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 ...
Congestive heart failure - left
The goals of treatments are:
Treat the disease that is causing the heart failure
Relieve stress on the heart
Reduce risks of worsening heart failure
You should see a heart specialist. You may need to stay in the hospital when symptoms are severe.
Treatment may involve surgery or cardiac catheterization to open blocked heart arteries, medicines for high blood pressure, and lifestyle changes such as stopping drinking alcohol.
Persons with heart failure should eat less salt, avoid alcohol, and exercise moderately.
Medicines that may be used include:
Diuretics such as furosemide (Lasix) or spironolactone (Aldactone) to help the body get rid of extra fluid
Beta blockers and ACE inhibitors to reduce the stress on the heart and to prevent further muscle damage and scarring
Digoxin to increase muscle strength and slow down abnormally fast ...
Chest pain is one of the scariest symptoms a person can have because the first thing we usually think of is a heart attack. Of course, any new chest pain should be considered a medical emergency and checked out right away. But once a heart problem has been ruled out, one of the possibilities your doctor may consider is costochondritis. Costochondritis ((kos-toe-KHON-dri-tis) is an inflammation of the cartilage that connects a rib to the breastbone (sternum). It is one of the most common cause of musculoskeletal chest pain. Symptoms: The two main symptoms of costochondritis are pain and tenderness in the chest wall, specifically where the ribs attach to the breastbone.
Pain – The pain of costochondritis is usually described as sharp and/or stabbing, but may also be dull, burning or gnawing. Often the pain gets worse when coughing or taking a deep breath. There may also be some difficulty breathing. The location of the pain can be on either...
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