Chest pain may be caused by a variety of diseases. It does not mean that you have lung cancer. You need to combine the pain characteristics and related examinations to determine what kind of disease it is. In fact, most chest pains are not lung cancer.

Many people have chest pain. In our chest, the main organs and tissues include the lungs, heart, great blood vessels, ribs, thoracic vertebrae, etc. The cause of chest pain is often caused by problems with certain organs. Today we will talk about the more common causes of chest pain. 1. Lung disease.

Many lung diseases may cause patients to have varying degrees of chest pain.

1. Lung cancer. I believe everyone is very familiar with lung cancer. It is the tumor with the highest morbidity and mortality in my country. Many people have chest pain and the first thing they think of is lung cancer. Although I mentioned at the beginning of the article that most chest pains are not lung cancer, but lung cancer is. Can cause chest pain. Early-stage lung cancer generally has no symptoms, but mid- and late-stage lung cancer will have various symptoms, including chest pain. Chest pain is often characterized by dull or dull pain, and often has no obvious location. It can occur when taking a deep breath or coughing. Or worse when laughing. At the same time, mid-to-late stage lung cancer often presents other symptoms besides chest pain, such as hemoptysis, cough, shortness of breath, etc., and generally does not just manifest as chest pain alone.

If the above symptoms appear, it may be lung cancer. It is recommended to go to the hospital to screen for the possibility of lung cancer in time. The best way to screen for lung cancer is chest CT examination. Chest CT examination can detect early-stage micro-lung cancers as small as 5mm and is the best way to diagnose and screen for lung cancer. For lesions that are suspected to be lung cancer by CT but are not certain, fiberoptic bronchoscopy, CT-guided puncture and other examinations can be performed to confirm the diagnosis.

Once lung cancer is diagnosed, those who can be treated surgically must undergo surgical resection in time. For those who cannot be treated with surgical resection, other treatments such as chemotherapy and targeted therapy can be chosen.

2. Infectious pulmonary lesions. In addition to lung cancer, some pulmonary infectious lesions may also cause chest pain, such as lung abscess; when the inflammation of the abscess accumulates in the parietal pleura, it can cause chest pain; and its pain is often characterized by persistent pain, and in addition to pain, Lung abscess can also cause symptoms such as chills, high fever, cough, and sputum production.

For lung abscesses and other infectious lung lesions, the best examination method is still lung CT examination. At the same time, combined with laboratory blood tests, the diagnosis can often be confirmed.

After a clear diagnosis, the main treatment method for pulmonary infectious lesions is drug treatment, such as anti-infective, anti-fungal, anti-tuberculosis and other treatments. Surgery is generally not required. 2. Heart disease.

Many heart diseases can also cause chest pain symptoms.

1. Coronary heart disease. I believe everyone is very familiar with coronary heart disease, and the most common symptom of coronary heart disease is chest pain or chest tightness. It often appears after strenuous activity, emotional excitement, or a heavy meal. It is often located on the left chest or behind the sternum, causing a squeezing, squeezing, burning or dull pain. It usually gets better after resting, and the onset time generally does not exceed 5 minutes. If it persists and cannot be relieved, a more serious myocardial infarction may occur.

If symptoms similar to the above appear, it is recommended to promptly screen for the possibility of coronary heart disease. The main methods for screening for coronary heart disease include blood test (CRP), coronary CT angiography, echocardiography and coronary angiography. Among them, coronary angiography is the gold standard for diagnosing coronary heart disease.

Once coronary heart disease is diagnosed, the main treatment methods include drug treatment, interventional treatment and bypass treatment. As for the specific treatment method, it is necessary to find a specialist to formulate a specific treatment plan based on the specific condition.

2. Myocardial infarction. Acute myocardial infarction generally presents with severe angina pectoris symptoms, mainly including chest pressure, and is often accompanied by pain in the arms, neck or shoulder and back. The pain can be diffuse and it is difficult to pinpoint the specific location of the pain. Another characteristic feature of myocardial infarction is that rest cannot relieve symptoms, and nitroglycerin treatment is ineffective.

Acute myocardial infarction can generally be diagnosed based on symptoms and electrocardiogram.

Once acute myocardial infarction is diagnosed, emergency interventional treatment is generally required, otherwise it may endanger the patient's life.

3. Other heart diseases. Other heart diseases such as heart failure, congenital heart disease, acquired valvular disease, etc. may also cause chest pain symptoms to varying degrees. However, the probability of chest pain caused by these diseases is generally relatively low, and the pain characteristics are not specific. Therefore, chest pain occurs when chest pain occurs. Such diseases are generally not considered. At the same time, these diseases can be screened through examination methods such as echocardiography; once diagnosed, timely treatment is also required. 3. Macrovascular disease.

1. Thoracic aortic aneurysm. Thoracic aortic aneurysm often presents clinical symptoms when it compresses or invades adjacent organs, and its main symptom is chest pain. Chest pain is often characterized by oppressive, persistent dull pain. And if the trachea, bronchi, etc. are compressed, irritating coughs may occur, the recurrent laryngeal nerve may be compressed, and hoarseness may also be caused.

If thoracic aortic aneurysm is suspected, it is recommended to choose chest CT angiography, which can effectively determine the condition of the aorta and other large blood vessels, thereby making an accurate diagnosis.

For the treatment of thoracic aortic aneurysm, it is generally recommended to perform surgery as early as possible. Surgery can avoid possible subsequent complications.

2. Aortic dissection. Aortic dissection is a serious and critical illness. Its main symptom is persistent, unbearable tearing or knife-like pain in the chest, back, or extending to the abdomen. Pain may also lead to collapse, coma, blindness, difficulty breathing, numbness of both lower limbs, etc.

Aortic dissection is a critical and severe disease. It usually develops suddenly and has severe symptoms. It needs to be sent to the hospital for treatment in time. The main diagnostic methods include blood tests and CT angiography. CT angiography can evaluate the extent and severity of the dissection. Degree, understanding the specific conditions of true and false cavities, etc. are essential auxiliary examinations.

Aortic dissection is generally a serious condition. Once diagnosed, monitoring and treatment must be carried out immediately, and then a specialist will be required to evaluate whether to perform surgical treatment. 4. Rib or thoracic spine lesions.

1. Rib or thoracic spine trauma. If ribs or thoracic vertebrae are fractured after trauma, chest pain may often occur. This type of chest pain usually persists and can be aggravated when breathing deeply, coughing, or turning the body. Of course, this type of chest pain often has a history of trauma, so a preliminary screening can generally be done based on the medical history.

For the diagnosis of fracture, X-rays or CT examinations can generally be done. CT examination can generally detect subtle rib fractures, but for some hidden vertebral fractures, MRI examination is required.

After a fracture is diagnosed, conservative treatment or surgical treatment is generally required depending on the specific condition.

2. Metastatic bone tumors in the ribs or thoracic spine. Metastatic bone tumors may also cause chest pain, which is often characterized by bursts of pain that gradually transform into persistent, long-lasting pain. At the same time, it is often combined with other signs of cancer patients such as weight loss and fatigue.

For metastatic bone tumors, CT, MRI or bone scan can be performed to confirm the diagnosis.

Summary: There are many diseases that cause chest pain. The above is an introduction to the common diseases that cause chest pain. Here Dr. Liu would like to remind everyone that for chest pain, do not take painkillers at will to relieve it. Pain, if the pain persists for a long time, it is recommended to go to the hospital in time to complete relevant examinations, rule out related diseases, and carry out targeted treatment.