Pain in the heart area. Help until the ambulance arrives.

Properties of acetylsalicylic acid

Crystalline white powder with a faint sour taste, which is pressed into tablets, or simply diluted with warm water. has many useful properties:

1. Antipyretic. By suppressing the synthesis of prostaglandins in the thermoregulation center, blood vessels dilate and sweating increases. The decrease in body temperature occurs quite quickly, within 30-40 minutes. The effect lasts for several hours.
2. Painkiller. Aspirin affects pain sensitivity centers and has a peripheral anti-inflammatory effect.
3. Antithrombotic. Taking acetylsalicylic acid reduces the content of thromboxane A and slows down the adhesion of blood platelets. Increases the fibrinolytic properties of blood plasma, which promotes the resorption of blood clots and reduces the concentration of blood coagulation factors. vitamin K dependent.
4. Anti-inflammatory. By reducing swelling and capillary permeability, hyaluronidase activity and suppressing ATP synthesis, the energy supply to the inflammatory process is limited. In acute inflammatory processes, taking aspirin allows doctors to slow down the expansion of the affected area and take emergency measures.

Diagnostics

Cervicalgia requires a clear identification of the cause of the pain. A full examination is especially necessary when neck pain is accompanied by neurological symptoms (dysfunction of the pelvic organs) or the pain is intense, there are sensory disturbances (numbness, tingling) or the pain lasts for more than a week of treatment at home.

During the examination, the doctor should assess the presence of painful points in the neck, range of motion in the neck, the presence of muscle spasms, the condition of the muscles of the neck and shoulders, the presence of muscle weakness, tension in muscle groups in the upper torso.

In some cases, instrumental studies such as X-rays, computed tomography (CT), magnetic resonance imaging (MRI), or ENMG (nerve fiber conduction testing) are necessary. These research methods help verify the diagnosis.

Indications for use of acetylsalicylic acid

The use of Aspirin can be indicated for various diseases, but the drug is most often recommended for:

• coronary heart disease and its prevention in the presence of risk factors;
• silent myocardial ischemia;
• unstable angina;
• after myocardial infarction to prevent complications and recurrent heart attacks;
• cerebral ischemia and ischemic stroke;
• as a prophylaxis for thromboembolism during mitral valve replacement;
• coronary artery stenting and angioplasty;
• atrial fibrillation;
• mitral valve prolapse;
• Kawasaki disease;
• recurrent pulmonary embolism;
• thrombophlebitis.

Despite its powerful anti-inflammatory and antipyretic properties, Aspirin is prescribed with caution in infectious and inflammatory processes. As an analgesic, the drug is used for myalgia, toothache, migraines, lumbago, neuralgia and thoracic radicular syndrome.

Allergists use aspirin to desensitize and increase the body's tolerance to non-steroidal anti-inflammatory drugs.

Symptoms

As a rule, neck pain is dull in nature. Sometimes the pain gets worse when you move your neck. Neck pain may be accompanied by numbness, tingling, sometimes the pain can be acute, there may be difficulty swallowing, enlarged lymph nodes, and dizziness.

Cervicalgia may be associated with facial headache, shoulder pain, or numbness or tingling in the shoulder (upper limb paresthesia). Such associated symptoms often result from root compression. For example, compression of a root with sensory fibers providing innervation to the occipital region can lead to neck pain radiating to the back of the head. Depending on the disease, in some cases, neck pain may be accompanied by pain in the upper back or lower back, for example with ankylosing spondylitis, when the inflammatory process covers the entire spine.

Limitations in use

Since acetylsalicylic acid interferes with thrombus formation, its use is undesirable in patients with impaired blood clotting functions, especially with hemophilia. Moreover. the drug has a negative effect on the mucous membranes and can provoke the development of gastric ulcers due to damage.

Aspirin can be used to a limited extent in different age groups, and is also completely prohibited for the treatment of certain categories of patients.

Use of the drug during pregnancy and lactation

In the first trimester of pregnancy, Aspirin is strictly prohibited, as it can have a significant effect on the formation of the fetal central nervous system, as well as provoke bleeding. threat of miscarriage and miscarriage. In the first 12 weeks of pregnancy, the patient is replaced with medications that are taken on a regular basis with the safest ones possible, and if there is a possibility of temporary withdrawal, all potentially dangerous medications are discontinued.

The third trimester of pregnancy also requires a complete ban on Aspirin, but here the drug threatens not only the formed fetus, but the health and life of the expectant mother. Impaired thrombosis function can lead to too much blood loss during childbirth and the death of the mother. For an unborn child, acetylsalicylic acid increases the risk of early closure of the aortic duct and cerebral hemorrhages.

Aspirin is limitedly approved for use from 4 to 6 months of pregnancy, provided that the benefit to the mother outweighs the potential risks to her and the fetus, only in minimal dosages and under medical supervision.

Acetisalicylic acid passes into breast milk, therefore, during lactation, the use of drugs based on it is allowed only when transferring the baby to formula milk.

Breastfeeding while taking Aspirin can cause liver and kidney failure, brain hemorrhages and internal bleeding in the newborn.

