chest pain?

Question

chest pain while breathing and pain in backside exactly back side of the chest, please explain is there any problem in my heart

Answer 1

In medicine, chest pain is a symptom of a number of serious conditions and is generally considered a medical emergency, unless the patient is a known angina pectoris sufferer and the symptoms are familiar (appearing at exertion and resolving at rest, known as "stable angina").

Important cardiovascular and pulmonary causes of chest pain:

Angina pectoris
"Unstable" AP - this is an emergency and can resemble a heart attack
"Stable" AP - this can be treated medically and although it warrants investigation, it is not an emergency in its strictest sense
Myocardial infarction ("heart attack")
Aortic dissection
Arrhythmia - atrial fibrillation and a number of other arrhythmias can cause chest pain.
Pulmonary embolism
Pneumonia
Hemothorax
Pneumothorax and Tension pneumothorax

Other causes of chest pain include:

Hyperventilation syndrome often presents with chest pain and a tingling sensation of the fingertips and around the mouth
Gastroesophageal reflux disease (GERD)
Peptic ulcer disease
Cholecystitis
Pancreatitis (unusual presentation)
Anxiety attack
Tietze's syndrome - a benign and harmless form of osteochondritis often mistaken for heart disease
Bornholm disease - a viral disease that can mimic many other conditions
Common, non-life threatening causes include chest wall pain (ribs, muscle, cartilage); nerve irritation ("pinched nerve" in the lower neck or upper back); esophageal spasm, anxiety, and GERD; and strains and sprains, to name a few.

As in all medicine, a careful medical history and physical examination is essential is separating dangerous and trivial causes of disease, and the management of chest pain is often done on specialised units (termed medical assessment units) to concentrate the investigations. A rapid diagnosis can be life-saving and often has to be made without the help of X-rays or blood tests (e.g. aortic dissection). Occasionally, visible medical signs will direct the diagnosis towards particular causes, such as Levine's sign in cardiac ischemia. Generally, however, additional tests are required to establish the diagnosis.

An emergency medicine doctor will also focus on recent health changes, family history (premature atherosclerosis, cholesterol disorders), tobacco smoking.

On the basis of the above, a number of tests may be ordered:

X-rays of the chest and/or abdomen (CT scanning may be better but is often not available)
An electrocardiogram (ECG)
V/Q scintigraphy (when a pulmonary embolism is suspected)
Blood tests:
Full blood count
Electrolytes and renal function (creatinine)
Liver enzymes
Creatine kinase (and CK-MB fraction in many hospitals)
Troponin I or T (to indicate myocardial damage)
D-dimer (when suspicion for pulmonary embolism is present but low)

In finding the cause, the history given by the patient is often the most important tool. In angina pectoris, for example, blood tests and other analyses are not sensitive enough (Chun & McGee 2004). The physician's typical approach is to rule-out the most dangerous causes of chest pain first (eg: heart attack, blood clot in the lung, aneurism). By sequential elimination or confirmation from the most serious to the least serious causes, a diagnosis of the origin of the pain is eventually made. Often, no definite cause will be found, and the focus in these cases is on excluding severe diseases and reassuring the patient. If acute coronary syndrome ("unstable angina") is suspected, many patients are admitted briefly for observation, sequential ECGs, and determination of cardiac enzyme levels over time (CK-MB or troponin). On occasion, later out-patient testing may be necessary to follow-up and make better determinations on causes and therapies.

So you should instantly go to the doc. It is most probably not a heart attack. It should be GERD.

Answer 2

Wow. It seems like your describing something similar to what I experienced as a kid and occasionally as an adult. I get those achy, sharp pain in my chest / rib area. Often the pain is mild but sometimes it's so bad I can barley take a breath. It also feels like it starts at the bottom of my rib cage and then travels up my side as it slowly goes away. I was told by my doctor it was "growing" pains. Then when I was older, I brought it up again and he said it could be a muscle spam. It's been months since I've had one. With me, the pain only last a few seconds and at the most a minute or two. They also only seem to happen once or twice in a day when i do have them. I would suggest that if they occur more frequently, multiple times in a day I'd see someone about it. It could be nothing or it could be something (kind of obvious answer).

Answer 3

I think the best thing to do would be to go to hospital to find out. They will give you an ECG and a blood test. If you have had a heart attack an enzyme will show up in your blood 12 hours after the pain started. It may also show up on the ECG. I should know as I have just returned from hospital after having a heart attack. Don't delay.

Answer 4

Probably a chest infection, heart probs pain usually radiates down arm and jaw, a tightening in the chest, palpitations and nausea, and a shortness of breath, that would be hart prob.
See Dr. anyway

Answer 5

This could be many things from simple indigestion, a chest infection, or a pulled muscle. On the other hand it could be something more serious.

It is imperative that you see a doctor. This is the only way to find out what it is and get the correct treatment and advice.

Answer 6

it sounds like a pulled muscle. The reason that it's painful when you breathe is because your lungs inflate and hit off the muscle which causes the pain. Go to your doctor to confirm this and he'll give you an anti-inflammatory

Answer 7

Unlikely to be cardiac, but that's not definite. Seek medical help sooner rather than later.
Go to NHS Direct website and type in your symptoms.
Could be intercostal pain. Costochondritis, pleurisy, pulmonary embolus.........
Need I go on?
See a doctor. Self diagnosis can be dangerous if you have no medical knowledge or if you are a medical student!!

Answer 8

you don't mention what side[right /left]of your chest do you have pains?
second ,you don't say if it come in physical effort or not,
you don't mention how old are you ,if you smoke ,how long do you have pains ,what kind of pains ,and so on ...........
so before is to late close your computer and go strait to a hospital emergency service
nobody can help you on Yahoo

Answer 9

I suggest you go to a doctor. This is really not the place for getting a medical diagnosis especially when it could relate to your heart. Don't take the risk and seek proper medical advice.

Answer 10

You should go to your doc or ER immediately whenever you have chest pains like that that won't go away. Go get yourself checked out. Don't wait!