Pain in the chest in the middle – angina pectoris, myocardial infarction, pericarditis, aortic dissection, bronchitis, pleurisy, pneumonia, pulmonary tuberculosis, gastroesophageal reflux, costochondritis, osteochondrosis, scoliosis, radiculitis, gastritis, pancreatitis, gastritis, esophagitis.

Pain in the chest on the left – myocardial infarction, pericarditis, endocarditis, myocarditis, intercostal neuralgia, osteochondrosis, spondylosis, pancreatitis.

Pain in the chest on the right – intercostal neuralgia, liver cirrhosis, cholelithiasis, osteochondrosis, spondylosis.

Pain in the chest from above – tracheitis, osteochondrosis, spondylosis.

Chest pain from below – exacerbation of bronchial asthma, colitis.

Diagnostics

The main methods of examining a patient with chest pain are:

Visual examination, history taking, complaints, palpation;
Magnetic resonance imaging (MRI)
X-ray
Computed tomography (CT)
Ultrasound examination (ultrasound)
Fluorography
General blood analysis
Blood chemistry.

Treatment

It is highly discouraged to treat chest pain without clarifying the etiology of the condition. diseases of the cardiovascular, nervous, digestive and other systems differ significantly from each other.

In general, if discomfort and pain are caused by emotional stress, you can drink a sedative – “Persen”, valerian preparations, motherwort.

The doctor may also prescribe:

Non-steroidal anti-inflammatory drugs (NSAIDs), they are also pain relievers – “Nimesil”, “Nimedar”, “Paracetamol”, “Nurofen
Chondroprotectors;
Vasodilator drugs;
Physiotherapy treatments – shock wave therapy, mud treatment, massage.

Prevention

Prevention of chest pain includes:

Compliance with the rules of personal hygiene
Avoid hypothermia of the body;
Eat well so that all the necessary vitamins and nutrients are fully supplied to the body
Move more;
Seek medical attention in a timely manner.

Etiology of chest pain

Many diseases and disorders are accompanied by pain in the sternum.

Depending on the causes of discomfort, it is customary to distinguish between 2 types of pain syndrome:

Vertebrogenic – due to the pathology of the spine or surrounding tissues. It occurs as a result of compression, irritation of the nerve roots of the branches of the thoracic spinal nerves or in connection with excessive muscle tone. Most often it is provoked by osteochondrosis or herniated disc. The reason that the chest hurts can also be instability or fracture of the vertebrae, thoracic or cervical spondylosis, sciatica, tumors, ankylosing spondylitis, spinal stenosis, trauma, spondyloarthropathy, a variety of degenerative-dystrophic and infectious lesions.
Nonvertebrogenic – associated with a disease of the internal organs, blood vessels, or is of a psychogenic nature. The main cause of pain in the sternum or heart area is the deterioration of the coronary circulation, angina pectoris, myocarditis. Thoracalgia is accompanied by cardiac ischemia, rheumatism, pericarditis, myocardial necrosis. Aortic aneurysm, blockage of the pulmonary artery, neuroses, panic manifestations, respiratory diseases, inflammation of the gastrointestinal mucosa, pancreatitis, neoplastic diseases, hernia or spasm of the esophagus, stomach ulcer leads to the occurrence of non-vertebral syndrome.

How to recognize the cause of pain

To decide what to do if the chest hurts, whether it is worth calling an ambulance, you need to diagnose the condition of your body and try to independently determine the cause of the pain by the symptoms. The origin of pain can be judged by their nature, intensity, localization and by what other symptoms prevail in the clinical picture.

First of all, you should pay attention to the time factor. What signs make it possible to exclude cardiology and suspect neuralgia:

constant pain that persists day and night, in the morning may subside, when walking increases;
the place in which discomfort is felt usually exactly corresponds to the localization of the pathological process. The phenomenon of irradiation can be observed when the process of excitation spreads to other nerve centers, responds in the lower back, shoulder girdle. In such cases, there is a characteristic increase in pain during physical exertion, with laughter, sneezing, deep breaths, coughing;
when pressing on points located along the spine, pain begins to be felt or its intensity increases;
local temperature rise, hyperemia;
muscle pains that increase when bending the body forward, lifting or extending the arms, turning the shoulders;
pinched nerve is accompanied by numbness in the area in which the compression occurred;
the painful condition is one-time, associated with a certain action or situation – excessive overload, hypothermia, a cold, as well as with an unsuccessful movement or a sharp tilt, or injury.

