Dull continuously or periodically appearing chest pain Chest pain is one symptom - a lot of diseases   characteristic of some heart diseases such as rheumatism, that affects all the lining of the heart, myocarditis, rheumatic origin and others. There are such a pain and cardioneurosis.

What causes rheumatism

Rheumatic fever - is a systemic inflammatory disease of connective tissue with damage to the heart and blood vessels that develops against the backdrop of infection by beta-hemolytic streptococcus group A.

The development of rheumatic fever is usually preceded by a sore throat, or any disease of the nasopharynx caused by beta-hemolytic streptococcus group A. One of the conditions of occurrence of rheumatic fever is the severity of the streptococcal infection, prolonged carriage of the infectious agent and the inadequate treatment of angina.

In rheumatoid arthritis Rheumatic fever - are possible complications of heart   It occurs toxic and infectious damage of connective tissue in conjunction with an immunological rearrangement organism (in response to exposure to streptococcal organism produces antibodies which are connected to the antigen or pathogen infection, have a damaging effect on the tissue).

What is rheumatic heart disease and how it manifests itself

Rheumatic heart disease is manifested either sequentially or simultaneously by inflammation in the lining of the heart of all: internal (endocarditis), medium (myocardium) and external (the pericardium). Since separate manifestations of inflammation in the sheath sometimes impossible, for rheumatic heart disease using generic term "rheumatic heart disease". Symptoms of rheumatic heart disease are determined by a primary lesion of a particular layer of the heart.

The manifestations of rheumatic myocarditis

The most common primary (and sometimes the only) symptom of the disease is rheumatic myocarditis. Myocarditis manifested malaise, weakness, poor efficiency, low temperature rise, shortness of breath, palpitations. One of the main symptoms are pain in the heart, which are often a dull aching in nature. Against the background of dull pain can arise sharp pain, like the pain of angina (pain in angina occur spasm of the arteries supplying the heart muscle). But an attack of angina pain nitroglycerin is removed, whereas in rheumatic myocarditis pain nitroglycerin is not removed.

Symptoms of rheumatic endocarditis

The defeat of the inner lining of the heart (endocarditis, rheumatic) also occurs very often and shows the changes in heart valves. In most cases, with proper treatment it is only temporary, but may become permanent - in this case we speak about the formation of acquired heart disease. Manifested by various heart diseases circulatory disorders.

The manifestations of rheumatic pericarditis

Rheumatic pericarditis (heart failure outer shell, which represents two sheets, between which the pericardial cavity) may be dry and exudative.

Signs of dry pericarditis usually dull monotonous pain in the heart. Most such pains are mild, but sometimes reminiscent of the pain of angina. But as pericarditis is very often associated with myocarditis, it is difficult to say, thereby causing severe pain. A characteristic feature of dull pain in pericarditis is their dependence on the respiratory movement (at the height of inspiration pain worse), and change the situation.

Less commonly occurs exudative or pericardial effusion, in which the pericardial fluid accumulates inflammatory. At the same time the patient's condition worsens, there are shortness of breath, pain intensified and become retrosternal character (in this case they can be dull and oppressive, but there may be sharp). Appears expressed tachycardia Tachycardia - the body to the limit? . All the symptoms are increasing in a horizontal position.

Diagnosis and treatment of rheumatic heart disease

Clear clinical signs of rheumatic heart disease confirmed by laboratory tests (detection of inflammatory activity), ECG (various heart rhythm disorders), X-ray of the heart (the expansion of the borders of the heart by the left half, the symptoms of pericarditis), and other diagnostic studies.

In addition, the diagnosis of rheumatic heart disease is confirmed by the improvement of the patient against the backdrop of an active anti-rheumatic treatment. Treatment of the active phase of the disease is carried out in the hospital and continue treatment on an outpatient basis. Prescribe antibiotics penicillin, anti-inflammatory and desensitizing (reduces allergic disposition) therapy. Treatment long, it is often still in the sanatorium conditions.

If there is dull pain in the heart Pain in the heart - always consult a doctor , It is first necessary to exclude rheumatism.

Galina Romanenko

The breasts are: fatty tissue, mammary gland itself, and the channels through which breastfeeding milk flows. Size glands and the channel may increase or decrease depending on how they are used.

Seals in the chest - a common problem, which is not usually a sign of a serious disorder. It can occur for many reasons.

For example, the breasts may increase in size, swell, become more dense and painful to the touch because of the monthly changes in hormonal levels. It is believed that half of women at various stages of the menstrual cycle is changing the texture of the breast tissue. May appear and nodules, which, like the other symptoms usually disappear with the beginning of menstruation. These changes are most frequently observed in women aged between 30 and 50 years.

Fibroadenoma

Fibroadenoma - a benign lump in her breast, which usually occurs in women under the age of 40 years. This may be the result of excessive growth of the glandular and connective tissue of the breast. At the touch of a fibroadenoma is similar to a small, hard nodule that at a pressure easy to move under the skin. As a rule, fibroadenoma does not cause pain and significant discomfort. These seals can disappear without any treatment; many women are tested after menopause.

Cyst

Another type of seal in the chest - a cyst, nodule, inside which is a liquid. Cysts are most frequently observed in women just before menopause, even though they may appear at any age. At the touch is oval or round, smooth formation; softer than fibroadenomas Fibroadenoma - is able to develop into cancer . They often appear two weeks before the beginning of the month, and soon after the onset of menstruation disappear or decrease in size. If necessary, the cysts can be treated with drainage. Thereafter, an average of 3 out of 10 cysts are filled with fluid again, but the drainage can be performed again.

Infection

In women, breast-feeding may appear lumpy breasts, caused by infection. Bacteria - infectious agents can penetrate into the tissue of the breast through cracks and very small damage to the nipple. An abscess in the breast is a common symptom of this infection. For treatment use warm compresses, paracetamol Paracetamol - is effective for moderate pain   and / or antibiotics. If the doctor prescribes antibiotics Antibiotics - whether they will help you in the foreseeable future? Breastfeeding usually has to be interrupted.

Much less lumpy breasts as a result of infection occur in women who are not breastfeeding.

Adiponecrosis

Damage to the breast adipose tissue, as a result of injury or disease, can cause the formation of the seal. In most cases fat necrosis rather quickly passes by itself, but sometimes it must be surgically removed.

Lipoma

Lipoma - a seal which is formed inside the adipose tissue of the breast. This benign seal that does not require special treatment. Lipoma must be removed only if it becomes too large and / or causes discomfort.

Breast Cancer

In most cases, the lump is not a sign of breast cancer Signs of breast cancer - unusual manifestations . However, since such a risk exists, when a seal is strongly recommended to undergo a medical examination.

Diagnostics

The doctor will first routine medical examination and study your own personal history. If he feels the lump and further may depend on several factors. Women who have not yet frowned, often offer just one survey after the following month. However, if the seal in the chest resembles a malignant (eg, does not move when you just as easily as many benign and / or has an irregular shape), your doctor may refer you directly for further examination. However, this should not cause too much concern because the probability that the seal is a malignant small, but the doctor is obliged to check how justified it even the slightest suspicion.