonary artery;
pericarditis;
heart attack rear wall ventricle.

Note! All of these diseases are deadly. During their exacerbations, the score usually goes by minutes.

Gastrointestinal tract

Chest pain is hallmark many pathologies digestive tract. Main:

stomach ulcer;
hernia esophageal opening diaphragms;
reflux;
pancreatitis;
damage to the esophagus;
diaphragmatic abscess;
idiopathic expansion of the esophagus;
ulcer duodenum;
Mallory-Weiss syndrome (rupture of the esophageal mucosa);
cholecystitis.

Attention: if a gastrointestinal disease is diagnosed, it does not mean that chest pain is caused by it. Diseases of organs abdominal cavity are often asymptomatic and do not rule out CAD.

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Respiratory system

The lungs occupy a large area of the chest, so the pathology of the respiratory organs causes pain.

Chest pain causes most lung diseases:

lobar pneumonia;
pneumothorax;
tuberculosis;
emphysema;
lung cancer;
abscess;
pleurisy;
hydrothorax (accumulation of fluid in the pleura);
lung infarction.

Good to know! Traumatic injuries lung and pleural areas also cause pain. Most respiratory diseases are very dangerous and require immediate medical attention.

Symptoms of diseases that cause chest pain

Pain syndromes in the chest vary in location and characteristics, depending on the reasons they are caused. Accompanying symptoms also help establish the diagnosis.

Pain with problems with the musculoskeletal system can be:

Constant or attacks.
Always becomes when moving.
"Shoots" in the shoulder and shoulder blade.
It becomes more intense during inhalation and coughing (similar to intercostal neuralgia).
It can be distinguished from cardiac or gastric by the drugs that bring relief.
Pain medications and warming ointments help, not heart medications.

Cardiovascular disease is defined by several signs of pain:

The first is localization behind the sternum or in the chest on the left. "Shoots" in left hand, interscapular region, into the bone of the lower jaw.
By nature, heart pain is: cutting, pressing, baking.
It becomes more painful due to physical or emotional overstrain.

In diagnostics, the time factor is of great importance. With a heart attack, the pain does not last continuously for a long time. Usually the duration of the attack does not exceed 15 minutes, after rest or medication.

Pulmonary embolism is characterized by shortness of breath. Chest pain appears suddenly, it hurts to inhale. You may cough up blood.

Attention: pain in the heart for longer than 20 minutes is a symptom of myocardial infarction and aortic aneurysm. Myocardial infarction is also characterized additional features: fear, anxiety, shortness of breath.

With problems in the gastrointestinal tract, the following are added to the pain syndrome:

heartburn,
excess gas,
vomit,
burp,
nausea.
chest pain begins in a hungry state or immediately after eating. Helps to cope with pain taking antispasmodics.

P good to know! With pathological respiratory organs the pain is aggravated by breathing and coughing. Accompanied by sputum, fever, shortness of breath. Sometimes there may be: hemoptysis, excessive sweating, cyanosis.

Pain and crunching in the back over time can lead to dire consequences- local or complete restriction of movements, up to disability.

People, taught by bitter experience, use natural remedy recommended by orthopedists...

When to see a doctor?

If chest pain does not go away for a long time or periodically repeats, it is worth going to the hospital in any case.

It is worth expediting a visit to the doctor if the painful syndrome is accompanied by the following symptoms:

heartburn, which is not saved by over-the-counter medicines;
pain in chest after eating.

Urgent medical attention is required when the chest hurts for more than 15 minutes, or is added to it:

loss of consciousness;
hemoptysis;
coughing attacks after exercise;
dizziness;
a pressing sensation from the chest extends to the back, back, neck, lower jaw;
jumping pulse;
sweating;
intermittent breathing;
vomit;
anxiety.

First aid

If a sharp pain in the chest is accompanied by the above symptoms, it is necessary:

call an ambulance;
lay the patient so that the head is slightly lower than the legs;
get rid of clothes that make it difficult to breathe;
ventilate the room;
give nitroglycerin;
wait for the doctor.

You can't self-medicate!

Diagnosis and treatment of chest pain

Diagnosis of the causes of chest cramps should be carried out by a qualified specialist in a medical facility. It is not the fact itself that needs to be treated discomfort but the primary disease that causes them.

Diagnosis begins with a survey and examination to determine the diseases of which organ is associated with pain.

To clarify the diagnosis, hardware procedures are performed:

study of the gastrointestinal tract;
exercise testing;
vascular angiography;
radiography;
CT scan of the chest.

