Chest Pain: causes,types and management

CHEST PAIN

Is a common clinical symptom that may or may not have significant clinical implications.

DIFFERENT TYPES OF CHEST PAIN AND ITS DIAGNOSIS

  • PLEURISY: sharp, lancinating lateral chest. Worst with breathing and coughing.
  • PLEURAL EFFUSSION: dull aching lateral chest pain; chest wall pain.
  • TRACHEOBRONCHITIS OR TRACHEITIS: Central chest pain precipitated by a dark harking voice.
  • MYOCARDIAL ISCHAEMIA: central chest discomfort/pain with sensation of heaviness or chest compression.
  • BORNHOLM’S DISEASE: Lateral burning chest pain associated with tenderness on physical contact.

MANAGEMENT OF CHEST PAIN

The management of chest pain is centered towards treating the primary cause of the disease and relieving the patient of the pain.

Investigations

  • Chest X-ray
  • Electrocardiography (ecg)
  • Echocardiography.

Pharmacological Management

  • Analgesics eg, Paracetamol, Diclofenac, Ibuprofen, Orphenadrine etc.
  • Transquilizers or minor sedative drugs eg, diazepam, nitrazepam etc.

Diet

The dietitian is thereby in cooperated into the management of the patient. He assess the patient nutritional status taking cognizance of the disease condition to recommend a dietary regimen for the client.

Exercise.

  • This is mainly supervised by a nurse who plan a goal directed exercise for the client bearing in mind the disease conditions.
  • The exercise should not be strenuous, preferably done in the morning and evening.
  • It should not exceed 30 minutes.

Finally, the patient should be referred to a specialist for expert management.

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