Aspirin for children under 15 years of age

The age limit for taking acetylsalicylic acid is introduced for many reasons:

1. There is a high risk of internal bleeding in children under 5-7 years of age.
2. Children under 14-15 years of age may experience damage to the mucous membranes of the stomach and intestines, and kidney failure.
3. Symptoms of a drug overdose may appear even if the doses are strictly followed.

A complete restriction on taking Aspirin in powder and tablet form applies to children under 15 years of age. From reaching this age, the doctor can prescribe acetylsalicylic acid in a daily dose of up to 750 mg.

For patients of any age, it is important to observe the timing of administration - the drug is taken strictly after meals to minimize the risk of damage to the gastrointestinal tract.

Aspirin for hangover

People's love for Aspirin as an anti-hangover drug is associated with the effect of vasodilation and analgesic effect, which brings significant relief during withdrawal symptoms.

Unfortunately, the side effects of such “treatment” lead to liver damage and increase the risk of a critical decrease in blood pressure. If the patient has a history of gastritis or stomach ulcers, the risk of bleeding increases significantly.

Taking Aspirin together with alcohol is strictly contraindicated, since ethanol completely dissolves acetylsalicylic acid. Under the influence of the mixture, blood vessels begin to expand and contract, causing cell hypoxia and the risk of hemorrhages in the brain. Often the negative effects do not appear immediately, leading to irreversible damage.

Contraindications

In addition to the patient’s age and pregnancy period, there are a number of contraindications that must be reported to the doctor and the drug must be changed to avoid complications. Aspirin should not be prescribed for:

• Hemorrhagic diathesis and vasculitis;
• Gastritis;
• Peptic ulcer of the stomach and duodenum;
• Reduced blood clotting, tendency to bleeding;
• Vitamin K deficiency;
• Dissecting aortic aneurysm;
• Severe disorders of the kidneys and liver;
• Hemophilia;
• Individual intolerance to salicylates or allergic reactions to acetylsalicylic acid;
• Arterial hypertension, risks of hemorrhagic stroke.

In other cases, the prescription of acetylsalicylic acid does not pose a direct threat to life and health, but the doctor must decide on treatment with Aspirin.

Causes of burning in the chest

Pain and burning in the chest are fairly common symptoms that can occur after heavy physical activity, after eating, or during stressful situations. This phenomenon can indicate both fairly harmless processes and pathological conditions that pose a threat to human life. In addition to the heart, the chest cavity contains the lungs, stomach, esophagus, pancreas, large vessels, musculoskeletal system, and on top in women - the mammary glands.

The cause of a burning sensation in the chest, if it is not episodic, but regular or constant, must be clarified by a specialist to determine the correct treatment methods.

Why do chest pains occur?

Unpleasant sensations and burning sensations in the chest in men and women can be caused by a number of diseases. Let's look at the most common ones.

Diseases of the gastrointestinal tract

One of the most “popular” causes of burning in the chest is heartburn. It usually appears after an excessively large meal, as well as from spicy, smoked, overcooked foods (especially at night). Heartburn can also occur after drinking alcohol, strong coffee and tea. Burning and pain behind the sternum can appear along the entire line of the esophagus and spread from the throat to the stomach. The duration of the pain syndrome most often ranges from 5-10 minutes to an hour and a half or longer, often accompanied by belching with a sour taste. A slight dry cough and a feeling as if the person has choked on something may also occur. About half an hour after eating, a symptom such as a sore throat is likely to appear, which intensifies when a person bends over or assumes a horizontal position. To prevent heartburn symptoms from occurring, the first step is to stop overeating. If attacks occur periodically or frequently, you should consult a doctor to prescribe adequate treatment.

A burning sensation in the chest also often means the presence of an inflammatory process in the esophageal mucosa - reflux esophagitis. When gastric juice enters the esophagus, its mucous membrane and walls are corroded. For this reason, inflammation occurs and a burning sensation occurs in the chest. Symptoms such as nausea, vomiting, belching, and discomfort during swallowing of food may appear. In such a situation, a burning sensation is constantly felt in the lower chest area. To relieve symptoms, it is recommended to avoid fried, spicy, fatty foods, fast food, and alcoholic beverages, not to overeat or eat at night, and not to bend over or lie down for two hours after finishing a meal.

Heart diseases

Burning sensation, pain and a feeling of constriction in the chest in the area of ​​the heart may indicate pathologies of the cardiovascular system. In this case, you should put a nitroglycerin tablet under the tongue; the onset of relief will indicate a problem related to cardiac activity.

One of the most common syndromes that provokes a burning sensation in the chest is angina pectoris. This is due to impaired circulation in the coronary arteries, which supply the heart with oxygen and essential nutrients, as a result of the formation of atherosclerotic plaques on the walls of blood vessels. Usually the pain is short-lived (about two to five minutes) and appears in the morning. A person has a feeling that there is a burning sensation inside the chest cavity on the left, and this can be combined with discomfort in the neck, jaw, shoulder blades, and spine. Attacks occur systematically and especially often after physical exertion.