Based on the results of the research, the doctor establishes a diagnosis and determines the necessary treatment.

A symptom such as pain in the sternum, as a rule, takes a person by surprise, and the first thing that comes to mind is the thought of heart problems and a well-founded fear. Sometimes it really warning sign requiring an ambulance call. Non-urgent cases require self-guided visits to the doctor. In addition, there are a number of diseases that are not related to the heart muscle, but provoke pain in the chest. Knowing these nuances means being able to take care of your health in time.

The main causes of pain in the center of the sternum

Compressive (pressing, burning) is a common symptom of coronary heart disease (angina pectoris). Sometimes it spreads to the left half of the chest, left arm (scapula, hypochondrium, back). It usually occurs during physical exertion, stress, less often at rest. The attack lasts up to 10-15 minutes, is removed with nitroglycerin.

Sharp, sharp, intense pain in the center of the chest or on the left, accompanied by cold sweat, suffocation, nausea, strong fear death is clinical sign myocardial infarction. Occurs spontaneously, without reference to stress, even at night in a dream, lasts more than 15 minutes, is not removed by means of angina pectoris. A heart attack requires urgent hospitalization.

Pain in the sternum is localized in the middle with diseases of the lungs (pneumonia, bronchitis, tracheitis), gastrointestinal tract (gastric and duodenal ulcers, gastritis, diseases of the esophagus), thoracic spine (osteochondrosis), peripheral nervous system (vegetovascular dystonia, intercostal neuralgia), with diaphragmatic abscess or oncological diseases of the organs chest area.

Gastroesophageal reflux disease causes constant feeling burning in the middle of the chest and in the throat (heartburn). If the pain increases when the person lies down, this indicates a possible diaphragmatic hernia. Pain symptoms in the upper chest are probable diseases of the upper respiratory tract.

What disease can cause pain in the sternum?

With the above diseases, soreness, usually localized in the middle of the chest, sometimes extends to left side body (less often right or in the back). Only a doctor can make a diagnosis, therefore, except in cases of emergency hospitalization, it is unreasonable to postpone a visit to a specialist. It is important to monitor and report to the therapist about accompanying symptoms: shortness of breath, sweating, swelling, heat, cough, the nature of pain during exercise / rest, eating, different positions of the body.

Aching pain behind the sternum on the right

Pericarditis (inflammation of the membrane of the heart), as a rule, is accompanied by a constant moderate (sometimes increasing) aching pain, which worries in the region of the heart and above it, sometimes extends to the right half of the chest, as well as the epigastric region and the left shoulder blade. If a person lies on his back, the pain intensifies.

Other diseases with a characteristic pain symptom on both the right and left side of the sternum can be neurological problems. Inflammation, abscess, tumor right light accompanied by diverse constant pain(aching, pressing, dull, burning), sometimes with irradiation to the healthy side, stomach, neck, shoulder, and aggravated by coughing.

Pressing pain on the left

In addition to such typical myocardial diseases as heart attack and angina pectoris, problems with other organs can masquerade as heart disease. So, problems with the pancreas, located on the left side of the abdominal cavity, can cause a pressing dull pain in the sternum on the left. Other possible reason This is a hernia of the esophageal opening of the diaphragm. Aching, pressing pain on the left side is a symptom of vegetovascular dystonia, inflammation of the left lung or pleura.

What does pain during inhalation and exhalation mean?

Pain in the sternum during exhalation or inhalation is not directly related to the myocardium, but is a sign the following diseases:

intercostal neuralgia (pain is localized more often on the left, unpleasant sensations intensify when trying to take a deep breath or when coughing);
pneumothorax (when air accumulates between chest wall and light, characterized by pain on the left, which increases when a person breathes deeply);
precordial syndrome (severe pain suddenly occurs during inspiration, repeats several times a day, is not associated with stress, does not require specific treatment).

Chest pain when coughing

If a pain symptom in the chest occurs or intensifies when coughing, this may be a sign of:

diseases of the pleura internal surfaces chest cavity);
mobility disorders of the thoracic spine and ribs;
intercostal neuralgia;
colds respiratory tract (tracheitis, bronchitis);
renal colic;
pneumothorax;
lung oncology;
chest trauma.

