pain in right side of chest and shoulder blade

 

If you are a person who has pain in the right side of your chest and shoulders and this is what you are worried about.

If you are looking for the cause of pain in the right side of your chest and shoulders

If you want to know why you have pain in the right side of the chest and right shoulder.

We recommend that you read our text. In the following article, we want to acquaint you with the causes of pain in the right side of the chest, right shoulder. Tell you the warning signs in case of this pain and also to some extent acquaint you with the available methods to get rid of this pain and discomfort.

 

Introduction

What causes simultaneous pain in the right side of the right chest and shoulder?

Diagnosis

Treatment

In what cases should we see a doctor?

 

 

Introduction

Concurrent pain in the right side of the right chest, shoulders, and can have many causes. For example, disorders of the components inside the chest, such as the lungs and heart, can cause this pain. Also, problems with the musculoskeletal system of the chest can cause such pain and discomfort in you. In some cases, concomitant pain in the right side of the chest and right shoulder, may be a reference pain. Referral pain means that the organ of the body that is in pain is located farther away from your right chest and shoulder, and the pain caused by the damage to that organ is felt in your right shoulder. We recommend that you take this issue very serious if you have sudden and severe pain in these areas.

 

What causes simultaneous pain in the right side of the right chest and shoulder?

Simultaneous pain in the right side of the chest and right shoulder can have many different causes. We have tried to provide you with a list of the most common factors that can cause such pain:

  • Angina:

Physicians use the term angina when referring to chest pain that originates in the heart. Angina, in medicine, refers to chest pain caused by a blockage in the arteries that supply blood to the heart muscle. When there is a blockage in the arteries that supply blood to your heart muscle, not enough blood and oxygen will reach the heart muscle.

Of course, angina is different from a heart attack or stroke. Factors such as strenuous exercise can increase your heart muscle's need for oxygen. Excitement, anxiety, and stress can also increase your muscle's need for oxygen. And therefore increase the risk of angina. There are several types of angina in medicine. Persistent angina is a condition in which a person can develop chest pain only during strenuous exercise or in the face of stress. In these cases, the pain lasts for ten minutes and improves with rest or cessation of physical activity and taking sublingual pills. Another type of angina is unstable angina. The characteristic of unstable angina is that people with it, experience chest pain suddenly, even at rest. People with unstable angina will have chest pain for a longer time and usually have accompanying symptoms. An unstable angina attack lasts more than twenty minutes. Pain in people with unstable angina may get worse over time. Unstable angina is said to be life-threatening, so if you have unstable angina, be sure to tell the emergency room. In addition to chest pain, there are other symptoms. Are accompanied by the following:

  • Fatigue
  • Lightheadedness
  • Nausea
  • Excessive sweating
  • Pervasive weakness
  • Shortness of breath

In these cases, the pain usually starts in the back of the sternum and can spread to the right side of the chest, shoulder, and right arm and between the shoulders.

  • heart attack:

A heart attack occurs when one or more blood vessels in your heart muscle become completely blocked or the blood flow in that artery is interrupted for a long time. The symptoms in a person who has a heart attack are more severe than the symptoms in angina. The most common symptoms in a person with a heart attack are as follows:

  • The person involved will experience chest pain and tightness and heaviness in the chest.
  • Chest pain in a person with a heart attack in the neck, right arm, right shoulder, left shoulder, left arm and back may be shooting.
  • Lightheadedness
  • Abundant cold sweats
  • Fatigue
  • Abdominal pain
  • Heartburn
  • Fainting

It should be noted that men are more likely than women to suffer from chest pain following a heart attack. It is said that women are more likely than men to show other signs of a heart attack. Some of these signs and symptoms that occur in women following a heart attack are as follows:

  • Anxiety
  • Mandibular pain
  • Right shoulder pain
  • Right arm pain
  • Left shoulder pain
  • Left arm pain
  • Back pain
  • Sleep disturbance
  • Abnormal fatigue that lasts for several days or excessive fatigue that occurs suddenly.

It is sometimes said that in women the symptoms can come and go gradually.

  • Gallstones:

The gallbladder is a small part of the liver that sits on the upper right side of the abdomen. The gallbladder is located at the bottom of your liver. The gallbladder is where bile fluid accumulates and is produced by certain cells in the liver and are stored in the gallbladder. And when you eat, the gallbladder contracts and pumps some of this fluid into the bile ducts of the liver. These ducts reach the beginning of the small intestine and will secrete bile into the beginning of the small intestine.

When, for any reason, the contraction of the gallbladder wall does not occur and, in other words, the bile does not come out of the gallbladder, the bile thickens and forms gallstones.

