ANGINA PECTORIS [ANGINA]
Pain in the region of heart on exertion is known as angina pectoris.
• Inadequate supply of blood and oxygen to the heart is the main reason.
• Atherosclerosis of the coronary artery.
• Increased triglycerides and cholesterol.
• Sedentary life.
• Lack of exercise.
• Sudden emotional upsets.
• Chronic consumption of alcohol.
• Chronic smoking.
• Drug abuse like – cocaine etc.
• Diabetes mellitus.
• Family history.
SIGN AND SYMPTOMS:
• Pain in chest – crushing, constricting, sharp, burning pain with feeling of strangling and suffocating,
• Pain may radiate to both arms or mostly along the left arm to the little finger and the jaw, teeth, neck throat, epigastric region and between the shoulder blades.
• Pain is precipitated from exertion or on physical activity and subsides on rest.
• Pains last for few seconds to few minutes.
• May be associated with – short breath, anxiety, palpitation and nausea.
• Cut down salt (common table salt) intake in your diet to avoid hypertension. Intake should not exceed more then 2 to 2.5 gm a day.
• Avoid foods rich in cholesterol: ground nut oil, ghee, butter, whole milk, eggs, lard (fats derived from pig meat), tallow (fats derived from goat or sheep mutton), oily fish, meats and red meat – all non-vegetarian food contain cholesterol in varied amount.
• Avoid non-vegetarian food especially red meat.
• Increase intake of foods that contain PUFA's (poly unsaturated fatty acids) flax / linseed oil is the richest source of PUFA's. Other oils that contain PUFA's are sesame oil, mustard oil and olive oil. As all oils are high in fats, its consumption should be limited. The intake of oils should not exceed 20gms a day.
• Sesame oil and almond oil hinders the absorption of LDL (low-density lipoproteins), so it is advisable to use replace other cooking oils by sesame oil.
• Reduce weight if obese.
• Stop smoking and alcohol consumption.
• Exercise regularly.
• Take brisk walks for 40 minutes daily morning.
• Practicing yoga and breathing exercises plays a very important role in lowering the cholesterol levels.
• Do some relaxation techniques like yoga, meditation etc to relieve the stress Change your lifestyle to reduce stress-physical or mental.
Our pain is the second-most-common problem which makes people seek medical advice. Injuries and illnesses are typical triggers of pain.
Another reason is age-related degeneration, and most cases seen by pain specialists fall in this category. Everyone experiences some degree of pain in day to day life.
And it is a human tendency to ignore the pain, till it takes some serious dimension and begins to interfere with one's daily routine like work or socializing with family and friends or when it doesn't let you sleep peacefully.
Experts say, this tendency of ignoring pain should be avoided as negligence at initial levels can make the pain chronic and more harmful. In fact, in many cases, the damage due to pain becomes irrevocable if it is ignored for too long.
Pain is an unpleasant and distressing physical sensation caused by disease or injury, which induces hurt and anxiety in those suffering from it.
There are many different manifestations of pain, ranging from short term (acute pain) to long term (chronic pain). Other classifications include pain in the internal organs (visceral pain), injured tissue (inflammatory pain), nerves (neuropathic pain), etc.
The reason for the occurrence of pain depends on the cause and kind of pain being experienced. In most cases, pain acts as a warning sign that the body has been afflicted by a disorder of some sort, which may have arisen due to internal sickness or external wounding. Acute pains are generally cured on their own through rest or simple medication. Chronic pains, on the other hand, are more complicated in nature and the treatment requires more elaborate diagnosis.
The mechanism of pain:
Pain is an extremely personal and subjective experience and affects each individual to varying degrees. The pain signals, which can arise in any part of the body, travel through the spinal cord to the brain along thousands of specialized nerves and nerve fibres. In the brain, it is processed in the centres associated with anxiety, emotions, memory, appetite, etc. Signals and pain inputs are then returned from the brain to the spinal cord, which may heighten or diminish pain.
In some cases, pain may also be induced by damage to the brain and spinal cord, which happens after a stroke.
A constant barrage of pain signals may cause the cells at the end of nerve fibres to become over-sensitized. This is known as ‘wind-up’ and is one of the most common causes of chronic pain that occurs even though the root of the problem has been identified and treated.
The causes and effects of pain differ from case to case depending on the signals received by the brain and its interpretation. It affects the individual’s day to day activities and if persistent, can also have a harmful impact on mental health and psychosis. Pain is always handled, diagnosed and treated differently in all patients by drawing out the best possible solution to the problem. If you wish to discuss about any specific problem, you can consult a pain management specialist.