Chest Pain in Women
Chest Pain in Women. Chest pain effect in most people fearand discomfort . Since it is well known that chest pain occursduring a heart attack , it is mainly associated with the symptomatology. Although men are on average more frequently affected by heart attacks, the woman is just as worried when chest pain occurs. In women, an important gender difference comes into play, which widens the potential causes of the onset of pain – the female breast (mamma).
Chest Pain in Women can thus occur in the woman due to diseases of the organs in the chest and diseases of the breast. Likewise, when looking for causes, it is important to pay attention to possible diseases of the abdominal organs, as these can sometimes project the pain into the thorax. Also muscular tension or damage, as well as diseases of the bony skeleton should be considered.
Chest Pain in Women
What should a woman with chest pain or chest pain do? If a chest pain is noticed by the affected person, they should be aware of the quality of it. Both the intensity, the time of occurrence and the duration can provide information about the cause. The spectrum ranges from “light pressure” to annihilation pain, which is rated on a scale of 10 out of 10 points.
These signs should be evaluated objectively so that a visit to the doctor or even the emergency room can be weighed. If this decision can not be taken because of the pain, a doctor should be consulted immediately.
The heart is known to cause an extremely strong chest pain in an infarction (occlusion with subsequent lack of blood flow to the treated area) of the coronary vessels, which radiate into the left arm.
What few people know: a myocardial infarction(myocardium = heart muscle) is only present in a certain proportion of patients. In women, the symptomatology often looks completely different and is therefore recognized later in principle than in a man with a classic clinical picture. For example, sudden, severe abdominal pain may not only indicate a problem with the digestive system, but also give evidence of a myocardial infarction.
Until it comes to a heart attack , has usually developed over a period of damage to the vessels. This is referred to as CHD , coronary heart disease, and can cause so-called angina pectoris in the advanced stage .
Angina pectoris is an additional clinical picture, which is accompanied by a bumpy dull pain attacks in the chest. These are due to the same mechanisms as in myocardial infarction – by the reduced blood flow ( ischemia ) of the heart muscle tissue. Inflammation of the heart muscle ( myocarditis ) and the surrounding pericardium (Pericarditis ) can also lead to chest pain.
No disease of the heart itself, but a disease of the laxative vessels of the heart is the aortic aneurysm . The various layers of the vessel wall separate from each other and blood digs a cave between them. Aortic aneurysms can be very dangerous and in a few moments lead to bleeding of the patient. If pain occurs as part of the disease, an advanced stage is reached, in which an intervention is absolutely necessary.
Another organ in the thorax, which can cause local pain, is the lungs with the trachea. Infections play the biggest role here. Inflammation of the various parts of the respiratory system often causes thoracic pain in addition to the symptom of coughing. These can be more or less pronounced depending on the pathogen.
Viral inflammation is usually associated with milder symptoms, while bacterial infections often cause severe symptoms. In addition to inflammation of the lungs may be affected in an infection and the pleura, the so-called pleura .
In inflammatory changes , patients report pain in any respiratory movement. If it comes to a severe course, this can lead to pneumothorax . The lungs are a little torn, and the pleural space, the space between the lungs and the ribcage , fills with air. The lungs are no longer held in shape and collapsed by the negative pressure that actually prevails in the pleural space .
It is significantly smaller and patients report severe pain on the affected breast side, as well as shortness of breath.
Furthermore, pulmonary embolism can lead to Chest Pain in Women and respiratory distress . A blood clot ( thrombus ) has detached somewhere in the body (but usually in the right atrium) and migrates into the lungs. There it blocks depending on the size of essential feeding vessels. The corresponding lung or the parts that were cut off, can no longer participate in the oxygen uptake.
Cancer can also cause pain in the lungs and chest pain. The lung cancer causes pain development in most cases, whereas lung metastases rarely results in such.
Through the esophagus there is also an organ of the digestive system in the thorax. Simple disturbances, such as heartburn, can cause burning or burning pains in the chest. The increase of this is a manifested reflux disease. Patients continue to have heartburn and the risk of developing esophageal cancer increases significantly. If this malignant tumor develops, it can also lead to chest pain, depending on its size and position. Inflammation of the esophagus can also lead to chest pain.
Due to the local proximity of the upper abdominal organs to the thorax, it can happen that pain in the abdomen is caused by the chest.
Again, inflammatory processes are an important aspect. The gastritis , inflammation of the stomach lining, is not a serious illness.
It has already occurred to many people without their knowledge, albeit in a light form. In addition to nausea and vomiting , it can cause pain in the upper abdomen and in the chest.
A pancreatitis , the inflammation of the pancreas, however, is a serious disease, which is usually based on years of damage to the body. By chronic alcohol abuse (alcohol abuse) an extremely painful pancreatitis may occur which should be treated always stationary.
Patients with gastric ulcer or ulcer in the duodenum also occasionally report chest pain. A transfer of the bile duct can lead to pulsating spasms of the same and cause extreme pain in the abdomen. As with gastritis, it is possible for the pain to be projected into the chest, as the gallbladder and bile duct also have a certain proximity to the rib cage.
At a cancer of the stomach is reported pain in the upper abdomen, not chest pain. Nevertheless, it is not excluded.
The Chest Pain in Women described so far is clearly different from the pain of the breast .
While the former are felt more in the chest, the female breast is on this. The pain can be localized more accurately and the identification of the problem is easier than a diffuse thoracic pain of unknown origin.
Since almost every tissue can ignite, the mamma is not spared. A distinction is a mastitispuerperal from a non-puerperal . The difference is the stage of the disease: while the puerperal form as after birth postpartum disease occurs, depends non-puerperal formnot with pregnancy together or birth.