With heart ailments, a clear local soreness is rarely observed, there is a predominantly reflected periodic pain that does not last constantly, often manifests itself in attacks. What symptoms are worth looking out for?

So if:

bakes, aching chest, there is a connection with food intake – gastritis, ulcers, colitis or pancreatitis are diagnosed. The violation is accompanied by heartburn, belching, upset stools;
hurts in the center of the chest or in the upper part – a cold, most likely bronchitis, or heart problems;
hurts above the chest – one can assume the consequence of the action of drafts, weight lifting;
aches the chest, monotonously aches in the chest, breathing hard, sweating may have increased, dizziness has appeared, but no other obvious symptoms are found – this is how stress, anxiety, negative emotions, neuroses usually manifest themselves;
not associated with breathing, constant pressing, at times piercing pain (especially in the area of the mammary gland) – the situation should be alarming, because this may be a sign of the formation of a malignant tumor;
paroxysmal pain that occurs behind the chest, lasting 3-5 minutes, a feeling of pressure, burning, compression in the heart region or more widely on the left – probably angina pectoris, often against the background of emotional stress or physical overload.

Diseases of the circulatory system

The heart is in the central region of the chest, moving slightly to the left. The discomfort that appears in it can be given to all parts of the chest, shoulder, neck. Below are the most common causes of his illness and what to do in each case.

Coronary artery disease (CHD)

This is a disease of the vessels that supply blood to this organ. With improper diet and lifestyle, closer to old age, cholesterol is deposited on the inner walls of the arteries – these are atherosclerotic plaques that narrow the lumen of the vessel and prevent blood from adequately approaching the heart. There are attacks of ischemia, which are accompanied by sharp, sudden chest pains. Characterized by pressing pain in the middle of the sternum. As a rule, physical activity becomes the cause of attacks, they pass at rest.

To confirm IHD, ECG, Echocardiogram, and special monitoring are used. But the diagnosis is easy to make and based only on complaints. To relieve seizures, nitroglycerin preparations are prescribed, for treatment – ACE inhibitors, B-blockers, calcium antagonists, statins and other drugs to improve heart function, reduce the load on the myocardium.

Acute myocardial infarction

Usually a heart attack is the outcome of prolonged coronary artery disease (Ischemic heart disease), but it happens that it occurs abruptly, without any prerequisites. In the presence of diseases, therapy is carried out and consulted by a cardiologist and a cardiac surgeon.

This condition is based on a sharp violation of the flow of blood to the area of the heart, which begins to die.
A heart attack is accompanied by sharp severe pain in the chest (if before that there was an ischemic heart disease, then the pain is usually much stronger), nausea, vomiting, dizziness, and loss of consciousness are possible. Pain in a heart attack can be both in the left and in the center of the sternum, above it, it can even be in the abdomen. There is also a painless form of myocardial infarction – more often in diabetics.
With a sharp deterioration in general well-being, which is accompanied by the above symptoms, especially in the presence of diagnosed coronary artery disease and atherosclerosis (the treatment of cerebral atherosclerosis is written here), it is necessary to urgently call an ambulance, what to do next, they will say in the hospital.

There is an atypical course of angina pectoris, when an attack of pain behind the sternum, shortness of breath, appears at night at rest, and during the day with physical activity, practically nothing bothers. This form is called “printsmetal angina”. The characteristics of the appearance of pain are extremely important for the diagnosis of the disease. Many patients keep a diary where they write down when, what time and after which there were sensations behind the breastbone, why they disappeared. This is very convenient for the doctor – the history of the disease immediately appears.

Infective endocarditis

In the heart, as in other organs, there can be a drift of infection with the subsequent development of inflammation. A common example is endocarditis caused by streptococci, which are brought in with the bloodstream from chronic foci of infection, for example, the throat (the treatment of sinusitis, pharyngitis, sinusitis is written in these articles), if necessary, consult an ENT doctor. Streptococci affect the leaflets of the heart valves, this can provoke pain and irregular heartbeat.

Anamnesis (presence of a focus of infection), ECG, ECHOKG will help to diagnose. The doctor will listen to the chest and be able to identify characteristic changes in tones. Antibiotics are prescribed for treatment.
Many other congenital and acquired diseases of the central circulatory organ can cause the sternum to ache or ache. These pains do not differ in intensity, are located more often in the left side of the chest and do not always require special treatment.

