Chest pain is a feeling of discomfort and/or pain anywhere in the front part of body between neck and upper part of the abdomen. It can occur in many different mild to life threatening disorders.
Causes of Chest Pain
- Angina pectoris – It is a discomfort resulting from acute myocardial ischemia, which occurs when myocardial oxygen demand exceeds supply. Pain is usually retrosternal for a short time period. It often increases on exertion and becomes better by rest.
- Myocardial infraction – In the condition of myocardial infraction (heart attack), chest pain is usually retrosternal but may be pericardial. It can also radiate down arms or back and abdomen. This is a medical emergency. A feeling of oppression is also often present.
- Pericarditis – is inflammation around heart, in percardium, pain often occurs at the center part of the chest.
- Gastroesophagial reflux disease – Caused by failure of the sphincter at the cardiac end of esophagus. The acid from stomach regurgitates in food pipe, causing burning pain in chest.
- Pulmonary embolism – A blood clot getting stuck in lungs can cause sudden intense pain, often occurs after surgical procedure.
- Pneumothorax – In the condition of Pneumothorax there is air in the pleural cavity.
- Pneumonia – is a common cause of chest pain and the exact location. The pain is often referred to as stitching pain.
- Costochondritis – There is inflammation at the junction of ribs and sternum.
- Other causes of chest pain – Include hiatus hernia, mediastinal emphysema, aortic valve disease, tenderness of the muscles of the chest wall, peptic ulcer, gallbladder disease, stress, thyroid disorder, heavy workout after meal, alcohol and smoking etc.
Symptoms associated with chest pain
- Stable angina – Vice like constriction or choking, pain may be spread to right or left arm or both, dyspnoea before pain.
- Unstable angina – Chest pain occurs at rest.
- Pericarditis – Pain radiates to the left side of the shoulder which gets worse by lying in a flat position.
- Pneumothorax – Severe chest pain along with shortness of breath, cyanosis, restlessness and collapse.
- Pneumonia – Sharp pain which, gets worse by taking deep breath and coughing.
- Pulmonary embolism – Short rapid breathing, sharp pain in middle of the chest that is worse by deep breathing.
- Gastroesophagial reflux disease – Difficult painful swallowing, pain in the middle of chest which, extends to neck, back and shoulders.
- Myocardial infraction – Vomiting, dyspnoea features of shock, profuse sweating, fever, low blood pressure, pulse small rapid and irregular
· Complete blood count
· Coronary angiography
· X-ray chest
· Lung scan
Treatment of Chest Pain
Allopathic treatment depends on the underlying cause of pain in chest.
Homeopathic treatment –
Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which a patient is suffering.
The aim of homeopathy is not only to treat chest pain, but to address its underlying cause and individual susceptibility of the patient. For this patient’s current symptoms, past medical history and family history are taken into account. There are many homeopathic remedies which cover the symptoms of chest pain and can be selected on the basis of cause, location, sensation, modalities and extension of the pain. For individualized remedy selection and treatment of chest pain, the patient should consult a qualified homeopathic doctor in person. In medical emergencies like myocardial infarction and pulmonary embolism, immediate hospitalization is usually required. Some important remedies are given below for the treatment of chest pain:
- Arnica mont. – Chest pain with sore and bruised feeling.
- Ranunculus b. – Good remedy for intercostal rheumatism, sharp stitching pain in the chest along with dyspnoea.
- Rhus tox. – Pains extend to the shoulders, worse by initial motion and cold-damp weather, better continued motion and warmth.
- Kali carb. – Stitching pain in the chest, which gets worse between 2-3 A.M
- Actea racemosa. – Pain worse on the right side.
- Rumex c. – Sharp stitching pain through the left lung, often with cough.
- Bryonia – Chest pain is of stitching, burning and stabbing in nature, is worse by motion and better by rest and pressure. Thirst for large quantities of water and dryness of mucous membranes often accompanies.
- Stannum – Knife like stitches, worse on bending forward and left side.
- Aconite – Chest pain due to pneumonia of first stage along with anxiety and restlessness.
- Phosphorus – Violent tickling cough, chest pain due to tuberculosis of lungs or pneumonia along with oppression of the chest.
- Carbo-veg – Chest pain from indigestion, flatulance and acidity.
- Robinia – Burning pain behind sternum due to hyperacidity.
- Strophanthus – Chest pain is of stitching and twitching in nature and often of cardiac origin.