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Question
Hello doctor,
I am 22 years old this year, I have pain in my left chest, sometimes it hurts, sometimes it hurts like a knife, sometimes it hurts like someone squeezes inside. Chest is always heavy with occasional difficulty breathing. I went to the hospital, they had an electrocardiogram and an X-ray, the results were normal. So the doctor let me ask the left chest pain, chest heaviness with shortness of breath, what are the signs of the disease? I thank you doctor.
Tran Xuan Hien (1999)
Answer
Answered by Doctor Phan Dinh Thuy Tien - General Internal Medicine - Department of Medical Examination & Internal Medicine, Vinmec Nha Trang International General Hospital.
Hello friend,
With the question “What is the sign of pain in the left chest, heaviness in the chest with shortness of breath? , the doctor would like to answer as follows:
There are many causes of left chest pain:
Cardiomyopathy: Atherosclerotic and non-atherosclerotic coronary artery disease (abnormal coronary artery anatomy: Myocardium; coronary artery originating from the pulmonary artery or communicating with other arterioles, coronary artery spasm, coronary artery disease, thrombosis from other places drifting into the coronary artery,...). Aortic disease: Aortic disease caused by syphilis, aneurysms affecting the aorta,... Myocarditis, pericarditis, endocarditis.. Neuromuscular disease: Intercostal neuritis. Lung disease: Pneumothorax, pleurisy,... Diseases related to the abdominal organs near the left chest: Diaphragmatic hernia (stomach or intestines, .. going through the diaphragm to the chest), disease stomach reflux, left colitis,... Psychology: Anxiety disorder, panic attack.. Trauma: Broken ribs, broken sternum, muscle contusion due to trauma,... Depends on diagnosis The doctor's initial diagnosis of what disease they think of, they will give appropriate indications.
A well-defined straight chest x-ray can usually rule out lung disease. Electrocardiogram within normal limits, need to do more blood tests, echocardiography, abdominal ultrasound, gastroscopy, ... are common tests to help diagnose the disease.
You are young, if you smoke, drink alcohol, eat a lot of fat, ... the risk of coronary heart disease due to atherosclerosis can still occur. You should see a cardiologist soon. If cardiovascular disease can be ruled out, other causes can be found. split meals; increase vegetables, fish, lean white meat (pork, chicken, frog ..), exercise daily at least half an hour. When there is chest pain, do not be too afraid, should rest, notify relatives or colleagues, go to the nearest hospital.
If you still have questions about left chest pain, chest tightness with difficulty breathing, you can go to a hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wish you a lot of health.
Best regards!
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