Burning sensation in the chest: symptoms of what diseases, causes and treatment

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2018-03-21 19:15:20

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In the traditional understanding of this common symptom as a burning sensation in the chest is a symptom of heart disease. Angina or myocardial infarction are usually the first candidates for the role of the causes of burning sensation in the chest. However, this symptom is often evidence in favor of other diseases, differential diagnosis of which requires clarification of the nature of sensation, its localization and characteristics of appearance, identify related complaints and violations.

Medical value symptom

Symptom burning sensation in the chest is very heterogeneous and can be caused by diseases of the digestive, respiratory, cardiovascular, musculoskeletal systems. Less often the source of sensation in the breast are diseases of the skin, lymphatic vessels and systemic autoimmune pathology. Even less the reason is the defeat of the peripheral nerves in the form of herpes zoster, radiculopathy.

burning in the chest right

With this symptom often have other business primary care physicians (emergency room and General practitioners) and therapists, cardiologists, surgeons, pulmonologists, neurologists. Extremely rare complaints of burning found in practice hematologists and psychiatrists. For the specialist the most obvious cause of the symptom, it appears simply after careful questioning of the patient, performing electrocardiography, interpretation of related complaints.

Symptom of a cardiological profile

According to the prevalent beliefs of patients, a burning sensation in the chest is the only symptom of cardiac disease. In fact this is not true, although cardiologists considered the complaint as a specific against ischemic lesions in combination with pain in the chest. In the case of angina or development of myocardial infarction there is a bunch of these symptoms. Just burning without pain and shortness of breath is nonspecific for acute coronary events.

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Myocardial infarction or angina appears complex complaints in the chest: the left worried about clenching a burning pain that develops in the result of physical activity. Only rarely heart attack or angina attack happens at rest. The nature of these pains and burning does not change depending on body position, movement in the shoulder girdle and torso, the depth of the breath. Then, it is concerned about a burning sensation in the chest, while the pain of pressing character and is localized behind the sternum, and in the projection of the heart. Also, the pain may move to the neck and lower jaw, reflected in the interscapular space, or directly under the left shoulder blade, a little less – in the left shoulder.

burning sensation in the chest treatment

The nature of the pain during an acute coronary event depends on the location of ischemia or necrosis at the front, side or rear wall of the ventricle, and the volume of the lesion. In patients with concomitant peripheral neuropathy (alcoholic or diabetic), pain and burning sensation developed slightly. Therefore, angina or heart attack may be accompanied or severe symptoms typical of acute heart failure or with a small amount of damage leaking at all without significant violations.

Heart attack and angina

Complaints of pain and burning in the chest in the heart area as a signal of the defeat of the heart arise from the attack of angina pectoris or during a heart attack. In the second case, if the pain has not stopped after 2 times taking nitrates short-acting, requires seeking medical care. And in the first, in the case of angina, when the burning and provoked pain always the same or an equivalent load, requires admission “Nitro”. It is the burning in the chest when walking or climbing stairs, which is accompanied by shortness of breath and feeling a strong squeezing in the chest is a symptom of angina.

This complaint is the result of episodic koronarospazm, which under load the power consumption is in the heart increases and because of the narrowed lumen of the artery to deliver the desired amount of oxygen and energy substrate is not possible. This condition alone leaves 3-15 minutes after cessation of stress or after 3-7 minutes after administration of short-acting nitrates.

burning in the chest in the heart area

The Appearance of a burning sensation in the left part of the chest or behind the sternum along with pain occur in a stereotyped stress, for example, when walking from 250 to 500 meters or climbing 2-3 flights of stairs. The resource depends on each patient's functional class of angina, which is determined depending on tolerability of physical load. A little less anginal pain occur when hypertensive crisis, and the paroxysms of tachyarrhythmias.

Defeat of the digestive system

A Burning sensation in the chest-a symptom of diseases of the digestive system, although many patients are convinced that in diseases of the stomach, esophagus, liver and pancreas always worried about the pain in my stomach. In fact, there is a group of gastric and esophageal lesions in which concerned about burning sensation in chest and chest pain. However, these symptoms are usually associated with either dyspepsia or an unpleasant taste in the mouth anda sense of bitterness in the morning, belching, nausea or vomiting.

burning in the bosom

A Burning sensation in podlojecna region and in the heart and in the projection of the sternum – this is a common symptom of diseases of the esophagus: esophagitis, reflux disease, tumors. Then the burning sensation in the chest or a constant associated with eating. When esophageal lesions complaints arise directly at the time of swallowing food and stomach, e.g., gastric ulcer, pain and burning in the epigastrium and chest occur after 30 minutes or more after eating.

Verification of esophageal and gastric complaints

Patients presenting such complaints, often find GERD, esophagitis, chronic gastritis or stomach ulcers. Less defined pyloric stenosis, stenosis of the esophageal syndrome, Mallory-Weiss tears, accompanied by frequent vomiting. In addition, for tumors of the esophagus and is characterized by the burning sensation in the chest and swallowing food and vomiting unchanged (undigested and untreated gastric juice) food.

burning sensation in the chest causes

Esophageal vomiting may be the first symptom of the tumor, as it occurs when the obturation of the lumen of the esophagus. Burning in cancer lesions of the esophagus appears even later, which requires the examination and decision of a question on operation. To verify gastric and esophageal complaints by performing x-ray gastroscopy and gastrofibroscopy with biopsy is mandatory.

