Thursday, 30 June 2011

Common Chest Pain signals to know


Feelings of pain or pressure in the area of the chest could signal a problem as simple as indigestion or as serious as a heart attack. Attention to these signals, and call your doctor's office, if you are unsure what your symptoms mean.

Heart pain

A heart attack can annoy the chest, such as a sense of speed, burning, crushing, press; chest pain; or press in the middle of the chest area. Sometimes the pain spread to the jaw, arms, neck or back. A heart attack is often accompanied by sweating, shortness of breath, anxiety, dizziness, nausea and vomiting, and an irregular fast heartbeat.

Angina is a similar type of pressure or pain in the heart, but it comes and goes. Angina is a warning signal, a heart not to be the oxygen it needs. Resting or taking prescribed drugs normally exempts this type of pain.

Pain from a heart attack, on the other hand, don't go away as quickly. Usually lasts longer and is much worse. Rest and drugs alleviate not quite pain. Sometimes the pain will ease, but then come back later. Risk factors for a heart attack include a family history of early coronary heart disease, diabetes or hypertension.

Other chest pain

Sudden chest hurts, not later than half an hour or less in people under the age of 35 years, often panic disorder. Pain disorder may include symptoms such as chest pain, heart palpitation; a quick strong or uneven heartbeat; and shortness of breath. Other symptoms of panic disorder is anxiety and fear of suffocation or die.

Muscles, ligaments, cartilage and other tissues in the chest wall can be quite painful from the strains caused by the pursuit of a case, or even from non-productive cough. Called the chest wall pain, feel this type of chest pain is usually worse when you press the sore area. Indigestion or heartburn, which often occurs after eating a heavy meal or spicy meal can cause chest pains that seem similar to those of a heart attack.

A short, sharp pain that lasts only a few seconds or a pain at the end of a deep breath is fairly common. Although they are unexplained, are these pains are usually harmless. Ulcers and gall bladder problems may also cause spread pain in the chest. Ulcer pain is worse if the stomach is empty. Gallbladder pain is usually worse after a high fat content meal and often occur in the upper-right side of the body.

Pulmonary Embolism is a clot-blocking of the arteries leading from the heart to the lungs. A Pulmonary Embolism is uncommon and occurs mainly in bedridden patients. Symptoms include sudden shortness of breath, sudden chest pain which is worse, when the weather deeply, and sometimes a bloody cough and sweating.







Saturday, 25 June 2011

Different types of constant coughing


Despite type cough, as a person have constant coughing can be very annoying and unpleasant. If a person is aware of what type of host they have, however, it may allow your doctor to diagnose correctly the underlying reason for the cough. In General, there are two distinct types: wet and dry cough. A dry cough occurs when the cough produces no MUCUS or slime. Allergies, a cold or influenza generally lead to this type of constant coughing.

A wet cough is defined as a productive cough in which some types of excretion is expelled during coughing session. Wet cough is thought to be generally caused by pneumonia, bronchitis and influenza. However, it is possible for a cough wet, but not productive.

It may be difficult for a person to determine when they must go to a doctor about their constant coughs. However, if the individual has constant or chronic cough, has lasted more than two or three weeks, he or she should be seen also. Also, if the cough is particularly painful, they should be seen to by a doctor. Painful cough may be indicative of disease pneumonia or bronchitis. In addition, and most importantly, if a person has produced constant coughing blood, they should seek medical help immediately. The presence of blood after a session of hard cough are indicative of a more serious medical condition such as tuberculosis.

But constant cough is usually the most prominent symptoms of a disease, it is important that a single person is also aware of their other symptoms. Chest pain is for example often indicative of bronchitis. Chest pain and fever, indicates that a person has the onset of pneumonia. However, it is important for a person to keep in mind that only a trained medical professional may accurately diagnose and treat these diseases. There are numerous home remedies that can reduce the amount of recovery time a person has to endure; However, in the case of these diseases should not replace home remedies modern medicine as a means of treatment.

A person should consult their doctor or physician before engaging in a particular set of home remedies.







Monday, 20 June 2011

Discover what causes breathing pain in your chest


Do you have experiences in breathing pain in your chest? It is not always related to the heart. There are still other reasons for chest pain, not that cardiological, but it is the same with heart attacks. Some of the heart disease symptoms are acute chest pain and much in the chest, but this does not affect breathing.

Here are some of the issues that cause pain in the chest.

Broken rib-this is a very common cause of pain in breathing, especially when you cough. If you had an accident and you had chest trauma, you might have a fractured rib. When you press your breast or when you force yourself to carry under things, you will have a breathing painful.

