What should I do if I have pain from my neck to my chest

If you feel severe pain in the area from your neck to your chest, you should pay more attention to it. You should rest in bed more and avoid activities for too long. You can also apply local hot compress to the painful area, which is also a good way to improve the condition. Unless it is absolutely necessary, it is best not to take painkillers, because these drugs will have great side effects.

1. Rest in bed and adopt a free body position. If it is caused by pleurisy, lying on the affected side can relieve the pain.

2. Apply local hot compress.

3. For oral analgesics, you can choose aspirin 0.3-0.6g, 3 times a day; paracetamol 0.25-0.5g, 3 times a day, or indomethacin 25mg, 3 times a day. If 5 mg of diazepam is added, 3 times a day, the effect will be better.

4. If angina pectoris is suspected, 5 to 10 mg of nitroglycerin or nitroglycerin can be taken sublingually.

6. If the pain is not relieved after the above emergency treatment, the patient should be sent to the hospital for emergency treatment.

1. Inflammation of the chest wall skin at the site of chest pain causes changes such as redness, swelling, heat, and pain on the skin at the affected site. Shingles presents as a cluster of small blisters that are distributed along the nerves, do not cross the midline, and are obviously painful. Epidemic myalgia may cause severe pain in the chest and abdominal muscles, which may radiate to the shoulders and neck.

Non-suppurative myochondritis often invades the first and second costal cartilages. The affected area is raised and painful, but the skin is usually not red or swollen. The pain of angina pectoris and acute myocardial infarction is often located behind the sternum or in front of the heart. The pain caused by esophageal diseases, diaphragmatic hernia, and mediastinal tumors is also located behind the sternum. Spontaneous pneumothorax, acute pleurisy, pulmonary infarction, etc. often present with severe chest pain on the affected side.

2. The nature of chest pain: Intercostal neuralgia presents as paroxysmal burning or stabbing pain. Myalgia is often painful. Bone pain is aching or stabbing. Esophagitis and diaphragmatic hernia often cause burning pain or a burning sensation. Angina pectoris often presents as squeezing pain, which may be accompanied by a feeling of suffocation. Aortic aneurysm causes sharp pain when it erodes the chest wall. Primary lung cancer and mediastinal tumors may cause chest tightness and pain.

3. Factors affecting chest pain Angina pectoris is often triggered by exertion or mental stress and is paroxysmal. It can be quickly relieved by taking sublingual nitroglycerin tablets. Myocardial infarction often presents with persistent severe pain that is not relieved even by taking sublingual nitroglycerin tablets. Chest pain caused by cardiac neurosis is often improved by exercise. Chest pain in pleurisy, spontaneous pneumothorax, and pericarditis is often aggravated by coughing or deep breathing. Hyperventilation syndrome can relieve chest pain by breathing back into a paper bag.

Chest pain accompanied by the following symptoms is suggestive of diagnosis:

1. Accompanied by cough, common in tracheal and bronchopleural diseases.

2. Accompanied by difficulty in swallowing, which is common in esophageal diseases.

3. Accompanied by hemoptysis, which is common in pulmonary tuberculosis, pulmonary infarction and primary lung cancer.

4. Accompanied by dyspnea, which is common in lobar pneumonia, spontaneous pneumothorax, exudative pleurisy, hyperventilation syndrome, etc.

6. Angina pectoris and myocardial infarction often occur on the basis of hypertension and arteriosclerosis.