Pain in the chest in the middle when coughing, pressing, breathing, movement, breathing heavily. Causes and what to do

The internal structure of the human complex, consists of a set of systems that interact with each other. Pain arising in the body, for example, in the middle of the chestMay indicate a disease in the heart, lungs, or exhibit symptoms of another disease.

Why hurt the chest in the middle?

The human body is sensitive to changes in the environment, is subject to many diseases. But the body always gives signals to warn that something is happening to him. Heart, lungs, esophagus and great vessels are a source of the same sensory ganglia clusters. Therefore, the pain, the source of which is in the organs of the chest, there is anywhere between the stomach and the line of the ears.

More than 1/3 of the occurrence of chest pain associated with musculo-iyshechnymi injuries.

About 20% are caused by gastro-intestinal diseases, and 10% pain refers to angina. Chest pain often develops in the middle of the lack of oxygen in the heart muscle. The causes of ischemia are incorporated in vascular disease. There are many other, extracardiac reasons.

Chest pain in the back in the middle of giving

Sternum - flat spongy bone located in the middle of the chest, which connects the rib and clavicle. Pain behind the breastbone - Frequent complaints may indicate a simple exhaustion or onset. It can be direct or reflected.

The causes of pain radiates in the back:

• disease, spinal cord injury;
• swelling;
• fracture of the sternum;
• cardiac disorders;
• respiratory disease;
• Digestive tract disorders.

Violations of the fourth thoracic vertebrae, mediastinum, provoke pain of this nature. While there is a feeling of angina chest compression. Gastrointestinal diseases accompanied by pain behind the breastbone, often given away in back.

Pain during movement

Exercise, stress causes pain in angina available. Diseases of bone, joint, muscle cause pain in different parts of the sternum. Intercostal neuralgia spoobstvuet development of persistent pain.

Pain when inhaling

Pain in the chest in the middle may be a sign of osteoarthritis. It is enhanced with a deep breath, lifting hands. When tracheitis, pneumothorax, infectious diseases (tuberculosis). Ankylosing spondylitis, spondylarthritis causes discomfort when breathing deeply. Broken ribs, bruises effects are given to severe pain in the chest, especially when breathing.

Pain after smoking

This type is associated with disturbances in the bronchi, lungs:

• Bronchitis, emphysema, pulmonary dysplasia. Continuous smoking caused accumulation in the lungs tarry substances contained in the smoke, which leads to the destruction of lung structure. Smoke kills the natural barriers to the spread of infections. Since the bronchi are the nerve endings, then it leads to pain in the chest.
• Withdrawal symptoms caused by nicotine withdrawal. Smokers who refuse to nicotine may exacerbation of chronic diseases, violation of air in the lungs, which causes chest pain.

Pain when pressing

Diseases of the peripheral nerves caused by compression of the nerve roots, called intercostal neuralgia. This cause - the second prevalence of pain in the chest. Soreness felt when pressing on certain points along the chest. Curvature of the spine in the thoracic spine, kyphosis, causing pain with pressure on the respiratory muscle.

When osteochondrosis discomfort arises with pressure on the trapezoidal small breast muscle.

Pain after vomiting

Severe vomiting lead to a rupture of the esophagus, the pain of this is complemented by a burning sensation, shortness of breath. This condition requires immediate medical attention. Gag process is accompanied by a sharp contraction of the diaphragm, due to which there is an emission of food residues. Reinforced vomiting causes painful spasms in the muscles of the chest and abdomen due to sharp contractile movements.

Pain when coughing

Coughing increases the pain in diseases of the heart, trachea, bronchi, intercostal neuralgia. Discomfort increases when coughing if the spine is injured, there is a sternal bruises, muscle clamps. Muscle fatigue muscles after prolonged coughing, irritation of the pleura, intercostal neuralgia, all this creates preconditions for chest discomfort.

Types of chest pain in the middle. What they point

Differential diagnosis is based on the description of the pain.

When the diagnosis take into account:

• location of pain;
• pain habitat excitation;
• the kind of pain, its duration, and character.

