Tingling in the chest is not a diagnosis, but a serious pathological syndrome. It is very blurry, as it appears with many ailments. Having noticed its systematic presence, it is necessary not to self-medicate, but to consult a doctor. After diagnosing, he will establish the exact cause of the ailment, and then the treatment.
Now we will talk about the most probable prerequisites for the appearance of the syndrome, the principles of examination and further therapy.
Discomfort on the right
Often a person manages to listen to his feelings and determine exactly where the pain is localized. Often discomfort is spilled, and this is difficult to do. But if a person clearly feels a tingling sensation in the chest on the right, then it is likely that the reason lies in one of the following conditions:
- Injury resulting from strong physical activity. If, for example, a person is not prepared for high loads, then he can easily stretch his chest muscles.
- Fracture of ribs. This is usually indicated by sharp tingling. If a person coughs or squeezes that area, then the pain will become several times stronger.
- Injury. If the reason is really this, then a bruise will be visible at the place where the discomfort is localized.
- Pathology of the respiratory system or gastrointestinal tract.
If in the first three cases everything is more or less obvious (it is difficult not to notice a fracture), then in the case of diseases it is a little more complicated. Therefore, they should stop.
Pneumonia
In this acute lung lesion, tingling in the chest often occurs. The cause of pneumonia is a bacterial infection. Also, the disease can develop due to chest injury, exposure to allergens or toxic substances. At risk are smokers, as well as anyone who abuse alcohol.
In addition to tingling in the chest on the right side, the following symptoms are observed:
- High temperature (over 39 ° C).
- Chills.
- Weakness.
- Dyspnea.
- Dry and unproductive cough, replaced by "rusty" sputum for 3-4 days.
- Cyanosis of the nasolabial triangle.
- Hyperemia of the skin.
- Rapid shallow breathing.
- Frequent, arrhythmic pulse, low blood pressure, deaf heart sounds.
For diagnosis, ultrasound of the pleural cavity, echocardiography, x-ray of the lungs, blood and urine tests, and sputum bacanalysis are performed.
Treatment is carried out in a hospital, in the pulmonology department, bedding, a high-calorie diet, as well as heavy drinking are mandatory. In severe cases, oxygen inhalations are prescribed.
But the main principle of treatment is antibiotic therapy. Also, doctors often prescribe antihistamines, expectorants, mucolytic, antipyretic and immunostimulating agents.
Pleurisy
Under this name, inflammation of the parietal and visceral pleura is known. The reason is not always an infection. It can be trauma, a malignant tumor, diffuse lesions, pulmonary or myocardial infarction, etc.
Pleurisy can be dry and exudative. Typically, the symptoms are:
- Tingling in the chest, worse with movement, breathing and coughing.
- Gentle, shallow breathing.
- Slightly elevated body temperature.
- Chills, night sweats, weakness.
- Dull pain in the side.
- An agonizing dry cough.
- Hoarseness of voice.
- Swelling of the neck and face.
- Hemoptysis (if serous pleurisy).
As part of the diagnosis, an ultrasound scan, an x-ray, a pleural puncture, and a blood test are taken. Thoracoscopy with pleural biopsy may be necessary.
The purpose of treatment is to eliminate the etiological factor, to alleviate the symptoms. If pleurisy is caused by pneumonia, antibiotic therapy is indicated to the patient. A rheumatic ailment is treated with non-steroidal anti-inflammatory, as well as glucocorticosteroids. With tuberculous pleurisy, streptomycin, isoniazid, rifampicin are prescribed. Diuretics, analgesics, and cardiovascular drugs are prescribed to eliminate symptoms.
Cholecystitis
Gallbladder inflammation is also accompanied by tingling in the chest. Cholecystitis occurs due to stagnation of bile and infection.
He does not appear himself, he is preceded by some kind of ailment. This can be gallstone disease, dyskinesia, congenital anomaly, tumor, cyst, etc. In addition to tingling, the following symptoms are observed:
- Paroxysmal pain in the right side of the abdomen, which radiates to the shoulder, collarbone and scapula.
- Neurosis-like conditions.
- Weakness.
- Insomnia.
- Sweating.
- Dyspnea.
- Nausea and vomiting with bile.
- Bloating and stool disorders.
- Belching with an unpleasant aftertaste.
- A feeling of bitterness in the mouth.
- Chills.
- Tachycardia.
- Hypotension.
After a general examination, ultrasound of the gallbladder, fractional duodenal sounding, cholecystocholangiography, and a laboratory blood test are prescribed.
Usually there are enough of these measures, but they can additionally perform MSCT, FGDS, hepatoblastoscintigraphy, laparoscopy.
The patient is shown a strict diet No. 5, physiotherapy, as well as taking antispasmodic, painkillers, antibacterial agents. When remission occurs, the patient is prescribed choleretic, choleretics and cholekinetics.
Coronary heart disease (CHD)
This ailment is often indicated by a tingling sensation in the left side of the chest. CHD is a functional and organic myocardial damage provoked by cessation or lack of blood supply to the heart muscle. About 97-98% of cases are caused by atherosclerosis of the coronary arteries.
The disease is usually asymptomatic, and it can last for decades. But manifestations, nevertheless, are present. The most common symptoms are:
- Pain in the lower jaw, arm and back.
- Increased heart rate.
- Dyspnea.
