Pathologies of the cardiovascular system are provoking factors for the occurrence of pain in the sternum
There are many reasons why the sternum bone in the middle hurts when pressed. They can be internal and external. All provoking factors are conditionally divided into the following groups:
- trauma in the sternum;
- pathologies of development and diseases of the organs of the cardiovascular system;
- neurological diseases;
- diseases of the digestive system;
- pathology of the bronchopulmonary system.
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If the bone between the chest hurts when pressed, it is first necessary to exclude the likelihood of developing heart disease. This is the most dangerous cause of pain.
Most often, pain occurs with coronary heart disease. Pathology develops with insufficient supply of heart muscle with oxygen. The myocardium also suffers, giving a signal about this in the form of acute pain. Myocardial infarction and angina pectoris are clinical forms of IHD. The clinical picture is thus expressed in different ways.
Angina pectoris is characterized by typical pressing pain behind the sternum. Patients describe this condition as if someone had placed heavy bricks on their chests. In most cases, pain is given to the neck and left arm. The duration of a pain attack, as a rule, reaches 20 minutes, then subsides.
Myocardial infarction is accompanied by burning and pressing pain, its severity in comparison with angina pectoris is much stronger. The neck, left arm and under the lower jaw, as well as the entire sternum and even the abdominal cavity, can radiate painful sensations. The pain can be unbearable, it can not be stopped even with potent drugs.
Pathology of the aorta
Types of Aortic Aneurysms
In the chest area, pain can be caused by pathologies of the aorta, in particular, aneurysm – an expansion of the aortic site. In the early stages of development, the disease is asymptomatic, but as the disease progresses, the clinical picture becomes more pronounced.
- pain cannot be stopped even after taking potent drugs;
- prolonged pain in the heart (within a few days);
- pains do not radiate.
The danger of a pathological condition is that at any moment the aneurysm can stratify, which will cause the discovery of fatal bleeding.
Anatomically, the esophagus is located along the chest. Deviations in its functioning can lead to pain. One of the most common diseases of the esophagus is achalasia of the cardia. The pathological condition is characterized by insufficient relaxation of the lower esophageal sphincter.
The clinical picture of achalasia:
- rapid weight loss;
- a feeling of difficulty passing food during swallowing;
- sensations as if food is stuck at the level of the sternum;
- burping food that was eaten a few hours ago.
Another common disease of the digestive system – gastroesophageal reflux disease – inflammation of the mucous membrane of the esophagus as a result of throwing there gastric juice. Features of pain during the development of this disease:
stop after application of antac >
The diaphragm is a muscle-tendon plate that separates the sternum cavity from the peritoneal cavity. There is a special hole in it – the esophagus. Quite often, a hiatal hernia develops in people, the essence of the pathology is that the abdominal organs protrude into the chest.
Diaphragmatic hernia is accompanied by pain in the sternum and below. Pain can be given in the back, hypochondrium and interscapular region. This clinical picture is similar to the symptoms of pancreatitis. Features of pain during the development of hernia:
- pain accompany the clinical picture of GERD;
- as a rule, acute attacks of pain overtake shortly after eating, intensify after lifting weights, with coughing and flatulence;
- at rest, painful sensations can be described as dull, moderate;
- amplified after tilting the housing forward;
The severity of the clinical picture after the implementation of a deep breath, vomiting, belching and with a strictly vertical body position is reduced.
Gastric ulcer can provoke chest pain
Severe pain in the sternum is caused by peptic ulcer. Depending on the location of the ulcer, pain can be given to the left half of the chest, back and right hypochondrium. As a rule, increased discomfort is always associated with meals. Uncomfortable sensations occur after 30 minutes – 1 hour.
It is possible to stop the symptoms after the use of drugs that reduce the production of gastric secretion. At the peak of a pain attack, vomiting of acidic contents may occur, this brings relief. The development of the disease is accompanied by constipation, nausea, belching.
Diagnostic methods and treatment
If you feel unwell, you should immediately contact a medical institution. The doctor will collect the necessary history, conduct a visual examination and prescribe an additional study of the body for an accurate diagnosis.
Joint problems and arthritis in most cases are accompanied by a strong inflammatory process and a sharp bone pain between the chest and neck when touched. Fibromyalgia and injuries of muscle fibers are detected during a physical examination of the patient.
The next stages of the examination depend on the existing and associated symptoms. Laboratory and hardware diagnostic methods:
- general and biochemical blood test;
- magnetic resonance and computed tomography, radiography;
- gastroscopy and electrocardiography.
Based on the results, the doctor makes a diagnosis and, taking into account the well-being and individual characteristics of the patient’s body, develops a treatment regimen.
For pain caused by soft tissue injury and muscle tension, often a cold compress is applied to the affected area as first aid. It can be made from ice or any chilled product from a refrigerator wrapped in rags. Apply with an interval of at least 25 minutes.
Acid-reflux disease, which causes pain in the sternum, can be treated with a mild diet and antacids.
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