My child complains of Chest Pain. Should you be worried?

Chest pain is a common complaint among children. For a parent, it can be worrisome because there is a natural tendency to associate chest pain with the heart. The good news is, in more than 95% of cases, chest pain is non-cardiac in origin.

What signs will tell me that the pain may be related to the heart?

Chest pain that occurs in association with certain pointers needs a thorough evaluation. Some of the features that may suggest a heart-related condition include:

Associated breathing difficulty or dizziness
Chest pain that is brought on by exercise
When cardiac disorders run in the family or there have been sudden deaths at a young age in the family
A past medical condition like Kawasaki disease or connective tissue disorder
The following features suggest that a non-cardiac cause is likely:

If the pain follows direct trauma to the chest or is worsened on local pressure: the muscles or bones that form the chest wall are the likely origin of pain
Wheezing or fever and cough: a lung problem is likely
A burning pain beneath the breastbone, especially in relation to certain types of food: may be related to the digestive system
A stressful situation at school or home: a psychological cause of chest pain may be considered.
What can I expect at the doctor s visit?

If your child complains of chest pain, it is important to take him or her to the doctor. Your doctor will first take a detailed history and examine the child. ECG, a record of the electrical activity of the heart, gives an initial idea whether or not the pain may be related to the heart. Other tests that may be ordered include a chest XRay, a  heart-scan  (echocardiogram), a stress test, or further tests based on the findings on evaluation.

Chest Pain In Children - Should You Be Worried?

Ayurveda is an ancient life science that originated in india. It recognises herbs as medicines and yogic postures as well as lifestyle changes as the supporting factors in its medicinal field. It is called a life science because the basic mode of treatment is done by tweaking one's lifestyle in order to reach the root cause of the ailment, which will be cleared from one's life gradually. Congestion is recognised as the accumulation of too much mucus and fluid in your lungs and is usually born due to an imbalance of the vata dosha, as per ayurveda. This congestion can happen in the nasal or respiratory passages. Let us find out what else ayurveda says about congestion:

Symptoms: the symptoms of congestion include a tickling sensation at the back of the throat as well as the nasal passages, depending on the exact area of the congestion. Also, severe headaches and wheezing along with laboured breathing and tightening of the chest can point at the presence of congestion. In very severe cases, the patient may also complain of blood discharge while coughing, high fever, rashes on the skin, neck stiffness and other such conditions. 

Causes: there are various causes of congestion. While infection, allergy and cold are some of the most common conditions that may cause congestion, it has also been seen that congestion may arise as a symptom of a more serious ailment. Asthma is one such respiratory ailment that causes swelling in the airways, which can give rise to congestion. Also, inflammation of the bronchial tube lining can cause this condition where a greenish discharge happens due to the viral nature of the condition. Pneumonia and tuberculosis are also ailments, which can cause severe and painful congestion. 

Remedies: as per ayurveda, there are many remedies that can help in treating this condition. One can drink herbal tea all day as the anti-oxidants will help in flushing out all those toxins that are causing a painful build-up of mucus and fluids inside. Also, one can use essential oils like eucalyptus oil for inhalation, steaming and even massages. One must take care not to let this oil touch the hair as greying might happen. Yoga and aromatherapy can also be practiced so as to do away with congestion. Also, the patient can add a pinch of salt to a glass of warm water in order to do a saline water gargle which will eventually clear the air passages. 

Taking care of one's diet is one of the most important parts of any treatment in ayurveda. Ingesting warm liquids like milk and warm food can help in loosening and removing the mucus build up.

Ayurvedic Medicine for Chest Congestion Treatment

In addition to pumping blood to various organs, the heart also has its own blood supply, through which it receives its oxygen and nutrient supply. In patients with coronary artery disease and atherosclerosis, there is a narrowing of the blood vessels which reduces the amount of blood flow to the target organs, including the heart. 

When this happens in the heart, there is chest pain due to overexertion of the heart muscles. There could be two patterns to this chest pain. With regular exertion like exercise, there would be chest pain, and most patients are familiar with this pattern.

This is known as angina pectoris or stable angina. In some people or in some instances, chest pain occurs which is sudden and not of a predictable pattern. It could be related to extreme exertion or stress. This is known as unstable angina and can lead to heart attack and be life-threatening.

Stable angina or angina pectoris has a stable, predictable pattern which most patients get familiar with over a period of time and learn to manage. Read on to know more about the signs and symptoms and management techniques.