These stones can be of different sizes and may block the exit of the gallbladder or inside the bile duct space. 

If the gallbladder is blocked, inflammation of the gallbladder wall will occur, and if the bile duct is blocked, inflammation of the gallbladder will develop. It is said that the following groups are prone to bile-related problems:

  • Women
  • People over forty
  • fat people
  • pregnant women

People with gallbladder problems may have a range of symptoms. Some people with gallstones may have no symptoms, and some people with gallstones may experience severe pain due to obstruction of a bile duct or outlet. And some people with gallstones can experience severe pain due to obstruction of a bile duct or gallbladder outlet when eating a heavy, high-fat meal. In these cases, the person may have the above pain for hours. Other accompanying manifestations include the following:

  • Pain in the right and upper abdomen
  • Pain in the lower part of the sternum
  • Pain in the center and upper abdomen
  • Pain in the right side of the chest and right shoulder
  • Pain between the shoulders or shoulder blades
  • Fatigue
  • Nausea or vomiting

 

  • Inflammation of the pancreas or pancreatitis:

The pancreas is the part of the body that is behind your stomach and near the beginning of the small intestine. The function of this gland is to secrete digestive enzymes and then a number of endocrine hormones.

Digestive enzymes secreted by pancreatic cells are secreted through the ducts to the end of the small intestine, thus helping the digested food to be digested in the intestines. Inflammation of the pancreas occurs when the duct that carries these enzymes to the small intestine becomes narrow.

The most common cause of this acute inflammation is gallstones. It is usually present in the pancreas either chronically or acutely. Acute inflammation of the pancreas is caused by gallstones. Symptoms begin suddenly and are usually relieved by resting the intestines and hydrating the person. Chronic cases of inflammation of the pancreas caused by alcohol consumption They get worse and worse over time. It is said that the most common cause of acute inflammation of the pancreas is gallstones. Symptoms can be very different. Symptoms vary depending on the type of inflammation of the pancreas.

The main symptom of both acute and chronic inflammation of the pancreas is pain in the upper abdomen that spreads to your back. Other symptoms are as follows:

Symptoms of acute inflammation of the pancreas:

  • Mild to severe pain that can last for several days.
  • Abdominal pain that gets worse with eating.
  • nausea and vomiting
  • Increase heart rate
  • Swelling or tenderness of the upper abdomen
  • Fever

Symptoms of chronic inflammation of the pancreas:

  • nausea and vomiting
  • Weight loss for no reason
  • Fatty and smelly stools
  • Pain in the upper chest
  • Pain in the upper abdomen

 

  • Inflammation of the pericardial sac or pericarditis:

Inflammation of the sac around the heart is called pericarditis. There is a thin membrane around your heart and the beginning of the arteries that come out of the heart. It is called a pericardium. It prevents heartburn when the heart beats against the chest wall. Inflammation of this membrane can occur for various reasons. Usually, the pain caused by these conditions occurs quite suddenly. The pain is dagger-like and can spread not only to the chest but also to the shoulders. The pain of this inflammation can last from a few days to a few weeks. It is said that viruses are the most common cause of pericarditis. The main sign of pericardial inflammation is severe pain in the center of the chest or on the left side of the chest, but other relatively common manifestations and symptoms include the following:

  • Pain that spreads from the chest to the shoulder blade
  • Pain that is exacerbated by lying down or deep breathing
  • Mild fever
  • feeling exhausted
  • Weakness and pain that usually decreases with bending forward.

 

  • pleurisy:

Around your lungs and the inner surface of the chest wall is a membrane called the pleura. The pleura is a thin, double-layered membrane, one layer on the outer surface of the lungs and one layer on the inner surface of the chest wall. Inflammation of this membrane can be exacerbated by chest pain when taking deep breaths, coughing or sneezing. The cause of pleurisy varies greatly from a simple infection to a dangerous fungal or bacterial pneumonia. Lung peripheral tumors can also cause this pain. Symptoms associated with this disorder include the following:

  • Chest pain that is sharp and worsens with coughing, laughing, sneezing, and breathing.
  • Pain in the shoulders and back
  • Muscular pain
  • Joint pain (meaning costochondritis)

 

Diagnosis

As you can see, there are different causes for pain on the right side and right shoulder blade, so the diagnostic process faces many challenges. In the first step, the doctor will take a complete medical history from you. It may also ask questions about your general health status, as well as a history of individual and family illnesses and a list of your medications.