It is not enough to determine only the appearance, should be carried out diagnostic studies. All signs, joined together, let diagnose correctly.

sharp

Pain in the chest, and tearing of referred back, occurs when the thoracic aorta dissection, arterial hypertension. Constantly acute or recurring pain is often associated with pericarditis. At the same time in the middle of the chest pain intensifies when breathing, swallowing, lying down the back. Burning pain in the epigastric region of the neck indicates the presence of reflux esophagitis.

strong

Severe pain, which began after the vomiting happens after the rupture of the esophagus. But multiple symptoms can also indicate other reasons. Sudden pain encircling the middle part of the chest, typical for infectious diseases. Secondary sign - rash.

aching

Constant nagging appearing epigastric, at the bottom of the sternum, worse in the supine position - indicating pancreatitis. Accompanied by vomiting, tension of the abdominal muscles.

Pain that does not have a specific location, sometimes occurs in the lower part of the chest, upper abdomen, it suggests a peptic ulcer. Reasons contributing to its emergence - alcoholism, smoking. Symptoms decrease after taking antacids or food. Constant case with fibromyalgia, felt in all parts of the body, including the sternum.

pressing

Pressing pain occurs in stable angina, a heart attack can occur in one side of the chest, behind the breastbone in the center. It takes place in a period of rest, during exercise occurs, the diagnosis of angina.

Baking

Baking, knife-short-term pain is typical for angina. A burning sensation in the chest is almost always indicates a cardiac cause. Pain concentrated in the heart, spread out across the chest, giving himself in the arm, neck, shoulder. Baking character is inherent and other diseases: pleural, in the gastrointestinal tract, disorders in the musculoskeletal system.

In rare cases, a burning sensation felt in the background psychogenic depression.

Possible causes of chest pain in the middle

Many diseases cause pain and discomfort in the chest.

Some are life-threatening, require hospitalization:

• Dissection of the thoracic aorta.
• rupture of the esophagus.
• Acute coronary syndrome.
• Blockage of the pulmonary artery.

Others do not pose a threat to life, are treated in a hospital or on an outpatient basis:

• Abnormalities in the chest wall.
• Pleural disease.
• Stable angina.
• Gastrointestinal diseases.
• Injuries, bruises.

injuries

Breast lesions can be either open or closed nature.

Types of injuries:

• fractured ribs;
• bruises;
• squeezing.

Bruises risk of internal hemorrhages, hematomas, developing the internal organs. All this causes the pain from sharp to dull, aching. At the turn of the ribs have pain intensified during inspiration. Badly bruised heart is accompanied by cardiac pain, tachycardia, decreased blood pressure.

Pain in the chest in the middle may appear in response to exercise, heavy lifting, monotonous physical labor.

Cardiovascular diseases

• angina. Pain increases with active exercise.
• Myocardial infarction. Rupture of atherosclerotic plaques by thrombus body tends to close, which makes the supply of oxygen, causing acute myocardial ischemia. In this state for more than 15 minutes. heart muscle cells die, acute myocardial develops.
• Aortic dissection. She is accompanied by fainting, stroke, hypertension.
• Pericarditis. Concomitant symptoms - swelling of the neck veins.
• Myocarditis. Accompanied by fever, shortness of breath, fatigue.

pulmonary disease

Lung tissue has no pain receptors, so the pain appears only in the defeat leaves covering them - the pleura. This pleural pain, they are often complicated by coughing, deep breathing, accompanied by shortness of breath.

Disease, contributes to the defeat of the pleura:

• Tumors of the lung and pleura.
• Pleurisy. Often begins after a pneumonia, or viral infection. Pain occurs when coughing, breathing.
• Inflammation of the pleura.
• Tense pneumothorax. Condition of the body, in which the apparatus of external respiration does not provide the correct gas exchange due to internal or external causes.
• Emphysema of the mediastinum, which develops when damaged lung.
• Pulmonary embolism. Accompanied by shortness of breath, tachycardia.

Tracheobronchitis - one of the causes of chest pain when inflamed bronchi or tracheal tumors appear. Catarrhal pain, appeared together with a cough go away quickly and stored for a long time for no apparent reason need a bronchoscopy.

Pathology of the gastrointestinal tract

• esophageal spasm. The pain is prolonged, often appears when swallowing.
• Reflux disease. Recurrent acute pain, starting from the epigastric and advancing to the neck. When torso increases, decreases in the supine position.
• Pancreatitis. The muscles of the upper abdomen tense, pain accompanied by vomiting.
• Biliary tract disorders. The pain occurs after a meal, but not the physical effort.
• Peptic ulcer disease. Discomfort appears in any part of the abdomen, lower chest, is a recurring character, is amplified in a state of starvation.