Defeat of the respiratory system

Burning in the chest when coughing or when breathing-a symptom of the lung, bronchus, or pleural membranes. Often such a complaint leads to the existence of pleuropneumonia. In this case, the inflammation on a small regional part of the lung that is accompanied by pleural. This means that, together with pneumonia appears first dry pleurisy, exudative and then.

Burning and pain in the chest on the site of the lesion, which are enhanced by deep inspiration or coughing are a symptom of dry pleurisy or tumors of the pleura. In the case of the subsequent development of exudative pleurisy the pain subsides, the patient feels like his condition is improving. In reality, however, pericardial effusion, weight health, although complaints become smaller.

Cancer affects the chest cavity

This symptom as a burning sensation in the chest causes can be quite varied, until the development of the tumor of the pleura, bronchi, mammary gland, esophagus, or lung. Because in case of occurrence of such complaints in a patient requires careful study of symptoms and appropriate tests. Thus in medicine, there is an unwritten rule that says that in all unclear cases should be suspected as cancer.

burning sensation in the chest constantly

Let this sentence sounds dramatic, but at the stage of differential diagnosis, if not determined by changes in laboratory tests and electrocardiogram, should be guided towards the implementation of faggs and radiographs. The latter is necessary to avoid ulcers and pneumonia, and can also give information about the presence of tumors in the digestive or respiratory system.

Cancer caution

In the case of cancer diseases may be a burning sensation in the chest or right in the chest, usually of a permanent nature, with a clear dependence on the phase of respiration or of food intake. Sometimes the burning sensation worries constantly and is not dependent on movement. Very often in cancer it appears at the moment when the tumor from the primary tumor had metastasized and developed on the site of the dropout, squeezing the surrounding tissue or forming a fistulous course.

For example, esophageal cancer first manifested not by the burning sensation in the chest, and violations of swallowing food, belching, and sometimes slight heartburn. Itself burning starts to disturb at the moment because of the constant obstruction of the lumen of the esophagus and the retention of food expanded his overlying land. The emergence of the symptom is observed in the case of the formation of fistulous that connects the esophagus with the trachea.

burning and tingling in my breast

Symptoms Such as disturbances in swallowing, and weight loss without apparent causes are early warning signs of neoplastic lesions of the digestive system. Burning in the chest in this situation is not the primary symptom, because it often appears late enough. However, the emergence of such symptoms requires examination and identify its cause.

Burning sensation and neurological diseases

In Addition to oncological diseases, symptoms such as burning and tingling in the chest is characteristic of neurological disorders. For example, this occurs in shingles, radiculopathy, and lesions of the spinal column, intercostal neuralgia. As a rule, here comes the chest pain that is sharp stabbing or cutting in nature, depending on the position of the body or increases with movement. Occasionally the pain is permanent and can mimic anginal attack, because it appears after exercise.

A Burning sensation in the chest on the right, andpain in the chest in the projection of the blades or along the spine – typical symptoms of lesions of the musculoskeletal system: osteochondrosis, deforming osteoarthritis, ankylosing spondylitis, spondylopathy. The symptoms include both neurology for the reason that as a result of these diseases there is a compression of the spinal nerves.

The Stabbing character of the pain with a clear relationship with the movement is specific for radiculopathy. Neurologists may also be determined by other radicular symptoms, each of which is specific for a particular lesion. Often you don't even have to question whether pain and burning in the chest right behind the breastbone or a symptom of neurological disease, because the diagnosis is sometimes obvious. Regardless, the patient should undergo an ECG and laboratory tests.

It is Necessary to exclude lesions of the heart, and nonspecific for the diagnosis of infectious diseases, leukemia or gematosarkoma. Many of the patients suffering from tumor blood diseases, confirm that their disease was detected without complaint as a result of performing General blood analysis during a routine examination or a medical examination.

Treatment

After examination of the patient complaining of burning sensation in the chest, treatment should be given according to the found violations. If the symptoms are due to myocardial infarction is preparing to interventional procedures, in the case of angina pectoris is being adjusted, the treatment regimen. The detection of breast tumors, the lung, bronchus, pleura, pharynx, oesophagus and stomach, and performed a comprehensive examination, required for planning the extent of surgery.

In the case of pneumonia, when the question of the origin of the symptom is removed by performing x-ray and blood count, appointed antibacterial and physiotherapy. Neurological disease, appropriate physiotherapy and pain relief. Moreover, in daily practice, detailing the symptom usually does not cause difficulties as related complaints usually allow you to quickly and accurately make a diagnosis.

Summary

This symptom as a burning sensation in the chest causes are very diverse. Among them, diseases of the respiratory, cardiovascular and digestive system. Occasionally a burning sensation is a symptom of cancer, neurological and skin diseases. It is important to understand that the interpretation of the symptom it is necessary to examine related complaints, as well as the conditions and patterns of occurrence of burning, its consistency or paroxysmal in nature. Isolated symptom burning sensation in the chest appears very rarely and evidence in favor of skin lesions, which are almost always easy to spot.

Burning – it is a symptom and about any treatment without adequate diagnosis of speech can not go. The correct tactic is to appeal to the expert and examination to identify specific cause. Start treatment immediately when there is an apparent cause of the symptom. However, in the absence of effect should address diagnostic questions until, until exposed to a specific diagnosis and the symptom completely disappear as a result of treatment.


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Alin Trodden - author of the article, editor
"Hi, I'm Alin Trodden. I write texts, read books, and look for impressions. And I'm not bad at telling you about it. I am always happy to participate in interesting projects."

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