Pleurisy-this is inflammation of cavities lining that surrounds the lungs. This is also called "pleuritis." One of the most important symptoms of pleurisy is acute pain in the chest when coughing and breathing. There are also other symptoms such as dry cough, chills and fever, and shortness of breathing. Viral infection is the common cause of pleurisy. Other disorders can also cause this problem. Some of the suffering is auto-immune diseases and pneumonia. There are these types of diseases, referred to treatment.

Pneumonia-by sharp pains in the chest when you cough or breathe deeply is one of its symptoms? Yes it is. Antibiotics is one of the treatments of pneumonia. Among its other symptoms are sweating, shacking chills, muscle pain, high fever and shortness of breath. When a person is struck with pneumonia, this should be taken seriously because it can threaten lives. If someone from your family who are experiencing pneumonia, call your doctor immediately.

Any illness or disease have you or your family, not ignore it as you always do. Life is very precious waste it and take it for granted.







Tuesday, 14 June 2011

How to evaluate the Chest Pain in acute medicine

If we play the odds, we are obliged to focus our attention on the acute coronary syndrome. Although it is not an acute coronary syndrome, can it still be fatal diagnosis. Believe me when I say that you do not want to come to work and have someone say, "Hey, remember that the patient you so the other day ... because these conversations never positively not, but that they sent you a thank you note. More commonly, it is that the patient was admitted to another hospital with a bad, came back with something bad or dead!


I developed the mnemonic "PAPPA" to identify the main causes of chest pain. The first two, "PA" or "pappa" has to do with the heart. The next two, "PP," has to do with the lungs. And the last "A" is an aneurysm.


P is as acute Pericarditis is A coronary syndrome (or acute myocardial infarction) P Pneumothorax; P is Pulmonary Artery Embolism (A) is the Aneurysm.


When you assess a patient with chest pain, there are two key points: you need a system for patient assessment, as well as a system of objective evaluation: EKG/ECG and cardiac enzymes.


You must be a master in the 12 lead ECG/EKG interpretation. Can you remember the reasons for us ST segment that can mimic an acute myocardial infarction? I can not stress this enough, and if you have sleeping through this article, you need to wake up for these points: the chest pain is a risky business. You need a system to use 100% of the time in any patient who presents with chest symptoms. It must be reproducible and easy to use. Ask "who is your PAPPA." This works, I swear by it, you must then be strong on evaluation 12 lead EKG/ECG. There is no greater law suits and then a missed myocardial infarction. 25% of missed myocardial infarctions read due to miss ECG/ECGs. Sharpen you EKG/ECG skills!

Tuesday, 7 June 2011

Hurts in the chest-this is a heart attack?


Not all pain in and around your chest is evidence that you are on the way to a heart attack. Although it is always best to seek medical help when you are experiencing any type of chest pain, it is good to be aware that there are many other kinds of chest pain.

Heart related pain

1. Dilatation dissection-this feels like a horrible stabbing pain that explodes from within all of a sudden. It spread quickly over the section in the middle of the back-just between the shoulder blades.

2. Pericarditis-this pain occurs due to inflammation of the membrane that covers the heart-the pericardium. It is very different from angina pain-it is very pronounced and sharp. It gets worse with each breath that you take in, and it becomes unbearable when you lie down. Only when you bend forward, you will find smaller relief.

3. Myocarditis-this pain is very similar to the pericaridatis; It is caused by inflammation of the heart muscles.

Lungs-related pain

4. pneumonia-this is a disease that causes acute chest pain. However, this would be associated with fever, cough, shortness of breath and the accumulation of MUCUS.

5. Pleuritis-this is an inflammation of the pleura or the membrane that covers the lungs. Just as pericarditis, this pain is also aggravated by breathe.

6. Pneumothorax;-this is when your lung decreases due to the accumulation of air around it. The pain is sharp, sudden and gets worse by taking account of breaths. The pain is linked by a feeling of suffocation, as in the lungs is not in a position to expand and take in the air.

7. pulmonary hypertension-in simple words, it is high blood pressure in blood vessels that irrigate the lungs. You will feel enormous pressure in the chest region that gets worse by the physical exertion and deep breaths.

Gastro-esophageal-related pain

8. reflux condenser pain-this is one of the most common of the pain associated with indigestion and acids. Pain, accompanied by a burning sensation usually starts during the sternum and associated with acid regurgitation. This pain is quickly relieved by antacids.

9. Spasm esophagus-this is a rare condition; the reason for why is it not yet clear. There would be a sudden spasm the esophageal eye that generate rapid stabbing pain just below the sternum. This pain is worsened by swallowing and facilitated by ingestion of nitroglycerin.