Therapy of diseases associated with the heart system is carried out by a cardiologist.

Respiratory diseases

The organs of the entire respiratory system are located in the chest cavity, and their diseases can be accompanied by pain in the middle of the sternum. The most important of these are the bronchi, lungs and pleura.

Bronchitis, bronchial asthma and other diseases of the bronchi

With various infections, prolonged smoking, working with harmful substances, the tissues of the bronchi are damaged and bronchitis occurs. In this case, pain often appears in the middle of the sternum associated with muscle tension during coughing, which can be dry or wet. The bronchi themselves cannot hurt – they have pain receptors.

The pain is usually located in the middle, or on the side where the inflammation is greater. Aggravated by inhalation and coughing.

Bronchial asthma stands apart – it is a chronic, allergic bronchial disease. It manifests itself in periodic attacks of suffocation, with difficulty exhaling.
To diagnose bronchitis, the doctor listens to the lungs with a stethoscope. The defeat of the bronchi is visible on fluorography, CT, MRI. In uncertain cases, bronchoscopy is performed – the camera is inserted directly into the bronchi and examined from the inside. Bronchial asthma is diagnosed using special breathing tests.
Depending on the cause of bronchitis, antibiotics, expectorants (if the cough is dry), anticholinergics are prescribed to expand the lumen of the bronchi. About treatment regimens for acute bronchitis napsiano here. What to do for the treatment of bronchial asthma, the doctor will say. He selects a special treatment that includes a combination of drugs.

Pneumonia and pneumonitis

When bacteria, viruses or chronic inhalation of small dust particles enter the lung tissue, inflammation occurs. The lungs themselves do not hurt. They have pain receptors. The pleura can hurt when the inflammatory process spreads further. If the inflammation is caused by an infection, there is a fever, cough, and feeling unwell, such as with the flu. In case of chronic damage to the lungs with a dispersion suspension in the air, unproductive cough and discomfort in the sternum come to the fore.
A mild respiratory tract infection can be treated at home: bed rest, hot tea with herbal infusions, expectorants, vitamins. In case of a serious illness, accompanied by a high fever, severe weakness and pain, it is necessary to call a doctor who will give recommendations on what to do.

Doctor’s advice

There are more than 50 diseases and conditions, which are united by one syndrome – cardialgia, i.e. pain in the region of the heart, incl. – in the area of the sternum. By themselves, they are in no way connected with the work of the heart, but they require the elimination, first of all, of heart problems. Therefore, you should not try to diagnose your condition on your own – you need to consult a therapist. After the examination, the doctor will decide on further tactics, send him for examination or to another specialist (neurologist, gastroenterologist, cardiologist, etc.).

Pleurisy

Pleurisy is the involvement in the infectious process of the membrane of the lungs – the pleura. It can collect fluid (exudate), which prevents the lungs from straightening out – this causes chest pain. Characterized by a deep breath, lying on its side. More often, pleurisy develops after or during pneumonia. Read about pleurisy treatment here.

It is not difficult to make a diagnosis – pleurisy is visible on fluorography. But for treatment, a procedure is needed to remove fluid from the pleural cavity, it can only be carried out by a qualified specialist.

Tumors of the respiratory system

Unfortunately, lung cancer comes out on top among other neoplastic diseases and has a high mortality rate. In the early stages, the tumor is very small and may not manifest itself in any way. Sternum pain is a variant of the first symptoms that requires diagnosis. Sometimes a chronic dry cough without progression joins.
What to do if the cough persists for a long time is to carry out fluorography. In addition, you need to pass blood tests, sometimes bronchoscopy is prescribed.

If you have similar symptoms, you can consult a therapist and pulmonologist.

The nature of the pain in the sternum

Experts can suggest a particular cause of pain in the middle of the sternum by its characteristic features. The nature of the pain behind the sternum in the middle is usually specified when examining the patient and drawing up an anamnesis.

Dumb

The name of dull pain speaks for itself – it is definitely not acute, that is, it is quite tolerable by the patient. This is what constitutes a special danger of dull pain, which, although it poisons a person’s life, gives hope that it is about to pass, and everything will be fine. But behind such a painful signal, there may be far from harmless pathologies that sometimes require immediate medical intervention. Therefore, if it hurts in the middle of the sternum for a long time, it is difficult to breathe or to endure physical activity, immediately go to an appointment with a cardiologist.

