Breath is a rather complex physiological act. If the body is all right, we don't notice, like breathing. But sometimes you can feel the back pain when breathing in. What is the reason? Let's first understand how the breath, and what organs are involved in this process.
Back pain on the inhale – it's dangerous
During inspiration involves not only the bronchi and lungs but also the diaphragm, muscles of the chest, thoracic and cervical, and intercostal nerves. The process of breathing is regulated by the brain and spinal cord. When the intercostal muscles are in a shortened condition, and the diaphragm is lowered, the volume of the chest cavity becomes smaller and the volume of the chest increases. The increased volume of the thorax expands the lungs, through the bronchi thereby there enters the air. As a result, in the lungs the process of gaseous exchange.
Understand how the inhalation of the air, let's see what can cause back pain when inhaling.
Pneumonia is one of the reasonsPain when breathing in the back can occur due to various reasons, but the main thing is that the debugged mechanism of respiration is broken. In connection with the respiratory mechanism may fail? Most often causes are the diseases of the chest, abdomen, localized in the spine diseases affecting the musculoskeletal system and nearby tissues. Back pain when breathing can also occur during pregnancy.
In the cases when with a deep breath back pain pain may appear as a result developed pneumonia, followed by pleurisy. The pleural layers that face each other, thicken as a result of inflammatory process. When you inhale, they begin to RUB against each other, which provokes the characteristic pain when breathing in back. As a rule, the only other symptom is accompanied by shortness of breath, fever, cough and General weakness. During this disease because of the cough may appear painful sensations in the spinal cord to the muscles. This is because when you cough your back muscles and chest bear a large load. Accumulated in the muscles lactic acid is a back pain when breathing in.
Reflected pain"When you breathe, my back aches," with such complaints often go to the doctor. Similar symptom can be a sign of diseases of organs located in the abdominal cavity. Some of these diseases can lead to pain in the lower back on the right. Painful sensations in the stomach, Appendix, gall bladder, etc, often have an indirect character. That is, the patient feels the pain away from the affected organ. Pain apply on a projection area.
When breathing back pain caused due to the omission of the diaphragm and increasing intra-abdominal pressure. Reflected the pain of this type is also observed in malignant processes, where the tumor is localized in the abdominal cavity.
The problem in the spine?However, most often, when of breath, back pain, the causes can be found in the disease that is in the thoracic, upper lumbar spine and the nearby muscles. What is the disease?
First, osteochondrosis of the lumbar and thoracic spine, accompanied by displacement of the intervertebral discs. The last time the patient also often feels that he has hurt the spine in the thoracic.
Second, quite often when breathing back pain for various injuries of the spine.
Thirdly, neuralgia between the ribs.
Fourth, in the lumbar or thoracic radiculitis and myositis at. They are often accompanied by back pain after sleeping.
The reason for the development of the above conditions are adverse factors such as different metabolic abnormalities, the direct mechanical effects, and hypothermia. In such cases, back pain hurts to breathe due to peripheral nerve injury. The respiratory process in muscle and the ribs is in motion, the resulting motion of the affected nerves and generate pain impulses.
TreatmentAs you can see, the reasons because of which back hurts, hard to breathe, the most diverse. So it is important not to treat and what not and to go to the clinic for qualified full diagnostics of all systems and organs. The examination must include x-ray, ECG, ultrasound of internal organs if you suspect any disease. Examine the mucosa of the esophagus and stomach. And pathology of the spine most effectively detected by MRI.
Difficulty breathing, back pain – immediately go to the doctor!
Causes the sensations like pressure in the chest
When pressure in the chest, people immediately begin to worry about heart disease. Indeed, most of the pathologies that manifest themselves with similar symptoms caused by the lesions of the myocardium or heart muscle. However, there are many other reasons in which there is oppressive pain in the chest: ribs osteoporosis, neurological diseases and myopathies. To identify the source of pain, we recommend the algorithm of differential diagnostics of pathology described in the article.