- Nausea.
- Dizziness and weakness.
- Clouding of consciousness.
- Excessive sweating.
- Fainting.
CHD often leads to heart failure. Therefore, if a person feels a suspicious tingling sensation in the left side of the chest, he needs to go to a cardiologist.
Diagnosis is carried out in a dispensary or hospital. Assign a study of specific enzymes, ECG, echocardiography, stress echocardiography, functional tests with exercise, 24-hour monitoring, transesophageal electrocardiography, coronography.
The treatment is specific. It can be non-drug, drug, surgical or endovascular. It all depends on the specific case.
Angina pectoris
This is one of the forms of ischemic heart disease, and therefore it also has a tingling sensation in the chest on the left side. Predisposing factors for its development include physical inactivity, smoking, hyperlipidemia, hypertension, obesity, diabetes mellitus, severe stress, increased blood viscosity, intoxication and anemia.
The main symptom is pain. At first, discomfort manifests itself in a tingling sensation on the left side of the chest. As the disease progresses, the sensations become constricting, burning, oppressive, boring, pulling, cutting. At first, the pain is simply unpleasant, but then it becomes so strong that patients do not have the strength to restrain a scream.
In addition to the already mentioned examination methods, a blood test for cholesterol, ALT and AST, lipoproteins, electrolytes, creatine kinase and other substances is mandatory. Mandatory and ergometry.
If we talk about treatment, it is aimed at stopping and further preventing angina attacks. Patients are prescribed nitroglycerin, which should be taken when they approach. Routine therapy involves taking antianginal drugs, molsidomine, b-blockers, as well as calcium channel blockers, antioxidants, antiplatelet agents and antisclerotic drugs.
Pericarditis
Is there a tingling sensation on the left side of the chest? Perhaps the cause lies in the inflammation of the pericardial sac. It can be post-infarction, rheumatic, or infectious. Prerequisites include viral and bacterial infections, heart damage, allergic and systemic diseases of the connective tissue, metabolic disorders, defects, etc.
In addition to tingling, the following symptoms are observed:
- Conditions resembling an attack of angina pectoris.
- Dyspnea.
- Dry cough.
- Chills.
- Increased heart rate.
- A feeling of tightness in the chest.
- Hiccups.
- Dysphagia.
- Fever.
- Swelling of the neck and face.
- Cyanosis of the skin.
- Swelling of the neck veins.
Diagnostic measures are similar to those listed above. Treatment is determined taking into account the clinical and morphological form of the disease. In any case, before the activity subsides, the person must observe bed rest.
Myocarditis
Another common reason for tingling in the chest area. Myocarditis is called inflammation of the muscle membrane of the heart. Usually it leads to viral, bacterial, parasitic and fungal diseases.
Clinical symptomatology depends on how badly the myocardium is affected, where the damage is localized, how quickly inflammation progresses, etc. In any case, there is a violation of the heart rhythm and insufficiency of contractile function.
Basically, patients who later develop myocarditis complain of increased fatigue and weakness, increased sweating and joint pain. Attacks of atrial fibrillation are less common.
In addition to the above diagnostic methods, bacteriological blood culture is also carried out in order to identify the pathogen. They may prescribe PCR diagnostics, endomyocardial biopsies, scintigraphy, MRI and radioisotope studies.
The acute stage is an indication for hospitalization. The patient is prescribed a bed rest for 4-8 weeks, a diet enriched with proteins and vitamins, as well as therapy in 4 directions - in metabolic, etiological, symptomatic and pathogenetic.
Aortic aneurysm
This ailment is possible if a person feels a tingling sensation in the middle of the chest. Aneurysm is a condition in which a section of the main artery is pathologically dilated. The reason is the weakness of its walls.
Clinical manifestations are variable. Often, symptoms are completely absent. But specific manifestations include increased pulsation in the abdomen, tachycardia, headaches, swelling of the upper half of the body and face, as well as shortness of breath.
Increased salivation, bradycardia, hoarseness, dry cough, pain in the left shoulder blade and arm are rare.
As part of the diagnosis, ultrasound, tomography and x-ray studies are performed. And not only the heart, but also the abdominal cavity and esophagus.
If the disease does not progress, then the patient is simply observed by the surgeon and regularly undergoes radiological monitoring. If the diameter of the thoracic aneurysm exceeds 5-6 cm, surgery is indicated.
Myocardial infarction
A sharp, dagger pain in the middle of the chest, extending to the lower jaw, collarbone, ear, teeth, neck and shoulder, indicates an acute violation of coronary circulation.
The attack can last from 30 minutes to several hours, or even days, with the administration of nitroglycerin it does not stop. The patient feels severe weakness, but also excitement. Pallor of the skin, shortness of breath, anxiety, high blood pressure are observed.
There is only one indication - emergency hospitalization in the cardiology department. After emergency care, treatment will be continued there. And in the first 24 hours, perfusion is restored by means of emergency balloon coronary angioplasty or thrombolysis.
Conclusion
Above were listed only a few conditions that may indicate a tingling sensation in the chest. In fact, this symptom is characteristic of many diseases - starting with osteochondrosis and colitis, ending with ailments that affect the liver and spleen.
That is why, when it appears, you need to go to the therapist, who will conduct a general examination, and on the basis of which he will already refer the patient to a narrow-profile specialist.