Another pathology is myocardial infarction. It is characterized by the occurrence of sharp, severe pain in the heart area due to physical activity or severe stress, which does not disappear at rest and after taking nitroglycerin, even repeatedly. Pain sensations accumulate on the left side of the body - they can radiate under the shoulder blade, into the arm, into the jaw. They are often accompanied by shortness of breath, cold sweat, heart rhythm disturbances, and dizziness. If you have these symptoms, you should urgently call an ambulance.

Pulmonary diseases

A burning sensation in the chest also manifests its symptoms in the presence of diseases such as bronchitis, influenza, tonsillitis, bilateral pneumonia or pleurisy of the lungs. An inflammatory process in the lungs with an accompanying cough and fever is usually accompanied by a burning sensation in the chest on a constant basis or when inhaling, after coughing attacks. Pain in the chest can be localized in the middle, left or right - it depends on which side the inflamed lung is located on. The burning sensation with bilateral pneumonia covers the entire chest. Flu and sore throat are also characterized by a cough, body aches, fever, and pain in the throat and chest.

Intercostal neuralgia

A condition in which the nerves directed to the intercostal muscles are pinched. Most often, the appearance of neuralgia is provoked by herpes zoster (a rash in the form of blisters is present on the skin in the spaces between the ribs) or osteochondrosis. It is characterized by severe painful sensations in a strictly defined place, aggravated by inhalation, fast walking, bending and other sudden movements.

Intercostal myositis

The appearance of burning and pain can be caused by bruises and fractures of the ribs suffered earlier, active physical activity and inflammation of the intercostal muscle - myositis. Unpleasant sensations are concentrated in a specific place. Pain occurs when moving, coughing, taking deep breaths and is absent when the person is at rest.

Premenstrual syndrome

During the period of PMS, against the background of mastopathy, a woman may experience a burning sensation in her chest - in both mammary glands or in one. In this case, a feeling of discomfort appears only before the onset of menstruation; nodules can be detected in the chest upon palpation, and it swells slightly.

Vegetative-vascular dystonia

With VSD, painful sensations occur on the left or in the middle of the chest as a result of overwork of the body. Also, a person’s skin turns pale or red, sweating increases, and he feels hot.

Thoracic osteochondrosis, scoliosis

A burning sensation in the chest is provoked by physical activity and active movement. There are also feelings of numbness, tingling in the arm, chest compression, pain in the shoulder blades, and cold feet.

Mental disorders

A strong surge of emotions, stressful situations, emotional unrest, chronic fatigue syndrome in men and women can cause a feeling of heaviness and pressure inside the chest. Typically, discomfort is localized on the right. At the same time, there are no other symptoms of illness - high fever, cough, aching joints, difficulty breathing or eating - and diagnostic tests do not reveal any pathologies. In this case, the patient is recommended to consult a psychiatrist.

When help is needed immediately

The following pathological conditions require the earliest possible start of treatment:

• mitral valve prolapse, atrial fibrillation - a burning sensation behind the sternum is expressed implicitly and is not associated with physical activity and breathing;
• aortic dissection - characterized by severe sharp pain, a burning sensation in the chest on the left or in the middle, as well as a feeling as if it is being torn apart. In the absence of emergency assistance, the risk of death is high;
• pulmonary embolism - severe pain, intense burning in the chest (above), a feeling that there is not enough air, cough with rust-colored sputum.

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Difficult choice: how to protect mucous membranes

The antithrombotic properties of acetisalicylic acid are a salvation for patients with the threat of thromboembolism, stroke, ischemia of the heart and intestines. And at the same time, constant use of the drug causes significant harm to the digestive tract, causing a number of complications.

Concerned with this issue, pharmacists around the world are working to create drugs. which will not cause harm to health with constant use, while maintaining the beneficial properties of acetylsalicylic acid. Developments are progressing well, and several generations of safer connections have been released.

One of the most modern and safe for health preparations of acetylsalicylic acid, which fully preserves the antithrombotic effect, is Fazostabil. Antacid effect. protecting the mucous membranes of the stomach and intestines, achieved with the help of Magnesium hydroxide . Compared to Aspirin, the frequency of adverse reactions to the drug is significantly reduced.

prescribe a dosage schedule and minimally effective dosages of Fazostabil to prevent thrombosis and reduce the risks of pathologies from the cardiovascular system.

To monitor their health, patients taking acetylsalicylic acid for life should be regularly examined by a cardiologist and gastroenterologist, self-monitor for changes in blood pressure levels, and undergo annual blood tests to monitor fibrinogen and clotting factor levels.

In what cases is tingling in the joints safe?

If tingling attacks are one-time in nature or occur extremely rarely, there are probably no dangerous pathologies hidden behind them. This happens, for example, if:

• carry heavy things in your hands;
• hold your arms in an unnatural position for a long time, for example, above your head;
• when there is a sudden change in weather and jumps in atmospheric pressure;
• you were sleeping or sitting in an uncomfortable position.

Due to poor circulation, the joint becomes slightly numb - the person feels a subjective tingling sensation, which quickly passes as soon as the blood supply returns to normal. Unfortunately, this is not always the case.

If you have tingling sensations in your joints, it would be a good idea to consult a neurologist.