Burning Chest Pain

Burning Chest Pain not only be painful , it can also cause extensive complications. In order to understand where the Burning Chest Pain can come from, it is worthwhile to discuss the anatomical conditions in the chest. Here you can find the two lungs , the heart , the esophagus and – as a bony and muscular border of the organs – the thorax itself. Each of these compartments can cause a sensation of pain or burning in the thorax in various ways.

Burning Chest Pain

Burning Chest Pain is not a very specific symptom . This means that it may indicate a great many possible diseases but is not a clear evidence of a specific disease. In the thorax a large number of organs are localized and accordingly many diseases also project into the breast.

Burning Chest Pain

Burning Chest Pain causes

Burning Chest Pain could, for example, have the heart as a cause . An  angina (constriction of the coronary arteries), a heart attack or inflammation of the pericardium ( pericarditis ) may be the cause. The thorax also localizes the lungs . A firing may to a pneumonia ( pneumonia ), a closure of one of the large pulmonary vessels ( embolism ), or to the tearing of the pleura point ( pneumothorax ).

But also the stomach or esophagusFor example, in acid reflux ( reflux ) or gastritis ( gastritis ) may be the cause of the burning. Furthermore, a rib fracture, bruise or dislocation should not be disregarded. In addition, sore muscles or blockages of the thoracic spine can cause a burning sensation.

In addition to the organic causes, should also be thought of psychological causes . A detailed survey of the patient is therefore important to be able to rule out an anxiety and strong stress situation. If a burning sensation occurs in the chest, a doctor should be consulted to detect and treat dangerous events.

Burning Chest Pain symptoms

If the burning comes from the heart , breathing difficulties (such as dyspnea ) and limited performance are often also present. Patients who have a heart attack usually also have extreme anxiety and sweating . In addition, in addition to the burning heaped Burning Chest Pain and upper body area available. Basically, any form of ailment can be associated with a heart attack: pain that radiates into the arms, neck, back or upper abdomen or even nausea.

When the lungs are the cause, the patients also have shortness of breath and pain when breathing . Also coughing and an increase of the heart rate can show up. In a pulmonary embolism can be found in some cases, a previous thrombosis, for example, the leg veins.

When the muscles , ribs or vertebral bodies (in the sense of blockage) are involved, the pain is usually motion-dependent and can be increased or elicited by pressure or rotational movement. Patients often take restraint to relieve the pain. When asked more closely, there is usually an event (sport or a wrong move) that explains the problem.

If the cause of the stomach is responsible for the symptoms, additional symptoms are an unpleasant taste in the mouth (sour or bitter) and a feeling in the throat and mouth. After large meals, the increased consumption of sweets, while lying down or even under physical stress (such as bending over or lifting), the symptoms increase.

In a mental cause as a reason for the occurrence of Burning Chest Pain, there are often many other symptoms that are based on identical basis (eg, sleep disorders, depression, depression, insecurity). Very often the psyche is not recognized as a cause and it is mistreated. If no reason can be found after the exclusion of the dangerous acute courses, then a mental or psychosomatic genesis as cause for the Burning Chest Pain should be considered as well.

Burning Chest Pain duration

Burning in the context of angina pectoris , which arises due to a temporary tightness of the coronary arteries, is usually a short-term for a few minutes ongoing events. The burning is caused by the lack of supply of the heart muscle , which is otherwise supplied by the narrowed vessel. By using nitrates , either as a spray or capsules, patients can usually reduce the symptoms.

In a heart attack, however , the vessel is completely relocated, Burning and pain occur during an acute event and usually do not spontaneously regress. The patients have acute pain, which is still present even when the doctor arrives and must be treated with painkillers.

If the patient has pneumonia , the burning persists for a long time and it changes with the general symptoms of pneumonia. In a pneumothorax (crack of the lung skin), the burning or the pain and the shortness of breath are an acute event that persists until the medical treatment.

In heartburn , the burning is usually not permanent, but especially after eating occurring or lying down , when the gastric juice can easily enter the esophagus.

Burning Chest Pain left or right

Burning on the left side of the ribcage suggests involvement of the heart or esophagus . But also the left lung can be affected.

Basically, you have to distinguish whether the burning occurred suddenly or has existed for several days / weeks . In an acute event, it must also be distinguished in which situationthe burning occurred.