Diseases of the spine

The nerves that are connected with spinal department, located in the thoracic region, responsible for the discomfort in the chest. Their jamming, damage in the thoracic spine disease often causes a feeling of squeezing chest pain.

What they indicate:

• Thoracic osteochondrosis, in which grown old and worn-out intervertebral discs causes the development of pain.
• Thoracic hernia, in which the drive goes to the core of the spine beyond.
• Kyphosis, the curvature of the thoracic spine, affecting the appearance of pain.
• Disc protrusion. Bulging disc due to cracks in the fibrous ring, exerts pressure on the spinal canal, thereby causing chest pain.
• Scoliosis, in which the curvature of the thoracic right or left develops pain in the spine and chest.
• Myositis. Inflammation of the muscles leads to pain.
• Radiculitis. Inflammation of the nerve roots of the spinal nerves develop pain in the thoracic region.

Pain in the chest in the middle there is arthritis of the shoulder joint. Thus it is given in the chest, the blade causes the upper limbs numbness.

What to do as a first aid for chest pain when breathing heavily?

People with chest pain should seek medical attention immediately, because at every moment of ischemia increases the area of ​​damage to the heart muscle. TIA often manifested in the cold because the blood vessels are narrowed the temperature is lowered, and the blood volume is reduced. It is recommended for attacks to cause "first aid", even if the pain decreased.

People suffering from angina should carry validol nitroglycerin.

Anxiety and panic attack conventional satellites are, if you put a handkerchief to his nose, soaked in lavender essential oil. In the case of intercostal neuralgia, acute period, it is recommended bed rest for 2-3 days. Body must be based on a solid flat surface, it is possible to tie the chest warm, better than a feather, handkerchief.

Methods of treatment of chest pain in the middle

When unknown etiology necessary to hospitalize the patient for further examination. Removal of painful symptoms is carried out using analgesics. Reducing pain after their adoption does not negate the need to identify the disease.

Warning signs indicating serious causes of pain in the sternum:

• confusion;
• excessive sweating;
• hypoxia;
• asymmetry of breath sounds;
• occurrence of heart sounds;
• dyspnea;
• tachycardia, bradycardia.

Treatment in severe cases is carried out with the help of medications prescribed by a doctor and under his supervision:

drugs group	Name	recommendations
arterial relaxants	Nitroglycerine	Relax the heart arteries, reduce the burden of venous blood
Nitrokor
Ernits
Nitromaks
thrombolytic drugs	Tenektellaza	Restore blood flow in clogged blood vessels
Retaplaza
Trombozilis
streptokinase
breakers blood	thrombotic Ass	Prevention of stroke, infarction, thromboembolism
cardiomagnil
Pradaksa
preparations for acid suppression	Fosfalyugel	They are used for diseases of the gastrointestinal tract, neutralize the acid, protect the mucous membrane
Rutatsid
Almagell
Nexium
NSAIDs	aspirin Cardio	Angina, primary prevention

When panic attacks, accompanying chest pain, the doctor prescribes anti-depressants for emotional control.

Therapy in osteochondrosis, bruises:

• Analgesics: Tramal, Ambene.
• Antispasmodics: Lidocaine, Trimekain.
• Anti-inflammatory Ibuprofen, Diclofenac, Nimesil.
• Vasodilators: Aktovegin, Trental.
• Chondroprotectors: Rumaklon, hondrolon, Chondroxide.

When costal fractures discount expectorants, for the prevention of pneumonia posttraumatic:

• Thermopsis.
• Codelac broncho.
• Termopsol.

  

And conducts courses of medical procedures:

• gymnastics for mechanical ventilation;
• physiotherapy;
• UHF-therapy;
• massage sessions.

When the pain in the chest, resulting from stress, worries, it is necessary to carry out relaxation exercises, yoga, walks in the fresh air.

In severe cases of heart disease are carried out surgical procedures:

• Angioplasty and stent placement. If the chest pain is caused by blockage of an artery that feeds the heart, surgery is performed on the stent.
• Bypass surgery. Restoration Operation aorta carry blood from the heart to other organs.
• Drainage of the lung with pneumothorax.
• Emergency surgery to restore aortic dissection.

The probability of life-threatening diseases increases with age, and diagnosis and recovery from illness is difficult. Therefore, for any changes in the body, interferes with their lifestyle, especially such as pain in the middle, left or right side of the chest, should be treated with the utmost seriousness.

Video of chest pain

Three tests with chest pain:

Author: Anna Belyaeva