10. There is tearing of the esophagus-this usually happens after heavy bouts of vomiting and it is a common occurrence with alcoholics. This is worsened by swallowing. Børhåves syndrome is a more acute manifestation of rupture of esophagus pain, is very serious.

Other types of pain

11. Muscle spasms-this pain is due to back spasms or breast muscles or sprains, which normally comes some serious physical strain. The pain is usually localized and sensitive to touch.

12. fear and stress-sudden anxiety and stress can cause lung problems of chest, which is very similar to angina. You would also feel dizzy and breathless in this situation.

There are many more types of chest pain that was described here. As mentioned before, you should not wait to self-diagnosis what type of pain you may be experiencing. The best solution (and safest) is to go to your nearest medical facility for an immediate check.







Monday, 30 May 2011

Know your Chest Pain to day

Coronary artery disease (CAD) is the leading cause of death in America. Each year hundreds of thousands of Americans die from heart disease. Many people have no idea they even have CAD. The first indication, many people have heart disease is, in fact, when they have a massive heart attack, or even worse, experience sudden cardiac death.


Chest pain is one of the characteristics of CAD. Some people (such as women or diabetics) can be serious heart disease, or even suffer a heart attack with any chest pain! Most instances of chest pain is not related to the heart. Other common causes of chest pain, spasm includes esophagus heartburn and chest wall pain (e.g. a tense muscles from lifting the furniture). While the list of potential causes of chest pain is rather long, is the purpose of this article can help you consider your symptoms in detail, so you can transfer these symptoms to your doctor. When you experience chest pain, think about the following issues. (If you have severe chest pain or are at high risk for having a heart attack, call 911.)


1. how often have you pain?


2. how long last episodes of pain?


3. the pain radiate anywhere, as the shoulders, neck or jaw?


4. you experience shortness of breath, nausea, heart racing, dizziness or sweating with chest pain?


5. What things to bring on the pain and what makes it go away?


6. what position is the most comfortable for you when you are experiencing pain?


7. Have any of your close blood relatives had a heart attack, and if yes, as if they were and what were their approximate age, when they had their first attack?


8. you smoke? Have you ever smoke in the past, and if so, how much?


9. have you ever been told you have a high cholesterol level?


10. to take a deep breath or cough affect pain?


11. pressing on your chest render the same type of pain?


12. Is pain pressure or press sensation sharp, achy, burning or boring?


13. have you cough recently?


14. Affects food pain? If Yes, how it affects the pain?


15. have you belching or passing gas more than usual?


16. What have you tried for pain? It seemed, and if so, how long did it take to get the emergency aid and for how long did the exemption last?


17. Is pain at its worst on its disease or as time moves on?


18. have you ever been diagnosed with asthma?


19. Is there any pain in the breasts?


You can still learn more on www.health.com  and  www.medicinenet.com for more information.

Wednesday, 25 May 2011

Lung Abscess-a preventable pulmonary Disorder

Localized lesion in the lung is called suppurative lung abscess. Tuberculous and ' cystic cavities, is taken into account even though secondary infection by pyogenic organisms, usually not under this term.


Reasons
1. Aspiration pneumonia: Aspiration of stomach contents or materials from the upper respiratory tract occurs in a coma, anaesthesia or deep sleep.
2. other types of Pneumonias
3. systemic pyemia
4. secondary infection of pulmonary Infarcts
5. Necrosis and infection of bronchogenic Carcinoma
6. spread of amoebic liver abscess and primary pulmonary amoebiasis
7. Bronchial obstruction leads to abscess formation distally.


Impairment of cough due to painful conditions in the chest or in the post-operative period and conditions that impair Ciliære function (heavy smoking or bronchitis) predispose abscess formation. Right lower lobe is the most common Web site to the aspiration and suppuration. In a coma patient suffering this supinely axillary segment right upper lobe apical segment and in the right lower lobe is the most dependent parts more often. Next in frequency is the corresponding segments to the left.


Pathology
Suppuration and necrosis of lung tissue forms the basic pathological process. Abscess is lined by granulation dryer tissues, limiting the spread of infection. Common organisms is derived from the upper respiratory tract and foot. These include ærob and anærob streptococci, staphylococci, pneumococci and spirochaetes. E. coli, Clostridia and b. Proteus may less commonly be present. When the abscess ruptures in a Bronchus, expectorated inflammation. The cavity contains pus and air. The wall is thick and rough compared with tuberculous cavities or potato cyst nematodes. Chronic abscesses may be multiloculated. When the content is complete, the cure by fibrosis.


