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Chronic pain is one of the most common symptoms for which patients report to a doctor. It can be manifested at any place, starting from the neck and chest to the upper abdomen, to be of varying intensity, character and duration. The pain can be manifested as: Acute pain; Faucet pain; Stabbing pain; Bowling pain; Painful feeling of constriction and pressure in the chest; Disgusting pain; Breaking pain. What are the most common causes of chest pain? When chest pain occurs, a heart attack is primarily thought of as a heart attack. But, besides the heart, a source of chest pain can be any other tissue or organ in the chest, including the lungs, esophagus, chest muscles, ribs, and nerves. Depending on the cause, chest pain is often accompanied by other symptoms that help in establishing an accurate diagnosis. The most common causes of chest pain are: Cardiovascular system Angina pectoris (chest pain caused by cardiac muscle ischaemia). It is a matter of chest pain caused by insufficient supply of the heart with the required amount of nutrients and oxygen, most often due to atheromatous narrowing of the coronary arteries (the blood vessels that feed the heart). Provocative factors can be excitement, stress, physical exertion (sex, accelerated walking, running, climbing stairs), getting cold, cold wind, etc. The pain recedes during rest and most often this condition does not cause irreversible damage to the heart tissue. Except in the central part of the chest, the pain can spread to the jaw, neck, back, shoulders (more often left) or along the left arm, and can be transmitted with fear, pallor, tachycardia, increased blood pressure (less commonly) with sweat and other. Myocardial infarction (heart attack). This condition occurs due to a reduction in blood flow through the coronary vessels that causes irreversible change in heart tissue (cardiac deaths). Despite the great resemblance to angina pain, pain in a heart attack is more intense, lasts longer and does not retreat during rest. Aortic dissection. It is a life-threatening condition in which the aortic wall (the main artery of the heart) breaks down and the blood pumps out between the layers, causing the aorta to break off, which is followed by very strong tearing pain in the front of the thorax. Myocarditis. Inflammation of the heart muscle except chest pain is manifested by fever, breathing problems, fatigue, malaise. Often the pain in myocarditis is similar to pain in a heart attack. Pericarditis. Inflammation of the pericardium (the wrap around the heart) is accompanied by chest pain that resembles pain in a heart attack. It is a sharp pain that spreads to the upper part of the neck and shoulder. The pain is highlighted by inhalation, swallowing or lying on the back, and it may falsely disappear if the body is in a sitting position and pointed forward. Hypertrophic cardiomyopathy. In this condition, despite chest pain, there is a lack of air, malaise, dizziness and other symptoms. Lungs Pneumonia. Infection of the lung is manifested by fever, fever, productive cough (spleen cough), and often chest pain can be of varying quality and intensity. Pleuritis. Inflammation of the pleura (lungs) is often transmitted by chest pain that is exacerbated by inhalation, coughing or sneezing. Pulmonary embolism. It is a condition in which a clot (clothed blood) travels through the circulation and engages in the blood vessels of the lungs. In this disease, besides chest pain, there is difficulty breathing and accelerated heart rate. Pulmonary hypertension. High blood pressure in the pulmonary vessels may be the cause of chest pain. Asthma. This disease is characterized by airway inflammation and manifests itself with lack of air, wheezing (hypodermal breathing), cough and, in certain cases, chest pain. Pneumothorax. In this condition, a part of the lung tissue collapses and releases air into the chest. In this case chest pain is highlighted by inhalation. Gastrointestinal system Gastroesophageal reflux (GER). In this condition, the stomach contents return to the esophagus and causes burning pain in the area of the chest or throat. Peptic ulcer. This condition is most commonly a burning pain that is more pronounced when the stomach is empty and calms after eating. Problems with the gallbladder. If you have a problem with the gallbladder, after a fat-rich meal, chest pain occurs most often in the right lower part of the chest. Pancreatitis. Pancreatic inflammation causes pain in the lower part of the chest that is exacerbated in a resting position, and improves if the body is in a sitting position and the upper half is tilted forward. Medical Disclaimer The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this Website.