Due to hormonal dysfunctions of various kinds, in which too much estrogen is released, a so-called mastopathy can be triggered. This leads to changes in the mammary gland tissue and, consequently, to hardening and Chest Pain in Women ( mastodynia ).
Mastodynia may also be cycle-dependent without further disease . This increases the likelihood of an imbalance of the various female hormones. If mastalgia is mentioned, the pain of the breast is also described, but independent of the female cycle.
The most common occurring in women malignant Tumor the breast . It accounts for almost 30% of all cancers a year in Germany and is even the leading cause of death among women between the ages of 35 and 55 in developed countries. Breast pain can occur as part of a breast cancer, but is rarely the case. Nevertheless, a malignant cause should be clarified and ruled out by a doctor in case of newly occurring pain .
By strong stress or excessive physical exercise can cause pain to the chest muscles come.
It can be small muscle fiber tears , which are 1 to 2 days later as so-called “muscle soreness”, but also larger muscle fiber or muscle bundle tears arise, which bring a long period of physical restriction.
Caution during training or hard work must always be provided. Both bony changes of the ribs and the sternum, as well as diseases of the spine can lead to Chest Pain in Women. The thoracic spine contains the spinal cord, from which, among other things, the nerves for pain perception originate.
Damage can not only cause back pain but also chest pain. Small new bone formations (osteophytes) in the context of a benign or malignant cancer can also be painful, if they irritate the surrounding tissue. Many types of cancer metastasize to the bone during the course of the disease, There the cell tissue proliferates and infiltrates the surrounding area. The symptoms are movement restrictions and pain.
In pregnancy , there are major changes in the body of every woman.
This adjusts to the supply of a second animal and the hormone levels change. This enormous stress can lead to various diseases.
While heart disease is fundamentally relevant, pregnancy hypertension (high blood pressure) does not trigger chest pain.
However, bronchial asthma already occurs during a seizure: the tone of the bronchial musculature sinks due to various changes in the woman’s body. This can make it easier for the alveoli to collapse and the lungs to cramp. An asthma attack is not only scary because of the need to breathe but can also trigger chest pains .
In a pregnant woman, the risk of gallstone disease increases . If there is a transfer of the bile duct and a subsequent biliary colic , the pain can also migrate into the chest.
But, of course, the breast itself can be the source of pain during pregnancy . The glandular tissue develops and is already gearing up, the child after the Ge burt to breastfeed and to continuously produce milk after.
These processes of rebuilding stress the tissue in the breast and can lead to a state of tension and thus pressure sensitivity and pain.
After birth, inflammation of the mammary glands may occur. The mastitis puerperalis is triggered by germs, which transmits the baby while drinking on the maternal breast.
Stress triggers stress in the body . The stress hormones epinephrine and norepinephrine are increasingly being formed and released. The body is thus put into a state of activation and can be difficult to shut down to a relaxed state during long-term stress.
Because, for example, job stress in itself is associated with little time and this is accompanied by an unhealthy diet and little exercise, the constellation for the development of heart disease is perfect.
A CHD ( coronary heart disease ) is based on this behavior and consequently to angina or a heart attack lead.
Especially in women, stress can lead to overproduction of the hormone prolactin .
This hormone causes the formation of the mammary glands to prepare them for the period of breastfeeding after birth .
If there is no pregnancy and the breast is not relieved of the milk, it infiltrates the surrounding breast tissue and triggers an inflammation there. The resulting mastitis puerperalis is associated with pain in the chest .
Other conditions that are associated with stress and can cause chest pain in women are stomach ulcers and muscular tension .
The pill is a hormonal contraceptive . It influences, depending on the chemical composition, the different hormones of the woman. Estrogen , one of the hormones, promotes, among other things, the buildup of fatty tissue in the breast, which makes it bigger.
Pills that affect estrogen levels also have an effect on the breast tissue. When the breast gets bigger, the tissue and the skin become tense – the breast becomes pressure-sensitive and hurts.
During menopause there is an imbalance of female hormones. The progesterone level decreases in contrast to estrogen levels . P rogesteron normally inhibits the accumulation of water in the breast tissue, which is caused by estrogen. If this compensation is no longer given, it can come to the threshold of the mom.
The breast becomes pressure-sensitive and hurts. The remodeling in the mammary glands can lead to cyst formation in the tissue. Cysts are small, benign cavities , encapsulated sites of inflammation that are not dangerous in themselves but can trigger chest pains.
If the pain is pronounced on the left side, there are various possibilities. Heart problems , be it inflammatory or ischemic processes, are often associated with a pain shift from the center of the chest to the left side.
The stomach also lies in the left upper abdomen and could thus project into the left half of the thorax. Problems with the left lung or left breast may also cause unilateral pain. Also possible are tensions or muscle damage, which arise after overstraining the muscles.
The treatment depends entirely on the cause of the pain . It does not help to treat only the pain itself, by disregarding the origin and simply taking analgesics (painkillers). In case of repetitive pain or pain that causes concern to the patient, a doctor should always be consulted to locate the underlying condition.
Many women ask themselves which doctor should be consulted. If the pain is markedly localized in the breast , then a gynecologist is the best choice to carry out a further examination.
For Chest Pain in Women of uncertain origin, but not severe, the personal doctor should be consulted. This one has experience with symptoms of this kind and knows the most likely illnesses for the Chest Pain in Women are causal. A direct approach to the specialist can provide quick help, but it can also lead to the wrong direction if the pain has been misinterpreted by the patient himself.
A referral from a family doctor to a specialist is usually more effective here. For very severe Chest Pain in Women , the woman should not wait for an appointment, but visit the local emergency room. There, the staff is prepared for acute cases and it can be procured quickly relief.