Clinical features
Early symptoms are pneumonia with fever, cough, malaise, rigor, and pleuritic chest pain. Originally cough may be unproductive. Hemoptysis is not uncommon. When the abscess breaking in Bronchus cough becomes postural. Sputum is a large quantity (300-500 ml/day), purulent, blood-stained and disgusting smelling systemic symptoms depends on virulence organisms and patient's general condition. The patient is in a moderately severe cases, febrile, toxic and dyspneic. Painful clubbing in the fingers and toes developer in a few weeks.


Physical examination may reveal the presence of consolidation due to the surrounding pneumonic process. Pleura-rub can be heard. When the abscess opened in a Bronchus, heard the auscultatory signs of cavernous and grove post-tussive crepitations.


Results of laboratory tests
Neutrophil leukocytosis can be found in most cases, to leave it in a conical glass, settles in sputum for typically three layers (foam above, serous part in middle and thick medicine response particles below). The organisms can be identified by gram staining and culture.


X-Ray chest reveals consolidation with clearance in its centre. A partial drain abscess is seen as a cavity containing fluid and is necessary to find abscess. Tomography provides additional information about abscess wall and its contents.


Diagnosis
It is found by clinical examination and chest x-ray. Etiology may be determined by microbiological examination of sputum. Help with bronchoscopy to visualize the main bronchi that exclude obstruction and new growths and also aspirate sputum for further studies. It can also help in cleanup obstruction and allow drainage.


Complications


Pulmonary
Serious Hemoptysis
Extension to other parts of the lung and on the other side
Empyema, pyopneumothorax and Pleurisy; and
Local lung fibrosis and bronchiectasic changes


Extrapulmonary complications
Brain abscess can develop due to Metastases of septic embolism from in the lungs, as when cerebral circulation through the vertebral system of veins (Batson's system). Other complications include pulmonary Osteoarthropathy, emaciation and cachexia is due to the loss of large amounts of proteins (in the form of purulent sputum) and infection. If left untreated, proves fatal lung abscess.


Differential Diagnosis
Lung abscess is distinguished from bronchiectasis, bronchogenic Carcinoma, lung tuberculosis, fungal infections, pulmonary cysts and secondary neoplasms. Bronchiectasis is more chronic and usually bilaterally. A cavitating bronchogenic carcinoma may resemble a abscess clinical and radiologically. Carcinoma is more common in smokers. Sputum is rarely heavy, or purulent. It is more frequently blood stained with necrotic tissue become expectorated at times. The presence of hilar Lymphadenopathy is in carcinoma. In cavitary pulmonary tuberculosis is often not mucoid sputum and foul smelling. Digital clubbing is less common. Tuberculosis affects the upper lobes often, abscess usually occupies the lower lobes. X-Ray reveals thin-walled cavities without free liquid level.


In endemic areas, Lung abscesses should be examined for fungal pathogens of sputum samples and immunological investigations. ' Cystic disease of the lungs is often bilateral and present from early life. Radiologically, cysts appear thin walled. Cysts can rarely be lonely. Digital clubbing is less marked in the ' cystic disease in the lungs.


Treatment
Principles of therapy include anti-microbial drugs, drainage of the abscess cavity and surgery in difficult cases.


Antibiotics
Correctly collected sputum uncontaminated by pharyngeal microbes should be sent to the culture and sensitivity studies and antibacterial drugs should be given in the appropriate dosage till radiological clearance is completed. In most cases, the recovery fully in 4-6 weeks. Anærob infection has dealt with the supplier, where intravenous 500 mg every 8 hours. Drainage of the abscess is achieved by postural drainage and gentle tapotement over the chest. Respiratory physiotherapy to help stimulate cough and expectoration initiated early. If the security clearance of the abscess is unsatisfactory, bronchoscopic aspiration can help. With proper medical treatment, the majority of lung abscesses healed.


Surgery
It is listed under certain circumstances such as lack of medical treatment, remaining fibrosis with changes bronchiectatic, suspicion of bronchogenic Carcinoma, serious hemoptysis and pleura-suppuration. If the condition does not show improvement after a reasonable course of medical treatment, surgery should not be delayed indefinitely. Necessary surgery should be performed before the general condition of the produce.


Prevention of lung abscesses
Lung abscess is largely a preventable disease, which can be the same by preventing aspiration pneumonia. Other measures include the quick removal of bronchial obstruction, complete treatment of pneumonia and early diagnosis of pulmonary suppuration.


You can still learn more on www.mayoclinic.com  and  www.webmd.com for more information.