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स्वास्थ्यसमाचार/छाती दुख्नुको अर्थ मुटुकै कारण हो भन्न मिल्दैन, हामी भ्रममा परेर छाती दुख्नुको कारण मुटुमै समस्या भएको ठान्छौ तर त्यो सोचाइ गलत हो । लगभग ९० प्रतिशत भन्दा बढी मानिसमा छाती दुख्ने कारण मुटुसंग सम्बन्धित हुँदैनन् । तर दुखाइको प्रकृति फरक भएकोले यदि तपाइलाइ मुटुको समस्या छ भनि चाडैनै डाक्टरलाइ देखाई हाल्नु पर्छ । र अझ ह्दयाघातको कारणले छाती दुखेको भए , १ मिनेट पनि समय खेर नफाली अस्पताल गैहाल्नु पर्छ । छाती दुख्नुको कारणहरु हाम्रो छातीमा मुटु र फोक्सो दुई प्रमुख अंगहरु हुन्छन् । छाती दुखेमा पहिला यी दुई अंगहरुको कारणले हो वा होइन भनी सोच्नुपर्छ । छातीको बनावटमा हड्डी, मांशपेशी, नशा र छालाको पनि भूमिका भएकाले यी अंगहरुको समस्या भएर पनि छाती दुख्न सक्छ । धेरैजसो अवस्थामा छाती दुख्ने कारण हड्डी र मांसपेशीसँग नै सम्बन्धित हुन्छन् । ओ।पि।डीमा छाती दुखेर जँचाउन आउने धेरैजसो बिरामीहरुमा यी कारणहरु नै प्रमुख भएका तथ्य अध्ययन र अनुभवले देखाएको डा ओम मूर्ति अनिल बताउँछन् । तर, पनि आकस्मिक कक्षमा आएका विरामीको पहिला मुटु र फोक्सोको जाँच गर्नु नै उचित हुन्छ । अर्थात इमर्जेन्सीमा छाती दुखेर आउने बिरामीहरुमा ह्दयघातको कारणले छाती दुखेको हो वा होइन भनि निश्चित गर्नुपर्छ । छाती दुख्ने कारण कसरी थाहा पाउने ? फोक्सोको कारणले छाती दुख्दास् लामो श्वास लिँदा वा फेर्दा चस्स छातीको एकातिर९दायाँरबाँया० करङ्मा दुख्यो भने फोक्साको कारणले दुखेको हुनसक्छ । दुब्लो मानिसमा यो समस्या बढी देखिन्छ । यस्तो बेलामा स्वाँस्वाँ हुने ज्वरो आउने पनि हुन सक्छ । निमोनियाको कारणले पनि यस्तो हुनसक्ने डा अनिलको भनाइ छ । माँसपेशी वा हड्डीको कारणले छाती दुख्दास् छातीको दायाँ भाग, पछाडी वा छेउतिर करङ्गमा दुख्यो भने मांसपेशी वा हड्डीको कारणले हुनसक्छ । यो भागमा दुखेमा मुटुको कारणले हुने संभावना कम हुन्छ । हातले छाम्दा दुख्ने, श्वास फेर्दा दुख्ने, छातीको घुमाइसँगै दुखाईको तिब्रतामा परिवर्तन आउने जस्ता लक्षण भएमा मांसपेशी र हड्डीको कारणले दुखेको हुनसक्छ । मुटुको कारणले छाती दुख्दास् छातीको बिच भाग वा बायाँतिर एकनासले दुख्ने वा दबाब महसुुस गर्ने वा पोल्ने हुन सक्छ । दुखाईको तिब्रता कम वा बढी हुनसक्छ । दुखाई सँगसँगै धेरै पसिना आउने, वान्ता हुन खोज्ने, मुटु ढुकढुक हुने, डर लाग्ने, कमजोरी हुने जस्ता लक्षणहरु भएमा ह्दयघातको संभावना बढी हुन्छ । ह्दयघातबाट छातीको दुखाई देब्रे हात, घाँटी वा पीठ्युमा पनि सर्न सक्छ । यी रोग हुन सक्छन् कुनै मानिसलाई अकस्मात् छाती दुख्यो भने र बीचमा नदुखीकन छेउको भागतिर दुखेको छ भने फोक्सोको दुखाइको सम्भावना बढी हुन्छ, जसको निमोथेराक्स वा हावा भरिनु महत्वपूर्ण कारण हो । हावा भरिदैँ गयो भने फोक्सोको अरु भागलाई थिच्छ र मुटुलाई काम गर्न दिँदैन, जसका कारण मानिसको मुत्युसमेत हुन्छ । छातीको दुखाइको अर्को महत्वपूर्ण कारण फोक्सोमा पानी भरिनु पनि हो । पानी भरिएर दुखेको छ भने बिस्तारै दुख्दै जान्छ, लामो समय लाग्न सक्छ ।त्यसैगरी, छातीको दुखाइ फोक्सोको क्यान्सरको लक्षण पनि हो । यदि फोक्सोको क्यान्सर फैलिएर छातीको भित्तालाई छोएको छ भने पनि छाती दुख्ने गर्छ । क्यान्सरका अरु लक्षण नदेखिन पनि सक्छन् । जस्तो कि, खकारमा रगत आउनु, खाना नरुच्नु, मानिस दुब्लाउँदै जानुलगायत लक्षण देखिएर छाती दुखेर आएको मानिसमा पनि क्यान्सर हुने गरेको पाइएको छ । फोक्सोका कारण फोक्सोका संक्रमण, क्यान्सरको लक्षण, छातीमा हावा तथा पानी भरिनुजस्ता कुराहरू छातीको दुखाइका कारण हुन् । छातीको भित्तामा समस्या भयो भने पनि दुख्ने गर्छ । धेरै मानिसहरू छाती दुखेर डराएर अस्पताल आउने गर्छन् । तर, खासै केही भएको हुँदैन, मसल पेन भएको हुन्छ । फोक्सोको संक्रमण हुनु निमोनियाको कारण हो । निमोनियाको रोकथामका लागि बाहिर निस्कँदा मास्कको प्रयोग गर्ने, संक्रमण भएको व्यक्तिभन्दा अलि टाढा बस्ने, आफूलाई संक्रमण छ भने भिडभाडमा नजाने, आराम गर्ने, पौष्टिक खानेकुरा खाने गर्नुपर्छ । निमोनियाको संक्रमण सबैजनामा हुँदैन । जसको प्रतिरोधात्मक क्षमता कम हुन्छ, त्यस्ता मानिसलाई निमोनियाले घेरै दुःख दिने गर्छ । प्रतिरोधात्मक क्षमता भनेको अरु कुनै क्रोनिक बिमारी, जस्तै, सुगर, फोक्सो, मिर्गौलालगायतका बिमारी छ भने डाक्टरको सल्लाहअनुसार नियमित रूपमा उपचार गरिराख्नुपर्छ।