Thursday, February 22, 2024

GIT SYMPTOMS - NON CARDIAC CHEST PAIN


Some clinical conditions of GIT present with non-cardiac chest pain. It should be addressed along with brief differentiations:


1. Gastroesophageal Reflux Disease (GERD):

Acid reflux can cause chest pain that may radiate to the abdomen

   - Chest Pain: Burning sensation or discomfort in the chest.

   - Abdominal Symptoms: Regurgitation, bloating, or epigastric pain.



Ulcers in the stomach or duodenum can lead to abdominal pain and discomfort

2. Peptic Ulcer Disease:

   - Chest Pain: May present as burning or gnawing pain.

   - Abdominal Symptoms: Epigastric pain, often relieved or exacerbated by food.


3. Gastritis:

     Inflammation of the stomach lining can cause chest pain and abdominal symptoms.

   - Chest Pain: Dull ache or burning sensation.

   - Abdominal Symptoms: Nausea, vomiting, and upper abdominal discomfort.


4. Musculoskeletal Pain:

Conditions affecting the muscles and ribs in the chest may cause pain that is felt both in the chest and abdomen.

   - Chest Pain: Typically worsens with movement or palpation.

   - Abdominal Symptoms: Discomfort may be secondary due to muscle strain.


5. Costochondritis:

Inflammation of the cartilage connecting the ribs to the sternum can cause chest pain, which may be accompanied by abdominal discomfort.

   - Chest Pain: Localized to the costosternal or costovertebral joints.

   - Abdominal Symptoms: Usually minimal abdominal involvement.


6. Hiatal Hernia:

When part of the stomach protrudes through the diaphragm, it can cause both chest and abdominal symptoms.

   - Chest Pain: May resemble heartburn or chest pressure.

   - Abdominal Symptoms: Reflux, epigastric discomfort, or regurgitation.


7. Gallbladder Issues:

Conditions such as gallstones or inflammation of the gallbladder can cause pain that radiates to the chest.

   - Chest Pain:  right upper quadrant pain, sometimes radiating to the chest.

   - Abdominal Symptoms: Bloating, nausea, and pain after meals.


8. Pancreatitis:

Inflammation of the pancreas may lead to pain in the upper abdomen that can be felt in the chest.

   - Chest Pain: Epigastric pain radiating to the back.

   - Abdominal Symptoms: Nausea, vomiting, and severe upper abdominal pain.


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