I have pain in the right side of my chest when I wake up in the morning

Costochondritis is a common disease in life. When the disease occurs, the patient will feel pain in the right chest. This is a local pain and is accompanied by a certain degree of swelling. In general, most patients with costochondritis are middle-aged adults. Although some elderly people sometimes get sick, the chance of getting sick is relatively small.

The pain in the right side of the chest when you wake up in the morning is probably caused by costochondritis, muscle and ligament pain, cold, etc. Costochondritis is also known as painful non-suppurative swelling of the costal cartilage, sternal cartilage pain, and chondrosis. It is divided into nonspecific costochondritis and infectious costochondritis. The most common clinical condition is nonspecific costochondritis, which accounts for more than 95% of outpatient visits. It is a nonspecific, non-suppurative inflammation of the costal cartilage. It is a non-suppurative costochondritis inflammatory lesion that occurs at the junction of the costal cartilage and the sternum for unknown reasons. It manifests as a self-limiting disease with localized pain and swelling.

Causes of costochondritis

1. Nonspecific costochondritis

The cause is still unclear, but the possible causes are as follows:

(1) Viral infection. Many cases reported a history of viral upper respiratory tract infection before the onset of the disease.

(2) Chronic strain of the sternocostal joint ligaments.

(3) Immune or endocrine abnormalities cause costal cartilage nutritional disorders.

(4) Other causes may be related to tuberculosis, general malnutrition, acute bacterial upper respiratory tract infection, rheumatoid arthritis, sternocostal joint subluxation, chest impact injury, severe coughing and other injuries.

2. Infectious costochondritis

Primary infection is relatively rare and is usually transmitted through the bloodstream. The causative bacteria are often Mycobacterium tuberculosis, Salmonella typhi or Salmonella paratyphi. Chondritis caused by infection after thoracic surgery is more common, and its causative bacteria are mainly purulent bacteria and fungi.

Costochondritis Treatment

1. Nonspecific costochondritis

(1) Costochondritis is generally treated only symptomatically, such as taking analgesics, hot compresses, physical therapy, or local blockade with procaine. Systemic or topical administration of corticosteroids may also help relieve symptoms. Erythromycin and morphine can be taken in the acute phase. Give antiviral drugs such as Virulin. Alternatively, you can use hormones such as prednisone or dexamethasone. For those with severe pain, 5 ml of lidocaine plus dexamethasone can be directly injected into the painful area, and local blockade can be performed with novocaine and prednisolone.

(2) If the pain fails to be relieved by long-term drug treatment, affects the patient's mood and work, or local malignant tumors cannot be ruled out, costal cartilage resection may be considered.

2. Infectious costochondritis

Perform conservative treatment first, use targeted antibiotics to effectively control infection and provide symptomatic analgesia. When the above methods are ineffective, surgical treatment is required.