Sharp and sharp

When the situation is urgent, that is, it requires immediate action, the body signals this with acute pain in the sternum in the middle. Even extremely hardy people are not able to endure acute pain, and in this way nature took care of delivering important information to us – we urgently need to see a doctor! The severity of the situation is confirmed by a list of likely provocateurs of sharp pain in the sternum in the middle. It manifests itself as a consequence:

myocardial infarction;
aortic aneurysm (especially in the case of aortic rupture with dissecting aneurysm);
pericarditis (infectious or allergic inflammation of the heart bag);
BODY;
chest sciatica;
pleurisy (inflammation of the lung membrane) and other life-threatening conditions.

It is not always possible to determine the cause of pain only by its nature. To clarify the diagnosis, blood pressure measurements, ECG, and other medical examinations are required.

Pressing and pulling

Patients usually identify pressing pain with dull pain, but this concept has another definition – a pulling feeling.

A pulling pain in the sternum in the middle has the character of a “sliding” pain sensation, when it seems that the chest is under a heavy plate, and the person does not find a place to get rid of it. Some patients describe pulling pain as a kind of water level (spirit level) in the chest, only instead of an air bubble, pain rolls in it. It is difficult to imagine such sensations in the bone, but, apparently, they are reflected from the organs in which the pathology has developed.

The causes of dull and pressing pain are varied – from cardiac and respiratory to neurological, so they should be clarified in the doctor’s office.

Aching

If it hurts in the middle of the sternum, the sensation is often aching. This is also a kind of dull and pulling pain, which is distinguished by some periodicity (almost the same as pulsating), as if the pain “does not want” to be forgotten. The most common causes of it are cardialgic, that is, associated with the heart, less often – pulmonary (pleural, since the lungs themselves do not hurt), sometimes tracheal. To make an accurate diagnosis, the doctor must see the results of not only ECG or tonometry, but also blood tests, where, for example, electrolyte imbalance and associated cardiac pathology can be determined.

Burning

A vivid description of burning pain by patients is usually accompanied by such qualifications as “fire, heat in the chest, bakes, burns.” Why the feeling of heat covers with a burning pain in the sternum in the middle, for sure, the doctor will tell.

Be sure to contact him, because the burning sensation in the chest often hides:

myocardial infarction;
pericarditis;
neuralgic and other conditions.

Be sure to pay attention to what other symptoms accompany pain and burning in the middle of the sternum, additional signs will significantly speed up the correct diagnosis.

Pulsating

This kind of throbbing pain in the sternum in the middle is a rather rare occurrence and very formidable. In contrast to a similar aching pain, this painful sensation is distinguished by its sharpness and sharpness. As a rule, it is accompanied by other characteristic signs – irradiation to the back, the inability to choose a “comfortable position” and others that provide diagnostic guidance to the doctor. The most common provocateur of this pain is aortic dissecting aneurysm, an acute and urgent condition, with not very encouraging prognosis. So – calling an ambulance, and as quickly as possible.

Constant

In acute pericarditis, cardioneurosis and latent injuries, constant pain in the sternum is usually observed, which has a pressing or aching character. The persistence of the pain syndrome indicates the chronicity of the pathological process and organic lesions in the chest area and is considered a less dangerous symptom than acute pain signals. However, this does not mean that they can be ignored. The pathologies listed above are dangerous with unpredictable consequences and even disability. So pay attention to the accompanying symptoms, try to remember from what time you have been bothered by these sensations and go to the doctor.

Neurological and articular causes of recurrent chest pain

Recurrent pain in the chest area can be caused by damage to the costal joints with the sternum. There is local swelling, soreness in certain points, redness of the skin. External changes are often absent, and the pain syndrome occurs when the trunk, shoulders, arms are moved, and intensifies when pressure is not applied to the place of attachment of the ribs. This condition is called Tietze syndrome.

The pain is short-lived or lasts for hours, days, or even years. Patients are unsuccessfully treating heart disease, since the symptoms are similar to an attack of angina pectoris, with the exception of the main symptom – there is no clear connection between physical activity and pain.

