Why does my heart always hurt?

It turns out that many people have had chest pain. Some people think it is a heart disease, and more people ignore it. Yes, it may be a symptom of coronary heart disease, but it may also be trivial chest wall pain or stomach acid. You won't be flustered when you figure it out. Chest pain was like fire in the case. Mr. Cai, 49, is engaged in the construction industry. Three years ago, I felt pain in my shoulder, especially my left shoulder. In addition, my heart beat very fast, and I suspected that there was something wrong with my heart, so I went to a public hospital to see a doctor. The doctor familiar with Mr. Cai's condition said that he actually had other symptoms, such as stomach discomfort, chest pain, burning pain like fire, and lying down because of gastric acid upwelling. Guan Zhibang, a member of the Hong Kong Gastrointestinal Motility Society, pointed out that people in acid reflux may also suffer from coronary heart disease. Especially like Mr. Cai, there are three high-risk factors for heart disease-male, smoking and high cholesterol. Doctors are also worried about whether they will suffer from both diseases at the same time. It was confirmed that Mr. Cai was only acid reflux, but he was still worried when waiting for various inspections in public hospitals. Finally, he went to see a private cardiologist. The doctor pointed out that there is no reason to suffer from coronary heart disease, and the chest will be hot. He took "basic pills" twice to control angina pectoris, but his chest pain still exists. Mr. Cai heard that the pain of coronary heart disease attack was like pressing three books on his chest. He also tried three books, but the feeling was completely different from what he had suffered. Finally, in the past six months, he had three different heart tests, and the doctor really couldn't find any evidence of his heart disease. In addition, after doing a gastroscope, he confirmed that Mr. Cai suffered from gastric acid reflux and esophagitis. Chest pain has different causes. Cardiologist Gao Deqian pointed out that many patients with chest pain usually guess that it is a heart attack. In fact, most patients who seek treatment from cardiologists are suffering from chest pain caused by other diseases. General ranking: First, chest wall pain is also called musculoskeletal pain. The pain is only concentrated in one point, and the patient can clearly point it out. Low pain time is not long, generally only lasts for one or two seconds at a time, there is the possibility of recurrence. ● When the patient takes a deep breath, coughs, sneezes or turns around, the chest will sting and even hurt. ● Pain may be more severe than chest pain caused by other diseases, but most of them will get better within a few days to two or three weeks. ● It can happen at any age. Etiology ● The patient sprained intercostal cartilage and became inflamed, that is, costal chondritis, which is one of the more common diseases in chest wall pain. ● Inflammation caused by influenza and other viruses, which is the syndrome of Tietze. The flu itself can also cause bone pain all over the body. ) ● Rib fractures are rare, but they are also the most painful. Treatment ● The inflamed area will heal itself without taking medicine, and the doctor or prescription will take analgesic and anti-inflammatory drugs (such as ibuprofen). If the rib is broken, you can only wait for the wound to heal itself. Don't take antibiotics, because it has no effect on the virus. General ranking of anxiety-induced chest pain: second ■ Characteristics of anxiety-related chest pain ● Patients claim that the pain lasts for hours, days, years or even more than ten years. ● The whole chest may hurt anywhere, and patients usually feel "stuffy" and "stuffy". ● During rest, such as sitting down, lying down or not working, patients begin to feel chest discomfort ● Not working or exercising. ● As soon as the patient sat down to see a doctor, he quickly listed various "symptoms": dizziness, sweating, nausea, shortness of breath, fear of heat, fear of cold, paralysis of hands, feet or lips, and wanted the doctor to "cure" his illness quickly. The reason is too nervous. The treatment is mainly mental state, and it is explained in detail that chest pain has nothing to do with the heart. Gao Deqian said that when it comes to this, patients are much more at ease. "We should also talk to them patiently and instruct them how to cope with stress easily. In severe cases, you need to seek the help of a psychiatrist or a clinical psychologist. General ranking: third ■ Angina pectoris caused by coronary heart disease ■ The most serious feature of the disease ● Contrary to the symptoms of chest pain caused by anxiety, it only hurts when walking, exercising, chasing buses, going upstairs, etc. ; It stops when the pain stops. The pain lasts for five to ten minutes. ● Feel a sense of oppression in the chest, especially in the upper chest, or feel "resisted" by objects. ● If the pain lasts for fifteen to thirty minutes and you are sweating, it may be a myocardial infarction. You must go to the emergency room immediately. The reason is coronary artery embolism that supplies heart nutrients. When patients with coronary heart disease treat angina pectoris, taking Diwan can dilate blood vessels and relieve the condition. Or accept "wave pass" and heart bypass surgery to restore normal blood flow.