Heartburn

If you have drunk or ate too much food, which, you know from experience, does not live well with you, you can feel pain in the pit of your stomach. It arises from irritation of the gastric mucosa. But suppose that you were moderate in eating and drinking, but you feel a burning sensation in the lower part of the chest and upper abdomen. Instinctively you get up, drink a little water and feel better. Antacid, preferably in a liquid form, brings relief in 5 to 10 minutes. Diagnosis: heartburn .

The other day you feel heartburn, and next to you is someone who is very concerned about "heart problems". He or she can convince you to put a nitroglycerin pill under your tongue, for peace: "Try it, you'll like it." Not a bad idea, in fact, but just sit down before you implement it. If the symptoms are associated with heartburn, nitroglycerin will not help you a drop. If, however, it is an angina pectoris, you will feel better in a minute or two.

Heartburn is the result of acid gastric acid entering the esophagus. The muscle, which serves to prevent this, sometimes surrenders and lets pass acidic contents, which gives a characteristic burning sensation. Especially often this happens when a part of the stomach slips through the diaphragm into the chest cavity (then you have a diaphragmatic hernia ).

If you have "heartburn" and you are at a high risk for heart disease by sex (male), age (over 40 years) and other indicators (high blood pressure, high cholesterol, bad heredity, diabetes, smoking), you are better off Make an electrocardiogram and a test with exercise to make sure that you really have acid reflux, and not heart pain.

Symptom: chest pain

What can it mean? What to do with him?
A heart attack. Contact the nearest medical facility as soon as possible.
Angina pectoris. Nitroglycerin under the tongue will bring relief in 1 - 3 minutes.
Pericarditis. The doctor must establish the cause and prescribe the treatment.
Pleurisy. Also.
Pneumonia. It requires antibiotics as soon as possible.
Embolism of the lungs. Immediately "quick"!
Pneumothorax (a collapse of the lung). Urgently go to the doctor!
Fracture of rib. Treatment is not necessary, it will heal, but find out why it happened.
Bad disks in the cervical spine. Physiotherapy.
Muscle spasm. Tranquilizers, antispastic drugs, heat, physiotherapy.
Shingles. Appropriate drugs.
Heartburn; Pain in the lower part of the chest and in the stomach. Antacid preparations, but first make sure that this is not a heartache.
Spasm of the esophagus. Antispastic drugs, calcium conductivity blockers.
Herniated aperture. Nothing urgent, but make sure it's not a heart attack!