Boerhaave's Syndrome: This is a rare condition involving an esophageal rupture caused by a sudden increase in intraluminal pressure. Top Contributors - Laura Ritchie, Kim Jackson, Sofie Van Cutsem, Lucinda hampton, Evan Thomas, Joao Costa and Oyemi Sillo. A condition involving referral of pain to the chest, abdomen, throat, arms and head from an irritated xiphoid process. The ribs are affected by stress fractures less frequently than bones in the lower extremities. If substernal chest pain is found to be psychogenic in nature, as is the case in those suffering from anxiety and panic attacks, mood relaxers and antidepressants may be prescribed. 2017 Oct 12. doi: 10.1007/s00266-017-0975-z. A brief description of the more common causes treatment is provided, see links also. Explore lung, breathing and allergy disorders, treatments, tests and prevention services provided by the Cleveland Clinic Respiratory Institute. This is often the first step in all serious cases of chest pain. 2014;7:133-7. Read More The pain associated with costochondritis usually: Occurs on the left side of your breastbone Is sharp, aching or pressure-like Affects more than one rib Can radiate to arms and shoulders Worsens when taking a deep breath, coughing, sneezing or with any chest wall movement When to see a doctor Pain that lasts more than a few minutes, gets worse with activity, goes away and comes back, or varies in intensity. Xiphodynia (or painful/hypersensitive xiphoid syndrome). What are the benefits and risks of potential treatment options? Pecci M, Kreher J. Clavicle fractures. Evaluation of the adult with chest pain in the emergency department. However, neither these questions nor a general clinical impression are specific enough to allow a definite diagnosis of anxiety-related noncardiac chest pain, and a positive screen should not preclude further cardiac testing in patients with cardiac risk factors.19. Some options include: If your noncardiac chest pain is, like most peoples, from GERD, treatment is usually simple and effective. Both heartburn and a developing heart attack can cause symptoms that subside after a while. The AHA/ACC guideline recommends the use of an electrocardiogram (ECG) in the office setting in patients with stable chest pain, unless there is an evident noncardiac cause of the chest pain. A patient with fever, cough, chest wall swelling or other respiratory findings on history or examination should also have a chest x-ray. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3038318/). Trupiano JK, Rice TW, Herzog K, Barr FG, et al. privacy practices.
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