With osteochondrosis

An exacerbation of osteochondrosis of the thoracic spine is sometimes mistaken for a pathology of the cardiovascular system, because. the accompanying pain in the sternum is localized, as a rule, in the region of the heart, sometimes with irradiation to the right half, to the back or side. The pain symptom occurs suddenly, paroxysmal or is characterized by a non-intense long-term course. Strengthening of unpleasant sensations occurs when inhaling, exhaling (during an attack it is difficult to breathe), coughing, moving the arms and neck.

The similarity of symptoms with a heart attack and angina leads to the fact that patients unsuccessfully try to alleviate their condition with drugs for these diseases. At improper treatment or its absence, internal organs (pancreas, liver, intestines) are affected, the occurrence of malfunctions of the cardiovascular system is not excluded, so a visit to the doctor should not be postponed.

When driving

In many diseases (angina pectoris, heart attack, myocarditis, pleurisy, osteochondrosis, chest bone injuries, rib fracture), pain in the sternum increases with movement. Sometimes discomfort is disturbing only with certain movements, for example, when bending, making sharp turns, lifting weights, pressing on the sternum. Do not neglect the examination if the pain has passed, or rely on folk methods treatment, because these symptoms may be primary sign serious problem.

Chest pain requiring urgent treatment

If severe pain occurs suddenly and is accompanied by shortness of breath, shortness of breath, clouding of consciousness, nausea, you should immediately seek medical advice. medical assistance.

Emergency hospitalization is indicated for such diseases that have no timely assistance high percent fatality as:

myocardial infarction;
pulmonary embolism;
spontaneous rupture of the esophagus;
dissecting aortic aneurysm;
ischemic disease(angina pectoris);
spontaneous pneumothorax.

Myocarditis

This inflammation of the heart muscle is characterized by a variety of (stabbing, aching, pressing) chest pains on the left and in the middle, shortness of breath, weakness, arrhythmia. people with such clinical symptoms you should immediately consult a doctor, because some types of myocarditis can provoke more serious illness- dilated cardiomyopathy and even lead to death.

rheumatic heart disease

If not treated rheumatic lesion myocardium (rheumatic heart disease), then 20-25% of cases end in the formation of heart disease. Symptoms depend on the type of disease, severity and are not always pronounced. The following signs may indicate possible development rheumatic heart disease (especially if they appeared 2-3 weeks after an acute nasopharyngeal infection): chest pain (severe or non-intense) in the region of the heart, shortness of breath, tachycardia, swelling of the legs, cough during exercise.

Video: Causes of pain in the middle

Suspect yourself or loved one myocardial infarction or other dangerous cardiovascular disease, it is necessary to call as soon as possible ambulance. What else is important to remember about chest pain, how to prevent such problems and how to help if the disease has already begun, you will learn by watching the presented video with the recommendations of specialists.

If it hurts somewhere, it means that not everything is in order with the body. So many people rightly think so. Pain cannot be tolerated, nor can it be ignored. Especially when the pain is concentrated in the middle of the sternum.

Causes of pain

The sternum is an oblong bone located right in the middle of a person's chest. The ribs are attached to the sternum and together they form the chest. This bone structure protects the heart blood vessels, lungs, esophagus from mechanical damage from the outside.

Pain in the sternum in the middle can be caused by such pathological conditions:

Diseases of the heart and aorta;
Diseases of the esophagus;
Diseases of the stomach;
Diaphragm diseases;
Diseases of the mediastinum;
Diseases of the skeletal system;
Neuropsychiatric diseases.

Heart disease

If you experience pain in the sternum in the middle, first of all, you need to exclude possible heart problems, as the most dangerous cause. Indeed, in most cases, pain in the sternum is caused precisely by heart disease, and more specifically by coronary artery disease. develops when there is insufficient supply of oxygen to the heart muscle. In conditions of lack of oxygen, the myocardium suffers greatly and gives a signal about this in the form of acute pain. And , and are clinical forms ischemic heart disease. However, the nature of the pain in these diseases is different.

Typical for angina pectoris pressing pains behind the chest. Patients themselves describe this pain as if someone had put a brick on their chest. The pain often radiates to the left arm, neck. Painful attacks last up to twenty minutes, the pain either catches up or releases the person.

Note! characteristic feature angina pectoris is the elimination of pain after the use of nitroglycerin.

With a pronounced lack of oxygen, the death of the heart muscle occurs, this is how myocardial infarction develops. This disease is accompanied by pressing, burning pain behind the sternum, but the pain is much more intense than with angina pectoris. Pain can also radiate to the left arm, neck, under the lower jaw, to the entire chest and even the abdomen. Often pain is accompanied by a feeling of pronounced fear of death, cold sweat on the face. The pain is unbearable, does not go away after 15-20 minutes, and is also not stopped by nitroglycerin.

