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Chest Pain, Chronic

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Many different types of problems can cause discomfort, shortness of breath, pain with swallowing, and many other symptoms in the chest area. This chart may help you pinpoint your problem as you confirm your symptoms.


 

SYMPTOMS   DIAGNOSIS   SELF-CARE
Begin here        
1. Is the person a child or infant? Yes --> See Chest Pain in Infants and Children.    
No, go down        
2. Do you have shortness of breath with chest discomfort? Yes --> Go to Question 9.*    
No, go down        
3. Does your chest ache along the edges of the breastbone? Yes --> You may have COSTOCHONDRITIS, an inflammation along the edges of your breastbone or sternum. --> Use an anti-inflammatory medicine. Heat may help the discomfort, as well. See your doctor if the pain doesn't improve with these simple treatments.
No, go down        
4. Do you have episodes of pressure under the breastbone brought on by cold air, activity or eating? Yes --> Your pain may be from a heart problem called ANGINA. --> See your doctor.
No, go down        
5. Do you have a burning or pressure sensation in your upper stomach or chest when you eat large meals at night? Yes --> You may have a HIATAL HERNIA, a common problem in which the top of the stomach is pushed into the lower chest after eating. --> See your doctor. Eat small meals, especially at night, and use a simple antacid to help reduce the discomfort. Sleeping on two or three pillows, a foam wedge, or raising the head of your bed can also help.
No, go down        
6. Do you have bouts of pain under the sternum or in the right side of your abdomen near the top, and do you have burning, belching, or bloating of the stomach after a greasy or fatty meal? Yes --> The pain you have may be from your GALLBLADDER. --> See your doctor. Eat fewer fatty meals and stay away from cabbage, onions, broccoli and similar vegetables.
No, go down        
7. Do you have pain or a burning sensation relieved by eating? Yes --> You may have an ULCER, IRRITATION OF THE ESOPHAGUS or SPASM of the muscles of the esophagus. --> Eat smaller, less spicy meals. Use an antacid. If this doesn't help, see your doctor.
No, go down        
8. Have you had a consistent pain or sharp, shooting pains for weeks to months after you had a case of SHINGLES, a blistered painful rash on your chest? Yes --> Your pain may be POSTHERPETIC NEURALGIA, a condition that may remain after the shingles infection. --> See your doctor.
No, go down        
*9. Do you have episodes of wheezing and cough producing a lot of mucus? Yes --> Your chest discomfort and shortness of breath may be from ASTHMA. --> See your doctor right away. Asthma can be a serious disorder and cause rapid and extreme changes in breathing. But it's very treatable.
No, go down        
10. Do you have a chronic cough that produces a lot of mucus? Yes --> Your discomfort and shortness of breath may be from CHRONIC BRONCHITIS, especially if you smoke. --> See your doctor. STOP SMOKING and protect your lungs from dust and fumes.
No, go down        
11. Has your shortness of breath been increasing slowly for years and have you been a smoker or been exposed to dust and fumes where you work? Yes --> EMPHYSEMA may be the cause of your problem. --> See your doctor. STOP SMOKING and protect your lungs from dust and fumes.
No, go down        
12. Do you have fevers, cough, night sweats, or are you coughing up bloody mucus? Yes --> You may have an infectious illness, such as TUBERCULOSIS, or a FUNGAL INFECTION. A more serious problem, such as AIDS or LUNG CANCER, could also be the cause. --> See your doctor. STOP SMOKING and protect your lungs from dust and fumes.
No, go down        
13. Do you have episodes of shortness of breath along with chest pressure, numbness around the mouth, or numbness of the hands or fingers? Yes --> HYPERVENTILATION can cause these symptoms. --> Consult your doctor. Relaxing, lying down, and breathing into a paper bag held loosely over your mouth and nose can help reverse the problem.
No, go down        
For more information, please consult your doctor. If you think the problem is serious, call right away.        

This tool has been reviewed by doctors and is for general educational purposes only. It is not a substitute for medical advice. The information in this tool should not be relied upon to make decisions about your health. Always consult your family doctor with questions about your individual condition(s) and/or circumstances. Source: American Academy of Family Physicians. Family Health & Medical Guide. Dallas: Word Publishing; 1996.

Copyright © 2006 American Academy of Family Physicians
 


 
 
 

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