The doctor will then ask you about the symptoms and manifestations that accompany the onset and persistence of the pain. It is important to tell your doctor if the pain intensity increases or decreases in certain circumstances. Depending on the condition, your doctor may also use appropriate clinical examinations, such as Hearing the heart and lungs. In addition to the above, your doctor may use the following paraclinical methods and diagnostic assistance as appropriate:

  • photo of chest with X-ray
  • ECG
  • Echocardiography
  • A blood test in which cardiac enzymes as well as a complete blood cell count are checked to check for inflammation of the pancreas.

Your doctor may also order a CT scan, CT angiogram, and MRI, depending on your condition. He or she may use more specialized tests, such as stress tests and angiography, in cases of suspected cardiac origin for pain in the right side of the chest.

 

treatment

If you are a person who has pain in the right side of the chest, shoulders and right blade shoulder, you should know that the right treatment for you depends entirely on the cause of your pain. Also, the choice of therapies can be changed with the following:

  • Age
  • General health conditions, such as being overweight or not
  • Being or not being a smoker

 

The following is a summary of the types of treatments for each of the underlying causes:

  • Treatment of heart problems:

If heart problems are causing pain in the right side of your chest and shoulders, your doctor can use the following to treat and reduce your pain.

  • Prescribing aspirin
  • Prescribing Nitroglycerin
  • Prescribe blood thinners to prevent clot formation
  • Drugs that break down clots or thrombolytic drugs
  • Antibiotics in case of inflammation and infection of the endocardial pericardium

As well as fluid aspiration in cases of pericardial inflammation and effusion.

In cases where the patient has life-threatening events, medications and non-invasive measures may not be effective and the person may need surgical treatment, such as angioplasty or even heart bypass surgery.

 

  • Treatment of gallbladder problems:

If the cause of your pain is a gallbladder problem or, in other words, a biliary attack, depending on the symptoms, your doctor may suggest surgery to remove the gallbladder, called a cholecystectomy. Also, in some cases, your doctor may use medication to dissolve small gallstones, Of course, taking medicine to dissolve and eliminate gallstones takes time. It is also better to consider a low-fat diet in addition to the above to prevent pain attacks.

 

  • pleurisy:

If pleurisy is the cause of your pain, the treatment of pleurisy is entirely dependent on the underlying cause. If you have a bacterial infection in your lungs, it is best to see your doctor for adequate antibiotic treatment in addition to painkillers and anti-inflammatory drugs. Also, if there is a large accumulation of fluid in the space between the two layers of your pleural membrane, or in other words, you have opioid to get rid of these conditions, Removal of this fluid is required by a physician with a special needle under regional anesthesia or general anesthesia. Usually this method requires hospitalization, especially people who have other underlying problems such as tumors, etc. It is necessary to be hospitalized.

 

  • Treatment of pancreatic problems:

If you have inflammation of the pancreas, pay attention to the following treatment. If you have an acute attack of pancreatitis, you should be hospitalized. Usually, some attacks go away within a few days. At this time, it is best not to eat orally and to have intravenous nutrition and intravenous fluids. Other treatments include draining pancreatic secretions through surgery to remove the gallbladder in cases of acute pancreatic attack.

Other long-term treatments are as follows:

  • Diet changes
  • Limit alcohol consumption

As well as prescribing pancreatic digestive enzymes to people who have lost a large portion of their pancreatic tissue due to inflammation of the pancreas.

 

In what cases should we see a doctor?

Chest pain has a variety of causes. Identifying the cause of life-threatening pain in your right chest and right shoulder is life-threatening. It is hard work. We recommend that you go to the nearest medical center for further examination if you have recurrent or prolonged chest pain. If you experience one or more of the following symptoms and manifestations, it is recommended that you call the emergency room immediately or go to the nearest hospital where you live:

If you have severe chest and shoulder pain

If you have a history of underlying heart disease and now have severe chest, shoulder and right shoulder pain

If you have symptoms associated with heart attacks such as nausea, vomiting, profuse cold sweats, weakness, fatigue, lightheadedness, dizziness, fainting, jaw pain and upper abdominal pain.

In the above cases, it is better to be checked as soon as possible and emergency measures should be taken, so do not interrupt your delivery to the emergency room.

 

The final word

Chest and shoulder pain on the right side as well as the right shoulder can have many causes. The most common of these causes, as we discussed, are angina and causes of cardiac origin, gallbladder and pancreatic problems, and pleural inflammation.

If you have unbearable and unexplained pain that affects both sides of your chest and both your shoulders, you should call the emergency room right away.

If the pain is very severe and lasts for more than a few minutes , call the emergency room right away

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