Classically for a Burning Chest Pain left is a so-called ” angina pectoris “, thus a ” Brustenge “. Burning is partially over the left thorax, but often passes over the sternum , except for the right side of the rib cage. Less often the pain radiates into the left or right arm . In angina pectoris there is a short-term under-perfusion of the coronary arteries . Trigger can be emotional stress , but also heavy physical stressbe.

Depending on the severity, however, angina pectoris can also occur entirely without prior physical exertion. An angina pectoris is primarily not yet dangerous, the burning disappears after seconds to minutes by itself. However, an angina pectoris is a typical harbinger of a heart attack and should therefore be clarified necessarily medically .

Some patients are aware of the small red pump sprays containing nitroglycerin . In the case of a chest tightness, burning and tightness disappear when the pump spray is applied within a few seconds – most likely an angina pectoris and not a heart attack .

Another cause of Burning Chest Pain left and / or right may be damage to the lung . This can occur, for example, as part of an embolism , in this context, then called ” pulmonary embolism “. A pulmonary embolism is the term used to describe a vessel plug which displaces a more or less large vessel in the lung, thus cutting off the blood supply to the corresponding segment of the lung. This is not only problematic in that the affected segment can no longer participate in the oxygenation of the blood – the body escapes oxygen-rich blood.

A pulmonary embolism, depending on the location Burning Chest Pain, burning and Cause respiratory distress . The larger the embolus is, the sooner it becomes lodged in the vascular system of the lung and the more lung tissue escapes the oxygenation of the blood. In addition, vascular occlusion in the lungs increases the pressure that the heart must counteract when it expels blood.

As a result, the heart must permanently fight against increased resistance, which in the case of a chronic pulmonary embolism results instructural changes in the heart. One speaks then of a Rechtsherzinsuffizienz .

Strict localization of Burning Chest Pain to the right or left chest tend to be unusual for damage to the heart or lungs. Most burning is not limited to a particular section and extends over the entire thorax.

Burning Chest Pain in the thorax centered

Burning Chest Pain in the middle of the chest localized, so behind the breastbone ( retrosternal ), is a sign of cardiac involvement. The heart lies behind the breastbone and with its tip in the left thorax. If a central burning occurs over a longer period again and again under load for several minutes, this suggests a narrowing of the heart disease vessels, which can lead to CHD ( coronary heart disease ). However, burning does not remain the only symptom. In addition , there is pain in the chest, arms, jaw, upper abdomen and other areas. Patients have nausea, Fears of death and cold sweat .

In less pronounced forms shows a general tightness Burning Chest Pain . If such symptoms occur again and again in the long term, then you should talk to the family doctor or the cardiologist.

In case of acute onset of burning, pain and other symptoms just mentioned (usually more severe ) in the middle of the chest, an emergency doctor must be called immediately. Because here is probably a heart attack .

Burning Chest Pain bracing

If burning is dependent on movement and occurs in a localized manner at one point of the thorax, muscular activity must also be considered. Often it is for example a simple tension. But what exactly is meant by the term “tension”?

In a tension, it comes to a permanent and painful increase in muscle tone – muscle tension – in a muscle group . A tension can be triggered by incorrect movement pattern or overload . Classics are here for example gardening or overexertion at the sport. Through the burning and the pain that are triggered by the tension, the person concerned automatically takes a restraint , which in turn can burden other muscle groups in an unusually high degree – creating a vicious circle .

Especially on the chest such tension can be annoying, as it makes itself felt with every movement and each breath. The good news: Apart from the burning sensation and the Burning Chest Pain, no other organs are affected . It is therefore a painful but harmless disease .

The therapy is to break the vicious circle mentioned above. This is possible with painkillers that take the pain, dissolve the posture and thus allow a regeneration of tense muscle groups.

One possible complication that should be kept in mind when straining Burning Chest Pain is chronicity , which then requires a multimodal treatment plan.

Burning Chest Pain through the esophagus

Burning Chest Pain in the thorax that arises through the esophagus is often the result of gastric acid escalation into the esophagus. This upgrade can have different reasons. One reason is an excess of gastric acid production that can be triggered by either stress, diet or medications such as acetylsalicylic acid. Another cause is a weakness of the sphincter that separates the stomach from the esophagus.

