Chest Pain, Noncardiac
WHAT IS NONCARDIAC CHEST PAIN?
Chest pain is discomfort that is located between the top of the belly and the base of the neck. Noncardiac chest pain is pain that is not caused by a heart problem. Because it is very important to determine the cause, always see your primary care provider if you have chest pain.
HOW DOES IT OCCUR?
The most worrisome causes of chest pain are related to your heart. However, many causes of chest pain are not related to a heart problem. These include:
· swallowing disorders such as esophageal spasm, caused by the muscles of the lower esophagus squeezing painfully due to acid reflux or stress
· gastrointestinal disorders such as heartburn, which is stomach acid backing up into the esophagus
· lung disease such as bronchitis or pneumonia
· problems affecting the ribs and chest muscles such as muscle strain or inflammation of the ribs or muscles
· anxiety or panic attacks
· inflammation of the sack around the heart (pericarditis) or of the lining of the lungs (pleuritis/pleurisy).
HOW IS IT DIAGNOSED?
Keeping track of your chest pain will help your primary care provider make the diagnosis. Write down:
· what the pain feels like, such as stabbing, dull, or burning
· when it happens and how long it lasts
· where it hurts
· what makes it better or worse
· any other symptoms, such as nausea, vomiting, sweating, or trouble breathing.
Your primary care provider will ask about your symptoms and medical history and examine you. You may have the following tests:
· electrocardiogram (ECG)
· exercise stress test
· echocardiogram (ultrasound scan of the heart)
· cardiac angiogram
· blood tests
· X-rays, such as an upper GI exam
· tests of your esophagus.
HOW IS IT TREATED?
After your primary care provider has confirmed that the chest pain is not caused by a heart problem, he or she will recommend treatment for the problem that is causing the pain.
WHEN SHOULD I SEE MY PRIMARY CARE PROVIDER?
Tell your primary care provider if your noncardiac chest pain is getting worse while you are using the treatment your primary care provider recommends. You may need a different medicine or change in dosage, a different treatment, or more tests.
If you have new or different chest pain, see your primary care provider or 911, or go to a hospital emergency room right away if:
· You have chest discomfort (pressure, fullness, squeezing, or pain) in the center of your chest that lasts more than 5 minutes or goes away and comes back.
· You also have pain or discomfort in one or both arms, the back, neck, jaw, or stomach.
· You have chest pain with lightheadedness, nausea, or a cold sweat.
· You have trouble breathing during the chest pain.
All areas in Nova Scotia and Prince Edward Island have 911 services available.