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Costochondritis, also known as anterior chest wall syndrome, is a common cause of anterior chest pain, because the pain is located in the anterior chest, it is easy to be confused with angina, and patients often mistakenly think that they have coronary heart disease, ** generally related to trauma, in people carrying heavy objects.
It is caused by acute damage to the thoracic-costal articular cartilage due to rapid torsion or chest compression, or viral infection caused by chronic strain or cold and flu, resulting in edema and thickening of the thoracic-costal articular cartilage. or costochondral dystrophy, thoracocostal joint inflammation, myofasciitis. Its clinical manifestations are anterior chest pain, mostly soreness and pain, acute or slow onset, sometimes mild and sometimes severe, can be aggravated by turning over and coughing, deep breathing, upper limb activities, sometimes radiating to the upper limbs, and if the tenderness at the 2-5 costal cartilage is not timely and thorough, there is a tendency to reverse.
In clinical practice, it should be distinguished from coronary heart disease, angina, tuberculosis pleurisy and other diseases. Traditional Chinese medicine believes that the pain of costochondritis spreads to the chest and flanks, and the upper arm is qi stagnation;
Local bulge, tenderness is obvious, and the pain point is fixed and unmovable, which is blood stasis. Qi stagnation and blood stasis, wind and heat invade the meridians, poison and heat are blazing, and qi and blood cannot be contained.
If it doesn't work, it hurts. **: Local hot compress physiotherapy, amber paste paste, external application of traditional Chinese medicine elusion powder or three-color dressing, internal consumption of blood circulation and stasis decoction, Zuogui pill.
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The medical history you mentioned is very detailed, what did you start to hurt him, did you hurt him, did you have seizures when you were active, when you were tired? Is it continuous or bursting, how long does it hurt each time, and is it chest tightness?
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There are many causes of chest pain, and I don't know which of the following you are:1For coronary syndrome, it is recommended to do electrocardiogram and cardiac ultrasound to confirm the diagnosis, and it is necessary to draw blood to test cardiac enzymes.
2. Pleurisy, chest pain is unbearable, it is estimated that 3Soft tissue contusion, I don't know if there is any trauma and hyperactivity4Costochondritis with significant tender points5
Intercostal neuralgia. Soft tissue contusion and costochondritis are more likely, and pleurisy is not excluded.
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Do you change places when you sleep? Back pain, chest pain, or pain, if so, suspect spontaneous pneumothorax, pleurisy, costochondritis, intercostal neuritis, heart disease, etc., It is recommended to go to the hospital for a chest X-ray, electrocardiogram, blood routine.
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There are many diseases that cause heart pain, in addition to angina pectoris and myocardial infarction, which account for 50% to 55% of patients with chest pain, the common lesions that cause chest pain are costochondritis, pulmonary embolism, pulmonary malignancy, pleurisy, spontaneous pneumothorax, herpes zoster, pericarditis and other diseases. If you delay ** without a clear diagnosis, the consequences are unimaginable.
Costochondritis, also known as anterior chest wall syndrome, is a common cause of anterior chest pain, because the pain site is in the anterior chest, it is easy to be confused with angina, patients often mistakenly think that they have coronary heart disease, ** generally related to trauma, in people carrying heavy objects, sharp twisting or due to chest squeezing, etc., so that the thoracic costal joint cartilage causes acute damage, or due to chronic strain or cold and flu caused by viral infection, resulting in edema of the thoracic costal articular surface cartilage, thickened aseptic inflammatory reaction and onset. or costochondral dystrophy, thoracocostal joint inflammation, myofasciitis. Its clinical manifestations are anterior chest pain, mostly soreness and pain, acute or slow onset, sometimes mild and sometimes severe, can be aggravated by turning over and coughing, deep breathing, upper limb activities, sometimes radiating to the upper limbs, and if the tenderness at the 2-5 costal cartilage is not timely and thorough, there is a tendency to reverse. >>>More
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Median chest pain is common in a variety of diseases such as coronary heart disease, angina, acute myocardial infarction, reflux esophagitis, and sternal disease. The most common condition is myocardial infarction or angina pectoris, caused by coronary heart disease. If symptoms appear, the first thing to do is to go to the hospital for a clear diagnosis, and electrocardiogram, coronary CT, and coronary angiography should be performed to confirm the diagnosis. >>>More
If you're young, don't be nervous (under 40 years old), it may be cardiac neurosis, which means that you can have symptoms similar to angina, but there is no structural or functional abnormality in the heart itself. That is, there is no difference between the heart itself and the heart of a healthy person. It is more common in young women, and the incidence in men is slightly lower, which is simply similar to the symptoms of neurasthenia, which can be accompanied by insomnia and dreams, in short, there is no need to be special, let alone overly nervous. >>>More
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