The main reasonsCompresses the chest in the following diseases:
- osteochondrosis of the thoracic spine pathology, which is accompanied by a decrease in the height of the spinal segment and pinching the nerve trunks. Nerve compression is accompanied by dull or sharp pain that intensified after exercise;
- gastroesophageal reflux (reflux of stomach contents into the esophagus) occurs after a meal. It compresses the chest due to spasmodic contractions of skeletal muscles the walls food. With the organ is the trachea, so in this pathology difficult to breathe;
- between the ribs neuralgia is a consequence of degenerative disc disease of the thoracic or rib injuries. When the disease becomes inflamed the nerve fibre, which passes in between the ribs. Pain is worse when making sharp turns the upper torso. Breathing difficult in neuralgia between the ribs because of the impossibility of expansion and contraction of the chest wall when making the respiratory movements;
- peptic ulcer and gastritis – diseases accompanied by increased release of gastric juice alone (before meals). On the background pathology of the stomach accumulates gas, leading to expansion of the organ. The increase is accompanied by pressure on the diaphragm, so the patient can't breathe and the feeling that squeezed her heart;
- pulmonary embolism is a dangerous disease that is characterized by obstruction of the pulmonary artery thrombus (blood clot) or air. In pathology there is a strong tightness. Without timely treatment, pulmonary embolism leads to death;
- panic attacks, in which the gripping pain combined with other symptoms: increased respiration rate, increased force of heart contractions, cramps and muscle twitching;
- angina – increased pressure in the chest due to heart failure during hypoxia of the myocardium. Pathogenetic link of the disease is the lack of blood supply if coronary artery by a blood clot or atherosclerotic plaque. The disease may be the consequence of prolonged stress;
- an aortic dissection is difficult to consider as the main cause of the pain, as the probability of its occurrence does not exceed 5%. However, the pathology associated with the perception that in the middle of strangling in the breast. The symptoms are fast growing and without treatment leads to death.
The above causes are often trigger pressure in the chest right in the middle. Their detection and treatment can prevent serious complications. However, the diagnosis algorithm needs to take into account other causes of disease.
Why difficulty breathingDeciding why the patient hard to breathe when the pain in the right breast, doctors have to deal with a large number of pathological conditions. To determine the cause of the disease, they conduct a series of diagnostic tests:
- ask the patient to raise right hand up. If the person has a feeling that squeezes the heart to the right, the disease is likely triggered by neurological conditions (panic attacks, between the ribs neuralgia);
- analyze the cardiac rhythm. If it is fast, it is impossible to exclude heart disease. For these purposes, is assigned to ECG, heart ultrasound and consultation with a cardiologist after the detection of negative study results;
- when compresses the chest during breathing, it can be assumed tumor of the mediastinum or lung pathology. In such a situation, rational prescribing radiography or fluoroscopy of the lungs. Symptoms such as cough, sputum and fever, support the assumption;
- too tight right after eating is a symptom evidence of pathology of the stomach or esophagus. To determine the cause of the pain is assigned esophagogastroduodenoscopy and a number of biochemical studies (amylase, ALT, AST, bilirubin);
- if it compresses the upper body to the right when swallowing, it can be assumed laryngitis. To determine the disease doctor will examine the throat and prescribe advice from a specialist. In cases of suspected sinusitis will have to do x-rays of the paranasal sinuses;
- after the trauma the person also happens to be hard to breathe. Fractured ribs on the right, accompanied by difficulty of breathing.
If there is severe pain in the chest on the left and hard to breathe, a symptom may be due to the following reasons:
- aortic aneurysm – dissection of the membranes of the vessel by the accumulation in them of blood and pressure on the surrounding tissue. Disease confirmed by angiography (study of blood vessels after the introduction of the contrast agent);
- coronary heart disease (angina) and myocardial infarction – diseases life-threatening. When they compress the chest so hard to breathe and there is fear for their own lives. Pain on the left indicate the defeat of a large amount of the heart muscle;
- peptic ulcer – if the pressure in the chest after a meal. In most cases, the pain weakens after taking the tablet (no-Spa);
- pancreatitis (inflammation of pancreas) also causes strong pain in the left chest wall. It is enhanced by the ingestion of food;
- hernia hiatal is characterized by shortness of breath after eating. Pathology occurs because of the loss of bowel into the chest cavity through a weak place in the diaphragm;
- diseases of the spine with compression of the nerve roots.
The following is the list of causes of pain are not final. Right in the chest to provoke painful feelings may be a large list of pathological conditions. We describe only the most common of them.
Why compresses the chest in the middlePain in the chest in the middle occurs when all the above conditions. There are a number of pathological conditions in which compresses in the middle:
- muscle cramps occur during exercise, stress and nervous feelings. When taking muscle relaxants pathology disappears on its own;
- lateral deformation of the spine (scoliosis) can compress the soft tissues located in the chest cavity. When it can be infringement of the bone and cartilage structures and nerves. A similar situation is observed in ankylosing spondylitis, degenerative disc disease and herniated disc.
If severe chest pain occurs after physical exertion and stress, we cannot exclude neurological pathology.
In children with such symptoms should check the throat. It is quite possible the emergence of a sense that it compresses the chest in the middle.
What to doWhen compresses the chest, you should do the following:
- Call an ambulance, as some of the causes threaten life.
- In a sitting position and try to relax.
- With stable angina to take a nitroglycerin tablet under the tongue.
- Try quietly and evenly breathing.
Thus, the etiological factor of why bursting chest in the middle, right and left, a lot. To determine the direct cause of the disease is only the doctor. Alone not treated is fatal!