What can provoke pain in the middle of the sternum when moving

The main reasons provoking pain when moving in the sternum in the middle:

Disease	Symptoms
Angina pectoris	Physical activity is characterized by constancy, that is, an attack always appears after climbing, for example, to the second floor, after a distance of 500 meters, at rest the pain subsides and is removed by Nitroglycerin.
Osteochondrosis	Soreness is caused by turning, bending, raising the arms, and removing anti-inflammatory drugs (Ibuprofen).
Previous injuries and operations on the chest	Worsening occurs with changes in weather, physical activity, and heavy lifting.
Pleurisy, pleuropneumonia	Inflammation of the lungs, complicated by effusion into the pleural cavity, is accompanied by cough, high fever, connection of pain with breathing, shortness of breath.

Other factors not related to cardiac pathologies

Lung inflammation or pneumonia. It is an infectious disease. Recovery is carried out on an outpatient or inpatient basis. With severe hypoxia, a drop in oxygen saturation, urgent hospitalization is required, treatment with steroid drugs, bronchodilators. Pain behind the sternum on inspiration is the hallmark of pneumonia. Accompanies the entire period of the state.
Pleurisy. Inflammation of the lining of the lungs.
Osteochondrosis of the thoracic spine. Aching pains, pulling. Aggravated by movement, physical exertion. Hypothermia is accompanied by an intensification of discomfort.
Herniated discs. They give the same symptoms. But the flow is unpredictable. Prolonged acute periods are likely.
Gastritis. Inflammation of the stomach lining. Pressing pains, dull, aching. Are felt in the epigastric region or behind the breastbone. They look like bursting from the inside.
Peptic ulcer disease. It is accompanied by the formation of erosion. Gives constant discomfort. Weakens
after eating.
Intercostal neuralgia. Symptoms are bright.

Unpleasant sensations vary. At the same time, it is impossible to detect the development factor if one does not resort to diagnostics.

How to distinguish heart pain from others

Cardiac manifestations are delimited from others by a number of specific features:

Localization is indistinct, diffuse. The patient indicates that the sensation is located behind the sternum in the center. But he cannot say exactly where. Other conditions produce discomfort that can be shown with a finger. At one point, the heart does not hurt.
Reflected character. Heart pains are given to the area of the scapula, left arm, neck. They do not radiate to the stomach, legs, back, this is not typical.
The positive effect of taking Nitroglycerin. At the same time, against the background of a heart attack or other serious emergency conditions, the action is partial.
It is accompanied by a group of manifestations of clearly cardiac origin: arrhythmia, shortness of breath, headache, vertigo and others.
A change in body position does not lead to an increase in pathological manifestations. Walking, physical activity sharply intensify the unpleasant sensation.
Pain syndrome proceeds in seizures.
Manual influence (pressure) on the chest does not increase the discomfort.
Forced body position does not lead to relief.

Attention:

These are not reliable diagnostic criteria. But they give a rough idea of the nature of the symptoms. If the patient is conscious, doctors pay attention to the type of complaints.

What can be done at home

Since it is not possible to determine the cause of the discomfort on your own, it is recommended to call an ambulance.

Before the arrival of doctors, the following activities are shown:

Calm down completely. Intense emotions will only worsen your overall health.
Open the window, window. Provide fresh air to the room to improve oxygen supply to tissues.
Take a Nitroglycerin tablet. If it does not help, after 5-10 minutes it is permissible to drink another one.
Sit down, relax as much as possible, you can’t go to bed. Put an impromptu roller made of scrap materials under your back. Lower your arms and legs. Breathing naturally, not controlling the process.
Do not make any sudden movements at all. All the time until the arrival of the brigade to sit and rest.
Measure blood pressure. Heart rate. Record objective indicators, then inform the doctors.

Do not take other drugs. It is not known what causes the pain. It can be made worse by clumsy actions.

Further, the question of transportation to a cardiological hospital is being decided. First aid is carried out on the spot, after the condition is stabilized, a thorough diagnosis is shown.

Features of heart pain in the chest

The most serious provocateur of chest pain is the pathology of the cardiovascular system. They are characterized by a variety of manifestations (from a sharp unbearable burning sensation to periodic “whining”). This is a serious threat to the patient’s health and life (almost all heart diseases can provoke a heart attack). Myocardial infarction is considered a real scourge of our time. People of any age are susceptible to this complication. Chest pain occurs when:

ischemic heart disease;
angina pectoris;
heart attack;
damage to the aorta, pulmonary vein;
mitral valve perforation;
aortic aneurysm (stretching and rupture of the vessel wall).

