Chest pain (the excerpts below are from source below)
The heart, lungs, esophagus, and great vessels provide afferent visceral input through the same thoracic autonomic ganglia. A painful stimulus in these organs is typically perceived as originating in the chest, but because afferent nerve fibers overlap in the dorsal ganglia, thoracic pain may be felt anywhere between the epigastrium and the jaw, including the arms or shoulders (as referred pain). Painful stimuli from thoracic organs can produce discomfort described as pressure, gas, burning, aching, and sometimes sharp pain. Because the sensation is visceral in origin, many patients deny they are having pain and insist it is merely discomfort.
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Testing: For anyone with chest pain, minimal testing includes pulse oximetry, ECG, and chest x-ray. For adults, blood tests for cardiac markers are often done. Results of these tests should be integrated with findings from the history and physical examination, and specific diagnoses should be pursued. Blood tests are not valuable as a primary screen. In particular, a single normal set of cardiac markers should not be used to rule out a cardiac cause. If myocardial ischemia is likely, tests should include serial measurement of cardiac markers and ECGs and possibly stress ECG or a stress imaging test (see Coronary Artery Disease: Testing).
A diagnostic trial of sublingual nitroglycerinSome Trade Names
NITRO-BID
NITRO-DUR
NITROL
NITROQUICK
Drug Information
or an oral liquid antacid does not adequately differentiate myocardial ischemia from GERD or gastritis. Either drug may relieve symptoms of either disorder.
Treatment: Specific identified disorders are treated. If etiology is not clearly benign, patients are usually admitted to the hospital or an observation unit for cardiac monitoring and more extensive evaluation. Symptoms are treated with acetaminophen or opioids as needed, pending a diagnosis.
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PERSONAL NOTE:
It is important that you contact your personal physician and tell him or her about your symptoms. I believe that you should have testing to determine if a stroke or heart attack is emminent. It could merely be blockage of an artery...that can be a big problem, though. Better to be safe than an emergency case.