What does one do if she experiences major chest pains and medical examinations reveal no heart or BP abnormalities? This is a particularly good question because it applies to all fields of medicine, and to all people who at some time in their lives will become patients (Yes, even doctors). If a person is experiencing symptoms that are not accompanied by signs of disease, or evidence in the form of an abnormal test, the diagnostic work-up will sometimes cease. Yet the patient still has the symptoms. What should be done? First, were all the elements of your complaint dealt with? Please see my prior posting about preparing for a visit to a cardiologist . It is appropriate for a visit to any physician. Second, what constitutes a full work-up for chest pain? This is actually different depending upon the likelihood of different processes causing the discomfort. Arteriosclerotic coronary artery disease is quite unlikely in very young people (but congenital disease may be more ...
During breast cancer treatment, you may have different kinds of pain in your chest.
After surgery, you may feel a mixture of pain and numbness in your chest in the area where surgery was done. This is because nerves were unavoidably bruised, stretched, or cut during surgery. As the nerves grow back, you may feel strange, crawling sensations in your chest. Right after surgery, you may feel brief shooting pains in your chest. This is also because the nerves are irritated.
During and after radiation therapy, you also may feel brief shooting pains in your chest. Again, this is because the nerves are swollen and irritated.
If you have an implant in place and the tissues around it are stretched, you may feel more severe chest pain.
Managing chest pain
If you have chest pain after surgery or during or after radiation therapy, talk to your doctor. A number of medicines, including acetaminophen, ibuprofen, and opiates, can be used to ease pain.
Some complementary and holistic medicine techni...
Narcotics, or opioids (pronounced OH-pee-oydz), provide the main relief for this level of pain. There are both long-acting and short-acting opioid pain medicines:
Long-acting opioids include:
oxycodone (brand names: Roxicodone, OxyIR, OxyContin)
fentanyl (brand name: Duragesic)
morphine (brand names: MS Contin, Oramorph, Avinza, Kadian, Roxanol)
methadone (brand name: Dolophine)
Short-acting opioids include:
morphine (brand name: MSIR)
oxycodone (brand name: Percocet)
hydrocodone (brand names: Vicodin, Vicoprofen, Lortab, Lorcet, Hycodan, Zydone)
hydromorphone (brand name: Dilaudid)
fentanyl—rapid acting (brand name: Actiq)
meperidine (brand name: Demerol)
Dosage is adjusted to suppress your pain around-the-clock. Long-acting medication helps so that most of your day is pain free, and ideally you won't need to get up in the middle of the night to take another dose. Short-acting drugs are used to treat episodes of breakthrough pain.
There are many different opioids to try f...
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