Signs and symptoms: Stable angina usually occurs after a round of physical exertion. The patient feels a feeling of tightness in the chest which feels like the chest being squeezed. The pain can gradually spread to the shoulder, arms and even the neck. The pain can also be induced by eating, exposure to cold, emotional stress. It lasts for about 15 minutes and is relieved by rest and sublingual nitroglycerin. The pain intensity does not change with position or coughing. In addition, the patient may also experience shortness of breath, fatigue, profuse sweating, nausea, and dizziness.
The patient may be able to detect signs on further testing including ECG, echocardiography and stress testing. Features like cardiomegaly, altered ejection fraction would be detected based on the severity of the disease.

Treatment: Immediate treatment to relieve the pain includes resting and sublingual nitroglycerin. On an ongoing basis, the treatment would include 3 approaches   lifestyle changes, medications, and surgery.

Lifestyle changes: Regular exercise, smoking cessation, reduced fat intake, reduced alcohol consumption, weight loss, and stress management are some lifestyle changes to be made to improve symptoms.
Medications: A number of medications would be used depending on patient s symptoms. Aspirin to prevent clotting, medications to control blood pressure and cholesterol and diabetes.
Surgery: In patients with advanced coronary artery disease, revascularization methods may be required, which includes angioplasty and coronary bypass.
In a person with known risk factors, it is advisable to have regular checkups so that the disease progression can be controlled and symptoms managed with minimal intervention.

Predictable Chest Pain Pattern - What Does It Indicate?

Chest pain is a common problem that most people experience. Chest pain can signal anything from a muscle cramp to even an impending heart attack. You should never ignore symptoms of chest pain as it can signal a serious underlying disorder. The details about chest pain are not described here as it is beyond the scope of this article. The focus is on various homeopathic remedies to treat symptoms of chest pain.

Why homeopathy?
Homeopathy is an alternative system of medicine that was started in the year 1796, by Samuel Hahnemann. It is based on the premise that the substance that causes a disorder, if introduced in the right quantity in the body, will cure the same disease. Compared to mainstream medicine, homeopathy products are not synthetic and are free from any side effect.
Homeopathic remedies for chest pain:

The homeopathic remedies that are given below not only treat pain effectively but also get rid of the actual cause of the pain. The best thing about these remedies is that they are completely free from any side effect, whatsoever. The various homeopathic remedies for chest pain are:

Rhus Tox: This remedy is effective in treating pain that spreads to the shoulders from the chest; these symptoms tend to worsen in damp and cold weather.
Arnica Mont: If you experience chest pain along with soreness in the body, this remedy is prescribed.
Ranunculus B: In case of intercostal rheumatism wherein you experience pain in the muscle between the ribs, this remedy is usually recommended by the practitioner.
Kali carb: Kali carb is used to treat stitching pain in the chest that worsens during the early hours of the morning.
Rumex C: This remedy is used to treat pain that develops in the left lung, followed by coughing.
Bryonia: For a stabbing or a burning chest pain that worsens when you move, Bryonia is considered to be the appropriate remedy.
Phosphorus: This remedy is recommended when you experience heavy coughing and chest pain caused by pneumonia or tuberculosis.
Carbo-veg: Carbo-veg is used to treat chest pain resulting from acidity, gas and indigestion.
Robinia: This remedy is used to treat symptoms of chest pain that originates from behind the sternum (breastbone) as a result of acidity.

Chest Pain - Can Homeopathy Help You Treat it?

Things to do in case of chest pain or angina pain

Unlike yesteryears chest pain or heart related problems aren’t just age related anymore. Many young people under 30 are experiencing chest pain. It seems to be directly proportional to the increasing stress levels.The medical term for mild chest pain is angina pectoris and it happens when your heart is not getting its usual requirement for blood. Such a situation occurs when one or more arteries are blocked. Angina Pectoris is experienced usually while doing physical activities or experiencing strong emotions. At such times, the heart doesn't get as much blood as it requires for normal functioning.