Importantly, persistent gastric acid uptake is treated early. Persistent esophagitis increases the likelihood of developing esophageal cancer. The aim of the treatment is to reduce stomach acid and thus prevent it from escalating into the esophagus.

Burning Chest Pain heartburn

Just behind the left atrium of the heart runs a part of the esophagus . One of the most common causes of left-sided Burning Chest Pain is reflux -the reflux -of gastric acid from the stomach , through the esophagus, toward the larynx . The gastric acid also passes through the bottleneck behind the heart , which is why heartburns are often misinterpreted as “heart problems”.

This suggestion is close, however, because the burning and the sharp pain that causes the heartburn , think of a heart attack. Patients describe the symptoms of a heart attack,however, so that they feel shortness of breath and fear of dying, which – even with strong heartburn – usually not the case.

If the burning also occurs immediately after eating , this is another indication that speaks for heartburn and against a cardiac event. This type of pain is called ” postprandial pain ” – ie pain after eating.

During heartburn , the acid gastric fluid slowly rises up the esophagus and irritates the chemoceptors of the esophageal epithelium (uppermost layer of the esophagus) – this is what we feel as pain or burning in the area behind the sternum.

While one-off heartburn is still safe , recurrent gastric acid secretion into the esophagus can permanently damage the skin and mucosa .

The stomach acid contains hydrochloric acid , one of the strongest acids found in nature. It serves to decompose the porridge in the stomach. However, while the stomach has protective mechanisms against self-digestion, the esophagus is exposed to the acid defenseless.

Chronic heartburn complications include inflammation and burning, as well as bleedingand esophageal cancer .

The treatment for heartburn consists of taking antacids , that is acid-binding drugs, and proton pump inhibitors (PPI). A well-known representative of the PPI group is the pantoprazole , or in general medicine with the ending -prazole.

Burning Chest Pain through the stomach

The stomach can also be responsible for an uncomfortable burning sensation in the chest. This is usually due to a gastritis – an inflammation of the stomach . There are three typesof gastritis.

A type A gastritis is triggered by autoimmune processes – the body fights against itself so to speak. The cause is unknown. However, type A gastritis is usually asymptomatic , so it causes no pain .

The type B gastritis is bacterial and is based on an infection with the bacterium ” Helicobacter pylori “. This bacterium settles preferentially in the stomach entrance – the “pylorus” -, where it ensures an inflammation and possibly also an increased production of gastric acid . Gastric acid, on the other hand, causes burning, which can rise from the stomach to the chest and can cause severe pain.

However, a type B gastritis usually runs asymptomatic , only an unpleasant bad breath can occur more. Therapy takes place with an antibiotic- Multiple therapy, for which several different treatment regimens exist.

The most important representative of the gastritis in this case is the type-C gastritis . It causes in addition to a feeling of fullness in the upper abdomen in addition a constant belching , which, however, brings no “relief”, so does not diminish the feeling of fullness.

Constant regurgitation causes gastric acid to reflux into the esophagus, causing severe burning sensation in the stomach, chest and, more rarely, in the throat, around the larynx. Triggers for type-C gastritis ( chemical gastritis) is generally considered to be an unhealthy lifestyle . In addition to smoking, this also includes excessive alcohol consumption, Stress and regular use of NSAID painkillers .

These include Aspirin ® , ibuprofen and naproxen . The classic combination is high consumption of alcohol and cigarettes, such as “party” on weekends, followed by next day headaches treated with Aspirin® or ibuprofen. If the stomach is permanently exposed to this strain, it reacts with inflammation.

The only sensible therapy in this case is the reductioncigarettes and alcohol consumption, abstaining from NSAID painkillers and avoiding stress. Alternatively, acetaminophen can be taken because it affects the stomach less (but the liver …).

If the Burning Chest Pain so in combination with a feeling of fullness and increased regurgitation and is also an increased consumption of alcohol, cigarette and analgesic, it is always to think of a gastritis – ie an inflammation of the stomach.

Burning Chest Pain radiating into the arms

If the burning not only affects the chest but also pulls into the arms, it must be ruled out urgently that the patient has a heart attack . Most patients complain of pain in the middle of the left chest. Not a few patients also describe a tearing or stabbing pain that radiates into the arms . If there is additional anxiety, nausea and cold sweat, everyone has to listen in and quickly call an emergency doctor .

