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- Fri Aug 26, 2005 3:23 am
I am suffering from pretty bad chest pains i did smoke but no longer do i have no cough and the blood in my phlegm is non existant what could this be as im under the impression that the cough is the sign that its something serious thanx for taking the time to read this
| Dr. Safaa Mahmoud
- Sat Jul 08, 2006 5:57 pm
It would have been of help if you could describe the character of this pain like; its site, nature, onset, course, associated symptoms like tenderness, related to movement , breathing problems or any other medical problems or received medications.
I will give you a general idea about common causes of chest pain, hoping to help you understand where you are.
The chest contains many organs, like the heart, lungs with its pleural covering, esophagus, muscles, ribs, tendons, and nerves. They all can be the source of the pain felt in the chest.
These causes include :
Angina that is due to ischemia or decrease in the blood supply to the cardiac muscle. If this occurs during exercise the angina is named stable angina, and if it occurs during rest it is named unstable angina.
Overexertion of the chest wall muscles or their inflammation as a part of viral infection like flu or cold results also in chest pain, the pain is usually aggravated with certain moves and is usually associated with tenderness over the affected muscles. Pain due to rib or chest wall bone disease is also another cause of chest pain. They are also tenderness over the affected areas. In all of these conditions the chest pain is usually aggravated by taking deep breath and cough.
Inflammation of the pleura covering the lung gives a sharp pain that is associated with cough and is more severe when taking deep breath.
Sometimes chest pain is not originating from the chest itself; instead it is due to problems in the digestive tract. These problems include IBS, gastritis and gastric ulcer, gall bladder disease, GER.
Pain due to gastritis increase either after fasting or after meals, while pain due to gall bladder disorder is felt on the right side of the upper abdomen and is associated with fatty meals.
You need to be examined by your doctor. Only by complete history and physical examination your doctor can reach the right diagnosis and provide you the proper management.