Pain in the sternum can also occur with inflammatory heart disease - and pericarditis. This pathology often occurs after an infectious disease. In general, for inflammatory diseases heart symptoms are:

Pain on the left in the chest, as well as the sternum;
elevated temperature;
Weakness, malaise.

Aortic diseases

The occurrence of pain in the sternum can also be caused by disease of the aorta, in particular, its aneurysm. This is a local expansion of the aorta. in the early stages it is asymptomatic, but as the disease progresses, characteristic symptoms appear.

Symptoms of a thoracic aortic aneurysm are:

Prolonged pain in the sternum, heart area (pain attacks can last several days);
The pain does not radiate;
It is not eliminated after the use of nitroglycerin.

The danger of the disease is that at any time a dissection of the aneurysm can occur, which leads to fatal bleeding. The rupture of an aneurysm of the thoracic aorta is evidenced by such symptoms as the appearance of a sharp pain behind the sternum, often radiating to the back, as well as a drop in blood pressure.

Diseases of the esophagus

The esophagus is located along the sternum. Therefore, it is not surprising that diseases of this organ are often manifested by retrosternal pain. One of the most common diseases of the esophagus is achalasia of the cardia.. This is insufficient relaxation of the lower esophageal sphincter (cardia), which disrupts the esophagus. Thus, during swallowing, the food bolus gets stuck at the level of the spasmodic lower esophageal opening and cannot pass further into the stomach.

The symptoms of achalasia are:

The appearance of pain in the sternum in the middle can also be associated with (synonymous with GERD). The disease is characterized by the development of inflammation of the mucous membrane of the esophagus due to the reflux of gastric contents. Retrosternal pain in GERD can radiate to the interscapular region, neck, lower jaw, left side of the chest. It is worth noting that esophageal pain is often mistakenly perceived as an angina attack due to a similar clinical picture. However, chest pain in GERD has its own characteristics:

Pain in the sternum occurs after eating;
Increases after tilting the body forward, as well as in horizontal position body;
Decreases after the use of antacids.

Important! In favor of GERD, symptoms such as belching sour, regurgitation of food also testify.

Diaphragm diseases

The diaphragm is a muscular-tendon plate that separates the chest cavity from the abdominal cavity. The diaphragm has a natural opening - the esophagus, through which the esophagus exits the chest cavity into the abdominal cavity. The development of a hernia of the esophageal opening of the diaphragm is said to occur when the organs of the abdominal cavity protrude into the chest cavity through the indicated opening.

Diaphragmatic hernia occurs with pain in the sternum in the middle and below, spreading to the epigastric region. The pain can radiate to the back, the interscapular region, and even to the hypochondrium, which mimics girdle pain with. Features of retrosternal pain in diaphragmatic hernia:

Pain often occurs after eating, aggravated by coughing, after lifting weights;
Increases after tilting the body forward;
Decreases after belching deep breath or if the person assumes an upright position;
Pain can be described as moderate, dull;
Pain accompanies the symptoms of GERD.

Stomach diseases

It is known to present with pain in the epigastric region, often extending to the lower part of the sternum. Depending on the location ulcer defect pain can also radiate to the left side of the chest, right hypochondrium, back. The occurrence of pain is directly related to food intake. Often, discomfort appears half an hour or an hour after eating.

Ulcer pains are relieved by drugs that reduce gastric secretion. In addition, at the height of a painful attack, a person may experience acidic contents, which brings relief. In favor peptic ulcer also evidenced by belching, . It is also worth noting that in rare cases, acute pain in the sternum is also manifested, although localization of pain in the upper abdomen is more characteristic of this ailment.

Respiratory diseases

Diseases of the lungs, pleura occur with pain in the chest from the side of the lesion. But pain directly in the sternum in the middle can manifest itself only tracheobronchitis. Usually this disease develops within. Therefore, at the beginning of the disease, a person is concerned about weakness, fever, and sore throat. Discomfort quickly descends, spreading to the trachea and bronchi.

Pain in tracheobronchitis is localized behind the sternum in its upper and middle third and intensifies in time. At the beginning of the disease, the cough is dry, unproductive. When a person coughs, he feels an unpleasant soreness behind the sternum. After a few days, the cough becomes wet, the sputum comes off more easily. The pain behind the sternum gradually decreases, the general state of health improves.

