How To Deal With Chest Pain And Palpitations?
Good afternoon doctor, I want to ask about chest pain problems, I am a 23 year old male. the chronology is like this r n r nDate 19/8/2018 I felt my body was not feeling well, then my chest felt excited, after I checked my pulse I found 110-120 tachycardia per minute. r n r nDate 20/8/2018 I still feel the same way, and the pulse position is still tachycardic, after work my pulse is a bit normal, but suddenly “when I drank my neck pain swallowed up to the middle of the chest, the pain in the chest was felt like being stabbed to the back, after that I use rest, the armpit to take a deep breath feels pain like being stabbed again through to the back, then I want to go to the bathroom, get out of bed it feels like my chest is stabbed again by the doctor through to the back back, think why huh? r n r nBut I’m not as tight, not sweating cold, no pain in the left hand / chin, only the neck region (swallowing pain) to the chest, 2 years ago I had the same complaint I brought to the ER and on the EKG the results were normal.
Chest pain can be associated with impaired circulation to the heart muscle, this chest pain is a typical chest pain that gives typical symptoms:
Chest pain is usually in the midbone of the chest or on the left, feels like being squeezed or tied, like being crushed or a heavy object is pressing, such as burning. Pain usually radiates to the area of the left arm or neck or jaw or heartburn Pain can last up to 15-20 minutes Pain is relieved by giving nitroglycerin drugs Many other chest pain that resembles typical chest pain, the cause is interference with the organs in the chest cavity (skin, muscles, bones, esophagus, lungs, heart) or other disorders such as:
Muscle spasm, caused by fatigue in the muscles due to strenuous or repetitive activities using these muscles. Fibromyalgia, pain in the muscles usually aching or stabbing, can occur in all parts of the body, not just the chest. Disorders of the sternum such as fractures or inflammation of the bones (costochondritis). Pleurisy, inflammation of the lining that covers the lungs (pleura) is usually caused by infection. The pain is usually sharp, stabbing, more painful when inhaling and exhaling. GERD / gastroesophageal reflux disease. This is caused by the weakening of the valves that limit the stomach and esophagus, so that stomach acid rises into the esophagus and gives a burning sensation like burning in the chest. Pericarditis. Inflammation of the lining of the heart, can be caused by infection. Sharp, stabbing pain, more painful when you inhale or when you lie down. Aortic dissection. It is an emergency condition too, occurs because of the rupture of a large blood vessel, namely the aorta. The pain is very heavy and sharp, as if someone was torn in the chest and back or stomach. Herpes zoster, accompanied by the appearance of rashes watery reddish base skin. Even after recovering from herpes pain can last a while. Panic attack. There may be complaints of chest pain, accompanied by a feeling of tightness, palpitations, dizziness, fear of dying. Usually there is a trigger, for example, such as a crowded place. When we are active, tired, when the body is dehydrated, the body's response is to increase the heart rate. A fast heart rate is not always the result of abnormalities in the heart. If you feel worried, when the chest pain complaint appears, you can see a doctor. The doctor will ask for a history of complaints and other accompanying symptoms, perform a physical examination, and perform supporting examinations such as electrocardiography (ekg), chest X-rays, blood laboratory checks (heart enzymes, cholesterol, etc.), and so on if needed.
To reduce the pain you feel you may be able to temporarily reduce your activity, avoid excess stress, exercise regularly, eat regularly, take pain medication only when needed.
That's all the explanation from me, hopefully it's useful.
Dr. Saphira Evani