Heart pains differ depending on the nature of the pathological process. With a heart attack and aneurysm, dagger pain appears, with ischemia – a burning sensation, angina pectoris – a sharp and strong squeezing. With atherosclerosis of the vessels, discomfort can be mild and very rare; valve damage leads to stabbing pains. It is possible to distinguish cardiac pain from pathologies of other organs by additional signs:

heart rhythm is disturbed;
pain radiates to the left;
the patient becomes pale;
there is severe weakness, up to loss of consciousness;
pain radiates to the left arm and scapula;
is pulsating.

The appearance of signs of heart pain is a direct reason for calling an ambulance. Delay can be fatal.

As the first first aid to the patient, you can give Nitroglycerin under the tongue. The effectiveness of the drug indicates the reversibility of the pathological process. If the pill does not help, and the discomfort does not disappear within 20 minutes, it is more likely that the heart attack has already occurred or the pain is not heart pain.

Diseases by accompanying symptoms

In the absence of characteristic signs, the diagnosis is carried out according to the phenomena that are observed in the patient.

Find it hard to breathe while inhaling

Occurs due to a mechanical obstruction in the airways. If a symptom is detected against the background of complete health, the presence of a foreign body is first of all suspected. The gradual development of the “clinic” provides grounds for oncological alertness. In some cases, the phenomenon occurs against the background of diaphragm paralysis, however, there is no pain in the sternum.

A lump that gives off in the throat

An extremely nonspecific symptom is observed in patients with angina pectoris, inflammatory diseases of the upper respiratory tract, hysterics, with a dry cough (as well as in people suffering from vegetative vascular dystonia). In combination with compressive pain, it is an indirect sign of a heart attack, if there is a cough, it is an infectious process.

Gives to the back between the shoulder blades

It occurs mainly with neuralgia and osteochondrosis. Lumbago indicates compression of the nerve trunks by an intervertebral hernia or spasmodic muscle layers.

Dry cough

In 90% of cases, it is evidence of infectious diseases, including acute respiratory infections, ARVI, whooping cough. It occurs when the airway is incompletely blocked by a foreign body or tumor. It occurs in 0.5-1% of people with a heart attack.

Gastrointestinal tract damage

Secondary causes of chest pain can be pathological conditions of the gastrointestinal tract. In this case, the symptoms are due to mild severity and are reflective.

Often gastralgia occurs as a result of a stomach or duodenal disease of an ulcerative nature. The patient can observe shortness of breath, heavy breathing, gas formation. The main signs are heartburn, lack of appetite, weight loss, heaviness in the abdomen, and fast satiety.

If you start a disease, it can negatively affect neighboring organs, exacerbating their work and worsening the general condition of a person. Timely treatment will help prevent complications and discomfort. Therefore, at the first sign, you should contact a medical specialist, and not try to eliminate it yourself.

Nervous system pathologies

Why does the chest hurts in women in the middle? The causes may be neuralgia, mental disorders and other diseases of the central nervous system.

Since the nervous system is considered the main one and is responsible for the activity of all internal organs, the manifestation of reflexes, then if it is violated, serious pathologies can develop.

Neuralgia is the most common condition that can cause discomfort. In this case, the nature of the pain can be different – strong, dull, sharp.

In addition to such symptoms, the patient suffers from rapid fatigue, malaise and a significant decrease in vital activity is formed, the function of some organs is impaired, and the state of health worsens.

Regardless of the fact that neuralgia is characterized by paroxysmal manifestations and can be in remission for a long time, it is still necessary to treat the pathology.

When is it necessary to urgently call the ambulance team?

The appearance of pain in the chest, in some cases, should be the reason for an immediate call to the ambulance:

The pain persists at rest and lasts more than 15 minutes.
Pain in heart disease is not eliminated even by repeated doses of Nitroglycerin.
Feeling of pressure and burning pain in the chest, radiating to the arm, shoulder, neck, jaw, back. This condition is often accompanied by fear of death.
Sudden onset of pain and severe coughing after exercise. Against the background of these symptoms, fainting may occur.
Sharp and intense chest pain combined with interrupted breathing or coughing (sputum may be bloody).
Feelings of pressure and chest pain accompanied by anxiety, tachycardia, sweating, shallow breathing, nausea or vomiting, dizziness.

Before the arrival of doctors, the patient should be reassured, ensure maximum peace, an influx of fresh air and carefully remove clothing that restricts breathing.