Diseases of the mediastinum

The mediastinum is the anatomical space located in the chest cavity. In front, the space is limited by the sternum, behind the spine, and the lungs are located on the sides of the mediastinum. The mediastinum contains the following organs:

thymus;
Trachea;
Upper esophagus;
Heart;
main bronchi;
Large vessels and nerves.

Inflammation of the tissue of the mediastinum is called mediastinitis. The disease develops when an infection enters the mediastinum from neighboring inflamed organs (trachea, lungs, esophagus, heart, etc.), or when the mediastinal organs are injured. Acute mediastinitis develops suddenly and its first sign is the appearance of intense pain behind the sternum. Pain is especially aggravated when swallowing and tilting the head back. There are also signs such as:

Fever;
Chills;
Profuse sweat;
Cough;
Suffocation;
Violation of the heart rhythm;
Puffiness of the face and upper body;
Blueness of the skin.

Note! Mediastinitis is a very serious condition and requires urgent medical attention.

Diseases of the skeletal system

It is logical to assume that pain in the sternum can be provoked directly by diseases of this bone. But it is worth noting that diseases of the sternum are very rare. Therefore, if chest pain occurs, first of all, it is still necessary to think about possible pathology heart or esophagus.

In trauma practice, doctors, although rarely, are still faced with. People get this injury as a result of an accident when their chest hits the steering wheel, less often - with a direct blow to the sternum or strong compression of the chest. With a fracture, the victim feels severe pain in the sternum, aggravated by breathing. In the area of the fracture, edema and subcutaneous hemorrhage are determined. With the displacement of fragments of the sternum, damage to neighboring organs, in particular the lungs, with the development of pneumo- or hemothorax is possible.

The sternum, like any other human bone, can be affected by a malignant process.. Breast cancer is a rare disease, but it is still worth mentioning. Cancer can occur in the sternum primarily or secondarily - after the penetration of metastases into the bone. At the initial stages, the disease does not manifest itself in any way and the patient is not even aware of his diagnosis. As the disease progresses, weakness, malaise, anorexia, low-grade fever develop. Also at this stage, a person begins to be disturbed by pain in the sternum.

Neuropsychiatric diseases

Sometimes a person goes to the doctor with a disturbing pain in the sternum, but after conducting research, it turns out that the person is absolutely healthy. In this case, the pain is psychogenic in nature, this condition is also called cardioneurosis. The patient himself describes his pain, like a lump or stone behind the sternum. There may also be a complaint about a rapid heartbeat, interruptions in the rhythm, "as if the heart wants to jump out." As a rule, all these phenomena occur after emotional experiences. A person is very worried about retrosternal pain, suspects that he has dangerous disease. In general, a person with cardioneurosis is characterized by anxiety, anxiety, multiple fears,

Pain in the chest in the middle can have a very different nature of origin. This unpleasant syndrome does not necessarily indicate that the problem has arisen precisely with those organs that are located in the area of pain concentration. Quite often, pain in the chest in the middle is a kind of echo of the pathology of the abdominal organs, spine or brain. To get rid of discomfort, treatment of varying intensity and duration may be required. But first you need to identify real reasons, because of which the chest hurts in the middle. And they can be quite serious. Acute pain can be a sign of a very dangerous disease. It is better to identify and eliminate it on early stage than long and difficult to deal with dire consequences that can cost lives. Consider what causes the sternum in the middle to hurt, based on many years of experience of doctors of various profiles.

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Diseases of the cardiovascular system

most dangerous cause pain between chest and back pathological changes in the work of the heart.

The most common diseases of the cardiovascular system include:

angina;
hypertension;
myocardial infarction;
aortic aneurysm;
ischemic disease.

As a rule, the focus of pain is located in the left side of the chest. But quite often it spreads throughout the body or is concentrated in the middle under the chest. Depending on the stage of the disease and other factors, symptoms may vary. This may be a nagging continuous pain or backache, which can cause shock and loss of consciousness.

Increased heart pain physical activity, prolonged nervous tension or severe fright.

The patient has a jump in pressure and lack of air. At severe attacks the person needs to be put down, unbuttoned clothes and call an ambulance. If he has medicines with him, then you need to immediately give them to the patient.

