retrosternal burning pain
Introduction
Introduction Chest pain is a very common symptom in the clinic. Pain is often accompanied by the back of the sternum. The pain often occurs during or after swallowing, often accompanied by difficulty swallowing. Post-sternal pain is often seen in the clinic. It refers to the pain between the neck and the lower edge of the thorax (the middle or the lateral side of the chest). The nature of the pain can be various. It is one of the common symptoms, usually caused by chest diseases (including chest wall disease). Caused by). Mainly manifested as burning heart and nausea about 1 hour after a meal, heartburn is often described as burning pain behind the sternum, often accompanied by a liquid of acid or bitter taste.
Cause
Cause
Post-sternal burning pain is the following diseases:
1, xiphoid syndrome: also known as allergic xiphoid, the cause is unknown, more slowly start the disease, the pain in the lower part of the sternum xiphoid, mostly dull pain, and bending, chest and other activities. Touching the xiphoid can cause pain.
2, rib lesions: the most common is costal cartilage, the front end of the ribs are connected to the sternum through the costal cartilage. Costal cartilage inflammation occurs in the 2nd to 4th costal cartilage. The local can be thickened, bulged, swollen, painful and tender, but the local skin is not red and swollen. The disease is slowly absorbed and often disappears within 3 to 4 weeks, but the costal cartilage swelling lasts longer and re-emerges due to respiratory infection.
3, acute leukemia: can invade the sternum and cause sternal tenderness, should pay attention.
4, rheumatism: generally less cause sternal pain, but rheumatoid spondylitis can cause intercostal neuralgia or sternal joint pain and tenderness.
Examine
an examination
Related inspection
Blood routine blood test
Blood routine is routinely examined, and changes in white blood cells can provide a basis. The bacteriological examination of sputum can determine the pathogens of pneumonia and tuberculosis, and exfoliative cytology can help diagnose lung cancer. The laboratory and cytological examination of the cerebral and pericardial puncture fluids are beneficial to the diagnosis. The increase of hemoglobin and the increase of serum myocardial enzymes contribute to the diagnosis of post-sternal burning pain.
Diagnosis
Differential diagnosis
Post-sternal pain: Post-sternal pain is often seen in the clinic. It refers to the pain between the neck and the lower thoracic margin (median or lateral side of the chest). The nature of the pain can be various. It is one of the common symptoms, usually caused by chest disease. Also caused by chest wall disease). After some people have post-sternal pain, they often suspect coronary heart disease and blindly treat them with coronary heart disease. In fact, there are many causes of post-sternal pain. Cardiovascular, pulmonary, mediastinal, esophageal, etc. may be sick. Once the sternal pain occurs, you should go to the hospital as soon as possible, and confirm the diagnosis with clinical symptoms.
Pectoral tenderness: The most obvious site of sternal tenderness in most patients is in the lower part of the sternum, which is equivalent to the sternum of the fourth and fifth intercostal space.
Blockage of the foreign body behind the sternum and hidden pain: If the foreign body is in the thoracic esophagus, there is no obvious obstruction or only the sternal hindered foreign body blockage and dull pain. Esophageal foreign body often occurs in young children and the elderly lack of teeth, often because of the contents of the mouth to play, eating too fast, swallowing, the old man's false teeth chewed when feeling insensitive, or loosening dentures when sleeping, and swallowed to form esophageal foreign bodies.
There is a blockage or dull pain behind the sternum when swallowing dry food: a blockage or dull pain behind the sternum when swallowing dry food is one of the early and middle stages of esophageal cancer. Mainly for progressive dysphagia, early can only be discomfort or blockage when swallowing, post-sternal pain or post-sternal discomfort when swallowing food.
Thoracic collapse: One side of the thoracic collapse can be caused by empyema or pleurisy, extensive pleural thickening adhesions and contractions, atelectasis, pulmonary fibrosis, chronic fibrotic tuberculosis, chronic lung suppuration and other diseases.