What can and should be done in case of pain?

Treatment of diseases accompanied by chest pain must be prescribed and monitored by a doctor. His tactics are determined by the diagnosis and the results of examinations. Sometimes, before identifying the exact cause to eliminate severe pain, the patient is recommended narcotic analgesics, and if there is a suspicion of diseases of the digestive system, antacids are taken.

If the most likely reason for the appearance of intense, constricting and burning pain in the chest are heart pathologies, then the patient needs to be given first aid:

Call an ambulance. Be sure to inform the dispatcher that a possible cause of pain is a disease of the cardiovascular system.
Lay the patient down by lifting the head end, or sit in a comfortable chair with armrests.
Remove clothing that hinders breathing. Open the window. Apply a cold compress to the heart area.
Limit physical activity as much as possible.
Calm the patient down. Give him one of the sedatives: Valocardin, tincture of valerian, motherwort, or others.
Give the patient the following drugs: Aspirin (0.25 g), Nitroglycerin (1 tablet, under the tongue). Repeat administration of the nitro-containing drug should be repeated after 5-7 minutes, and if necessary, after 10 minutes, give a third dose. If after the first dose the patient has weakness, dizziness, shortness of breath and sweating, then the repeated intake of Nitroglycerin should not be carried out. In such cases, the patient needs to raise his legs and give a glass of water to drink.
To reduce pain, you can take a pill of Analgin or an anti-inflammatory nonsteroidal drug (Paracetamol, Nurofen, etc.).
If breathing and heart stop, resuscitation should be carried out: perform a pericardial blow to the sternum, and in the absence of effect, perform an indirect heart massage and artificial respiration.

In case of a chest injury, the victim should also be provided with first aid: give the body a comfortable semi-sitting position, apply a tight bandage of bandages, towels or cloth to the chest, apply cold to the injury area, give an anesthetic drug and take it as carefully as possible (on a stretcher!) trauma center or hospital. If you suspect internal bleeding, you must call the ambulance team.

How to get rid of chest pain?

Treatment will depend on the cause of your chest pain.

Treatment is not always necessary. For example, a rest period is usually sufficient to treat muscle tension. According to Breast Cancer Now, breast fat necrosis usually goes away on its own.

Some causes really need treatment. According to the American Cancer Society, most doctors recommend removing the fibroadenoma. Removing the tumor is usually a precaution to reduce the risk of breast cancer.

Treatment for breast cancer varies depending on its type and severity. In some cases, doctors use surgery to remove the tumor. They can also use chemotherapy or radiation therapy to kill cancer cells.

What to do for men with chest pain

If men have chest pain, this is a serious reason to seek medical help. Self-medication and hopes that it will “dissolve” by itself can lead to serious complications, therefore, with regular and severe pain, you should immediately pay a visit to a medical institution.

With excruciating pain syndrome, pain medications can be taken before visiting the doctor.
If you suspect a myocardial infarction, or if pain relievers do not help, you should immediately call an ambulance.
Painful sensations caused by gastrointestinal problems can be relieved by oatmeal, a couple of spoons of honey or cool milk. They will create an enveloping effect and temporarily relieve pain.

Any disease is easier to prevent, so for prevention, you should not give up regular walks and morning exercises. People with diabetes should regularly monitor their sugar levels, and those who are at risk of atherosclerosis should monitor their blood pressure.

Sources used and useful links on the topic: https://medicina.dobro-est.com/bol-v-grudnoy-kletke-prichinyi-simptomy-lechenie.html https://proartrit.ru/bol-v-grudnoy-kletke / https://sprosivracha.com/articles/health/133-bol-v-grudine-poseredine https://yandex.ru/health/turbo/articles?id=4669 http://CardioBook.ru/bol-v -grudine-poseredine / https://CardioGid.com/bol-za-grudinoj-poseredine/ https://mojkishechnik.ru/content/pochemu-bolit-v-grudine-v-seredine https: // wiki-farm. ru / pervaya-pomoshh / bol-v-grudine-poseredine https://sovetvam.ru/bolit-grudnaya-kletka-poseredine.html http://MenQuestions.ru/kardiologiya/bol-v-grudi-u-muzhchin. html https://medvisor.ru/articles/muzhskoe-zdorove/bol-v-grudnoy-kletke-u-muzhchin/ https://saitoboli.ru/pochemu-bolit-v-grudi-u-muzhchin/734/

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