Strong physical activity

Pain in the chest in the middle can be the result of an improperly organized workout. This can happen not only with beginners, but also with experienced athletes. As a rule, the chest hurts in the middle for no more than two days. After that, the discomfort goes away. But quite often it happens that the symptoms intensify, bringing tangible suffering to a person.

If the chest hurts in the middle after physical exertion, then the reasons for this may be as follows:

1. Exceeding the permissible level of stress on the heart. Even recognized masters have their own limit, which cannot be exceeded. No incentives can be an excuse to torture your own body.
2. Excessive stress on the pectoral muscles. Many microscopic tears in the muscles cause pain in the chest when inhaling. This syndrome lasts about 3 days.
3. Performing exercises aimed at stretching the chest. If at the same time there was an extreme load, then cracks could form in the cartilage connecting the sternum and ribs. In such cases, there is a pain in the sternum in the middle when inhaling. It will take at least 2 weeks for the bones to grow together.

To avoid such consequences, you should conduct a high-quality warm-up before training, observe safety measures, do not exceed allowable rate loads.

Consequences of injuries and wounds

The answer to the question why the chest hurts may lie in the plane emergencies. These could be fights, accidents, or falls in slippery weather. When a person experiences a strong fright or excitement, he accelerates the production of adrenaline. This substance muffles pain from bruises and fractures. In some cases, injuries occur while the individual is in a state of high alcohol intoxication. Alcohol is a fairly potent drug that acts akin to painkillers.

Severe pain occurs as you calm down or sober up. Don't wait until it becomes unbearable. It is possible that there is a very dangerous fracture or injury. internal organs. You must immediately contact the trauma center. You can independently determine the presence of a crack with with the help of a lung pressure on the injured area. If a fracture occurs, a characteristic knock or crack will be felt.

Diseases of the musculoskeletal system

Osteochondrosis is a disease that affects almost all people over 40 years of age. There can be many reasons for the destruction and deformation of the intervertebral cartilage. The most common of these is sedentary work and poor posture. Quite often, pinched nerves occur due to obesity and heavy physical work.

As a rule, with osteochondrosis, pain occurs in the region of the sternum and in the back. In the latter case, pain is caused by pressure on soft tissues and irritation of nerve endings. The sternum hurts in the middle due to the infringement of the girdle nerve. This phenomenon is quite reminiscent of heart attack. This leads to the fact that patients with osteochondrosis take potent cardiac drugs that do not affect the damaged spine at all. As a result, precious time is lost when osteochondrosis can be detected and effectively treated at the initial stage.

Pain with pinched nerve roots is not permanent. It comes from prolonged sitting or standing. Deterioration of the condition may occur after prolonged physical work in awkward position. If the back and chest hurts due to osteochondrosis, then conventional medicines will not get rid of the discomfort. The removal of the pain syndrome is achieved by a complex medical, manual and physiotherapeutic effect. You can stop the disease with regular exercises physical therapy and normalization of lifestyle.

Respiratory problems

Often Blunt pain in the chest may result from a disease in the lungs or another part of the respiratory system. Not uncommon in medical practice cases of inhalation foreign objects. This happens especially often with children.

The following diseases can cause a painful syndrome:

pneumonia;
tracheitis;
pleurisy;
bronchitis;
tuberculosis.

The severity of discomfort is determined by the stage and severity of the disease. They will intensify during coughing and sneezing. An increase in body temperature indicates exactly what is happening in the respiratory organs inflammatory process. Often even acute sinusitis causes heaviness and pain in the chest. This is explained by purulent discharge down the larynx to the bronchi, causing inflammation.

Pathologies of the digestive system

Since all systems in the human body are closely interconnected, there is nothing strange in the fact that the pathology of the organs of the gastrointestinal tract can cause burning or tingling in the sternum. Most often, problems occur with the stomach. Almost all people have experienced the reasons for this phenomenon. These are constant stress, malnutrition and bad habits. Especially pronounced is the stomach ulcer. It gives a very noticeable pain in the chest area. Accompanying ulcer symptoms are heartburn, diarrhea, nausea, vomiting, and stool disturbance.

Quite often, the cause of cramps in the trunk is colitis. it infection which heals fairly quickly. characteristic symptoms colitis are bloody stools, prolonged diarrhea, chills and fever, rapid dehydration.

Pain in the chest can cause other diseases of the gastrointestinal tract. These include diaphragmatic abscess, duodenal ulcer, acute cholecystitis, reflux esophagitis, acute pancreatitis. They are accompanied by increased gas formation, heartburn, nausea and belching with a putrid odor.