This burning can also be triggered by tension or blockages in the cervical or thoracic spine . Blockages can be caused by poor posture, incorrect lifting or insufficiently trained muscles. This results in a minimal malposition of the joint, which causes a reflex tension and cramping of the surrounding muscles. Depending on the situation, this can only lead to pain and burning on the spine, or even to larger-area complaints that pull into the ribcage or the arms.

Burning Chest Pain with back pain

Back pain can occur especially in severe cough. The Burning Chest Pain and burning then pull from the chest to the back and cause pain there. Especially in the case of irritating coughing and persistent hours of coughing, the entire lungs are irritated , as well as the chest muscles and back muscles are overexertive.

Coughing puts a tremendous strain on our body, sometimes causing pressures that can rupture the pleura . So air gets between the lungs and the chest – a pulmonic emergency. Typical symptoms of this disease called ” pneumothroax ” are sudden pain in the entire upper body, shortness of breath and “hang” of the affected breast side during breathing.

However, back pain can also simply result from pinching of nerves or overstraining of the muscles in a coughing fit. Underneath each of our ribs runs one of the 11 paired intercostal nerves that supply the muscles and the skin of the chest. Due to a strong cough, an entrapment of just these nerves between the rib and the musculature is conceivable. This is called an ” intercostal neuralgia “.

In addition to fractures and spinal cord diseases, these also occur frequently in lung diseases. The therapy takes place by means of painkillers , as well as protection of the chest. In addition, of course, the cough must be combated, for example, by irritating hen tea or cough blocker.

Burning Chest Pain with pressure feeling

There is a need to act quickly if there is a burning sensation Burning Chest Pain combined with a feeling of pressure in the chest. In the worst case, it is a heart attack. In this case, a vessel of the heart is closed and the heart muscle is partially no longer supplied with blood. The no longer supplied area dies and it can lead to serious complications.

If the pressure sensation occurs under stress or only lasts for a few minutes, it is more likely to think of an angina pectoris attack in which vessels are not completely closed and the heart muscle is still sparsely supplied with blood. In any case, the emergency service must be called as quickly as possible in a chest with pressure feeling, as the motto is “time is muscle” applies. So no time must be lost to save as much heart muscle mass as possible.

Burning Chest Pain and neck

Burning Chest Pain up to the neck area either indicates a reflux of gastric acid, which rises to the larynx or a respiratory illness . Depending on the accompanying symptoms and the development process, diagnosis and therapy take place.

Sore throat can also beremediedwith warming compresses such as scarves and “cough and bronchial tea”.

If it is a hoarse voice – for example, after excessive stress or a night of drinking – helps relieve and drink a lot (3 liters or more per day). The drink should contain no carbon dioxide and should be taken warm rather than cold. Chamomile tea is particularly suitable for alleviating sore throats , which can also be mixed with honey as desired.

Burning Chest Pain for a cold and cough

Especially in the cold winter months you like to catch a cold . A cough is part of every cold , which can be quite painful at a certain stage . Heavy coughing causes a burning sensation Burning Chest Pain and upper respiratory tract. These are usually bronchitis . A bronchitis is an inflammation of the bronchi , ie a lung section, in which primarily the air is transported.

In the early stages of bronchitis the cough is often still dry , so without mucus being coughed off. Only later does it come to the so-called ” productive cough “, in which slimy expectoration is accompanied by coughing. This phase is then accompanied by a stinging and a Burning Chest Pain and the neck region. In addition, headaches , tiredness and mild fever can occur.

Usually bronchitis heals without consequences within two weeks – but patience is required: a cold can last for several weeks . At least the unpleasant stinging and Burning Chest Pain disappears however relatively soon again. If this is not the case, it may also be a more serious differential diagnosis. These include, among other things, a pleurisy , an inflammation of the pleura . During the breathing, the two pleural layers rub against each other, causing severe, breath-dependent pain . In addition, it can lead to a serious malaise and fever.

Chronic cough may also be due to the widespread respiratory disease bronchial asthma . The main symptoms of bronchial asthma are dry, so unproductive cough that occurs especially at night . Furthermore, it comes to a so-called expiratory stridor, so a ” wheezing” breathing noise that occurs during exhalation. An asthma attack usually happens suddenly , within a few minutes.