Broadly speaking, discomfort in the upper part of the body is the symptom of angina, the symptoms typically include:

1.  It may feel like you are suffering from indigestion or gas or fullness and pressure.

2.  It may also feel like chest pain spreading to the neck, back, arms, shoulder or jaw.

3. You feel better after a little rest or some medication.

4. It doesn't last for too long, at the most five minutes.

5. Shortness of breath, anxiety, dizziness, sweating, fatigue and nausea and also symptoms of angina.

Physical conditions and habits which put you at the high risk zone for angina are:
1. When you don't get enough exercise.
2. If you are a smoker
3. If you are overweight
4.  If you have a history of heart diseases
5. If you are diabetic
6. If you suffer from blood pressure of high cholesterol

Steps You Must Do To Manage the Pain and Resultant Effects

1. Calm Down - The first thing to do to counter angina pains is to rest and calm down. If you are doing physical activity, stop doing it. And if you are under emotional turbulence, you need to find ways to calm down immediately. Meditate, if needed.

2. Get Professional Help - Do not delay in consulting the doctor and ensure that you take the prescribed medication diligently. In situations where the damage is much more and medications cannot clear the problem, surgery is resorted to.

3. Change Of Lifestyle - In the long run, lifestyle change is a good idea. Staying fit, a clean medical report and keeping a healthy lifestyle will keep enough blood pumping into your heart.

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Why You Must Not Dismiss Chest Pain as a Minor Affair!

Hemothorax is a serious and possibly a life-threatening condition in which blood collects between the lungs and the chest wall due to a traumatic injury or some other factor. It can be caused due to an extrapleural or an intrapleural injury. An extrapleural injury damages the chest wall on the outside while an intrapleural injury damages the chest wall on the inside.
Sometimes, Hemothorax is accompanied by excess air in the pleural cavity, known as pneumothorax. If they both occur at the same time, the condition is said to be hemopneumothorax. When blood accumulation is as large as nearly one liter, it has the potential to lead to shock and is referred to as Massive Hemothorax, which can be fatal.

Causes-
Hemothorax can be caused by a number of factors discussed as follows:
  Traumatic injury in an accident or sports causes the pleural lining of the lungs or chest to rupture. It causes blood to spill over into the pleural cavity, and it finds no way to drain itself out. Chest and lungs are so sensitive that even the smallest of injuries (or seemingly small) have the potential to cause Hemothorax.
  Tuberculosis and other lung infections can cause Hemothorax.
  Pulmonary embolism refers to a blood clot in the lungs that can cause Hemothorax.
  Lung or pleural cancer also have the potential to cause grave disease.
  Defective blood clotting as in hemophilia in which blood lacks clotting factors can cause Hemothorax.
  Tissue necrosis in the lungs or pulmonary infarction is a lung tissue dysfunction which can cause Hemothorax.
  Tearing of pulmonary blood vessels due to an invasive surgical procedure also has the potential of causing Hemothorax.
  Patients who have undergone major surgeries like lung transplant and open- heart surgery are very likely to get Hemothorax.


Symptoms-
There are many symptoms associated with Hemothorax like low blood pressure, rapid rate of heart, cold and pale skin color, chest pain while breathing, tense and shallow
breathing, difficulty in breathing, anxiety, and restlessness.


Diagnosis-
  Physical examination includes listening to the sounds of abnormal breathing and to the sounds of liquid in the chest.
  An X-Ray image reveals the presence of liquid in the pleural cavity.
  A full Computed Tomography Scan can reveal the occurrence as well as the cause of Hemothorax.
  An ultrasound provides good insight into the situation of the lungs and the pleural cavity.
  Sometimes, a sample of the pleural fluid is extracted for test and diagnosis.


Treatment-
The procedure is performed under anesthesia. A catheter or a needle is inserted into the chest through ribs for removing air and blood from the pleural cavity. If the lung collapses, it is expanded using the chest tube, which is left attached to a closed system. This ensures the escape of air and fluid from the pleural cavity and prevents additional air from entering the pleural space. This section is hence left in a water seal or hooked up to suction.
If the injury is small, chest drainage might be sufficient depending upon the case. However, if there is a major injury, it might require stopping bleeding at its source through a surgery.


Take Away-
Hemothorax can cause a collapsed lung that might progress to lead to respiratory failure. If left untreated, Hemothorax can cause infection in pleura, lung or pleural fluid in the chest cavity. Hemothorax can cause scarring of the lung tissue and pleural membranes. Retained Hemothorax occurs when blood stays in the pleural cavity for too long. It might clot and get difficult to remove through the catheter. It might also cause the buildup of pus in the surrounding region leading to an infection. Retained Hemothorax is treated by draining the fluid differently or through a video-assisted surgical procedure. Before opting for any treatment or surgery, one should always consult a doctor.

Chest Injuries And Hemothorax - Know How Serious It Can Be!

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