Pain is a symptom that signals a person that something is wrong in his body. It can be located anywhere. If pain occurs between the breasts in the armpits, then this symptom should not be ignored. Only doctors can diagnose it and treat the disease, who first establish the cause of the unpleasant symptom.

Pain between the breasts can occur in men and women at any age. The reasons for this could be anything. Some begin to blame the heart. Others think about problems with the lungs. However, only a doctor can find out exactly what is the cause of unpleasant pain in the chest.

Pain in the armpit and between the breasts: causes

It should be understood that the causes of pain in the armpit and between the chest are very diverse. Sometimes they can be localized in the area of \u200b\u200bthe diseased organ, and sometimes irradiate to other places. Thus, in order to find out the cause of pain, you should contact for medical diagnostics. Doctors may identify one of these reasons:

Dysfunction of the musculoskeletal system: costal chondritis, rib fractures.
Gastrointestinal disorders: spasms in the esophagus, gallbladder disease, gastroesophageal reflux, ulcers.
Lung diseases: acute bronchitis, pneumonia, pleuralgia.
Severe diseases of the cardiovascular system: atherosclerosis of the joints, coronary vasospasm, cardiac arrhythmia, ischemic disease, ischemia cardiac origin, pericarditis, angina pectoris, mitral valve prolapse syndrome.
Anxiety, panic fear or concerns, nervous tension, stress.
Neurological diseases.
Causes of uncertain and uncharacteristic origin.

Chest pain can occur at any age. This is due to numerous reasons for their appearance. Often this symptom occurs in people over 65 years of age. In men, pain can occur after 45 years. Children are in last place to experience chest and armpit pain.

Hernia in the diaphragm

Doctors thoroughly examine the patient to find out the causes of pain. Sometimes it consists in a hernia in the diaphragm. The area itself is made up of nerves, making it an innervated organ. Appearance diaphragmatic hernias can cause characteristic pain.

The disease can be identified by the following symptoms:

Frequent burps.
Dysphagia.
Chest pain.
Feeling of volume in the epigastrium.

The spread of a hernia in the chest is accompanied by severe pain in this area, as well as discomfort in the interscapular region and the left shoulder. This can cause false suspicions that a person has problems with the heart.

With similar symptoms there are adults after 45-56 years. If it manifested itself in a child or teenager, then you should consult a doctor urgently, since we can talk about something serious.

Often, these symptoms indicate a chest injury. Pain can occur when tilting, turning the body, and also when inhaling. When pressing or feeling the injured area, the pain intensifies and may not go away for a long time. Only at rest does a person stop feeling pain, which gradually disappears.

Problem Diagnosis

Problems arise in the diagnosis of the disease, especially if there are no other obvious symptoms or the diseased organ is not in the chest. Diagnosis is carried out mainly instrumental, until additional laboratory tests are required.

If the pain bothers you for a while, and then goes away on its own, then you can talk about functional reasons her origin. Important are the symptoms that manifest themselves in addition to pain. This helps to draw attention to a specific area of the body.

Doctors sometimes cannot establish an accurate diagnosis. Even if assumptions are put forward, this does not mean that the diagnosis is correct. This makes the patient's condition dangerous, especially when it comes to a serious illness.

An accurate diagnosis is required from the doctor. The patient himself must be prepared for what may be required. surgical intervention. Depending on the disease, doctors prescribe one or another treatment, which may include surgical operations. However, sometimes it's just a matter of psychological reasons illness, which requires only the help of a psychotherapist and the use of sedative medications.

We pay attention to the most important thing for pain between the chest and armpit

There is a certain procedure that doctors perform to identify the cause of pain between the chest and armpit. They turn Special attention on the most important indicators that can indicate what triggered the symptom. Consider the main indicators on the site site:

How do pains manifest themselves?
The nature of the flow of sensations is considered.
Are there any ways to reduce the pain? What are they?
How long does the pain last?

Diseases that may be the same in their symptoms - expressed by pain between the chest or armpit, yet differ in duration and strength given symptom. According to such signs, doctors can pay special attention to the organ that is characterized by a similar duration and intensity of pain.

In addition to diagnosing the body, an anamnesis is taken, which can also help in identifying the cause. It will be problematic to examine the entire body, therefore, in order not to waste time, doctors suggest in advance, according to the symptoms and complaints of the patient, what could be the cause of the disease. That is why conversations are conducted with the patient, an external examination is carried out, and the nature of the pains is also observed.