This is also an important differentiator to a cold that lasts for days. Asthma causes – as well as a bronchitis – Burning Chest Pain, as well as a strong cough. TheTherapy , however, takes place during seizure by means of spasmolytics , ie medicaments which dissolve the spasms in the lungs. A well-known representative of these spasmolytics is inhaled salbutamol , which provides immediate relief after only a few strokes.

A dreaded, but rare form of productive cough is the hemoptysis . This blood is coughed off, which speaks for a serious damage to the lung tissue . Coughing can occur in very severe forms of bronchitis, but more often in end-stage lung cancer .

Formerly a blood admixture when coughing was a sign of tuberculosis . With the eradication of tuberculosis in our latitudes, this differential diagnosis had receded into the background. With the increasing influx of refugees from endemic areas, however, this diagnosis comes back to the fore. Central Africa and the Middle East in particular are at risk areas , which is why travelers must be examined if they suspect this disease. Pulmonary tuberculosis is highly contagious at this stage and requires urgent medical attention .

additionally shortness of breath

If respiratory distress occurs in addition to Burning Chest Pain, the symptoms are most likely from the heart or lungs. Heart disease that causes these symptoms may be a heart attack or pericardial tamponade . A heart attack is usually associated with a pressure sensation behind the sternum and radiating pain.

At a pericardial tamponadeBlood enters the pericardium and the heart can no longer reach its full pumping capacity. As a result, not enough blood in the lungs can be oxygenated and consequently respiratory distress. If the lungs are responsible for the symptoms, you may think of a pulmonary embolism, which causes a shortage of air, as pulmonary arteries are relocated and even in this case, not enough blood can be enriched with oxygen.

Another cause of the discomfort may be pneumothorax resulting from the entry of air into the space between the lungs and chest ( pleural space ).

Burning Chest Pain Occurrence on exertion

Burning Chest Pain on exertion is an important and common symptom of coronary heart disease ( CHD ). Those affected suffer from a narrowing of the coronary arteries that supply the heart muscle cells with oxygen and energy. During exertion (eg when climbing stairs), the constriction no longer causes enough oxygen to reach the heart muscle.

The sufferers often describe that they can only run a certain number of floors before they need a break. A doctor can estimate whether a possible CHD is present and, if so, how severe it is. If there is Burning Chest Pain on exertion, talk to a doctor about it and an ECG, a cardiac ultrasound and, if necessary, further diagnostics are carried out.

However, the symptoms can also come from the lungs . For example, if someone has been smoking for many years and COPD has developed, a physical effort can cause an unpleasant burning sensation.

Burning Chest Pain caused by the thyroid gland

Also, hyperthyroidism can cause a burning sensation in the chest. The thyroid gland releases hormones that cause a general increase in the body’s metabolic rate . In case of an over-function, the excessively secreted hormones lead to an increase in the heart rate ( tachycardia ) or also to cardiac arrhythmias .

This can be perceived as burning in the chest. In addition, those affected are often restless , have sleep disorders, sweats, and increased blood pressure . An over-function can have many different causes and should be clarified accordingly by a doctor.

Burning Chest Pain during pregnancy

Burning Chest Pain is often caused by the stomach during pregnancy . The fact that the child in the womb in the course of pregnancy takes up more and more space, the stomach is pushed further up . This can cause heartburn to occur – that is, gastric acid passes into the esophagus.

In addition, as the muscles and tissue become softer due to progesterone(important hormone during pregnancy) , the sphincter muscles (sphincter muscles) at the stomach entrance may no longer close effectively and gastric acid may rise more easily,

When lying down the problem usually gets even stronger. If burns are accompanied by additional problems such as Burning Chest Pain, respiratory distress and anxiety, a doctor should be consulted to rule out heart and lung problems.

If burning is more likely in the breasts and in the area of ​​the nipples , this indicates a normal process during pregnancy. The fact that the breasts in a short time by the enlargement of the gland body grow a lot, many women perceive tension, pressure or burning in the breasts and nipples. If the burning does not disappear or if other symptoms appear, then the gynecologist or the midwife should be contacted.

Burning Chest Pain
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