Where and how does it hurt?

What are the pains? The fact that they can be different in duration and strength is already known. How and where can it hurt with a particular disease?

Pain between the breasts and armpit can be sharp or dull in nature, lasting from a few seconds to 2 hours. It could be serious symptom, which indicates pneumothorax, pulmonary embolism, myocardial infarction, or aortic aneurysm. These diseases are life-threatening, so the patient should be urgently hospitalized.
Pain lasting 1 minute may indicate heart disease.
Pain lasting several hours indicates possible problems with the gastrointestinal tract.
Damage to the musculoskeletal system is accompanied by sharp pains that last more than 2 days.
Burning pain after eating indicates problems with the esophagus. In this case, belching and heartburn may appear.
Pain in the intercostal space, which appears on both sides of the chest and has a dull character, often indicates problems with respiratory system and light.

Other types of pain can be squeezing, aching, burning, etc. All of them suggest that the patient should consult a doctor who can identify the disease and prescribe treatment.

Who is at risk?

Almost anyone can experience pain between the chest and armpit. The reasons are so diverse that absolutely everyone can be at risk. Even children can experience similar symptoms, which only indicates a serious illness.

However, often pain in the chest area occurs already in adulthood and advanced age. This includes people who already had chronic diseases organs located in the chest are negatively affected environment and also have bad habits:

They smoke.
They drink alcohol.
Have high blood pressure.
They have hereditary diseases.
They carry out heavy physical loads on the body.
are going through stressful situations and nervous tension.

People who have diseases associated with chest pain are at risk.

What pains are dangerous for human health?

The reader should be attentive to the sensations that arise in him in armpit or mammary gland. There are pains that signal danger to human body. What are they?

Cardiological pain: myocardial infarction, unstable or acute angina pectoris, aortic aneurysm of a dissecting nature.
Pulmonary pain: severe pneumothorax, pulmonary embolism.

Such pains are easy to identify according to the patient's complaints, as well as using medical devices. Yes, holding x-ray or electrocardiographic examination allows you to accurately determine the nature of the pain.

If the patient does not go to the doctor for a long time and does not establish a diagnosis of his condition, then the development of the disease is possible. The condition will worsen, leading to even more severe symptoms.

Pain may indicate rib fractures, which can be detected by probing the chest, or herpes zoster. Treatment comes only after a diagnosis is made, which can only be correct after medical examinations. Medications are prescribed here, observed correct mode day and food. Only the fulfillment of all medical advice allows you to get rid of the disease and, accordingly, pain between the chest and armpit.

How to treat pain between the breasts?

Treatment of pain between the breasts depends on the condition of the patient. If an attack suddenly occurs, then a person may lose consciousness and fall into a painful shock. His face and lips will turn pale, his pulse will quicken, his eyes will be frightened. It is at this moment that you need to call an ambulance and provide emergency:

Lay in bed and raise your legs low.
Release from tight clothing and give a tablet of "Nitroglycerin".
Remove extra people from the room so that they do not irritate the patient.
Give a sniff of ammonia if a person loses consciousness.

You should not do:

Set the bones yourself if there is a chest injury.
Leave the patient alone.
Do warm compresses as different reasons pain, they can both help and hurt.

Medical treatment consists in identifying the cause of pain between the chest and armpit, and then in eliminating the disease:

Pulmonary pathologies are treated with antibiotics, anti-inflammatory and analgesic drugs, immunomodulators. The patient is in bed, consumes a lot of fluids, makes inhalations, refuses smoking and alcohol.
Pathologies of the cardiovascular system are eliminated proper nutrition, in a healthy way life, walks on fresh air, occupations breathing exercises, as well as drugs that thin the blood and dilate the coronary vessels.
Fractures of the chest bones are eliminated by immobilizing the patient and fixing his damaged areas. Ice is applied, massaged with special creams, massages are performed and soft stretches are carried out.

Treatment depends entirely on the causes of pain between the breasts. This is established by the doctor, as he also conducts treatment.

Forecast

The prognosis of pain between the armpit and the chest depends entirely on how quickly the patient seeks medical help, how his disease is correctly diagnosed and the treatment is carried out correctly. This significantly affects life expectancy. How long do people with chest pain live? It all depends on the diseases that provoked them.

There are diseases that are fatal. There are reasons that require emergency care. And there are diseases that are not fatal, but may have complications that threaten lethal outcome. The result is the same - death without treatment.