Can you feel sick from the heart? Nausea and abdominal pain, what could it be? Possible localization of pain in heart disease

Pain in the heart area is a sign of cardiac disorders and failures. If chest discomfort is accompanied by nausea, then there is a high probability of diseases in the gastrointestinal tract. Heart pain and nausea may be accompanied by additional symptoms in the form of: headache, vomiting, malaise and shortness of breath, which indicates pathologies affecting the main vital systems of the body. At the diagnostic stage, it is important to determine the primary factor that provoked the disease, manifested by heart pain and nausea.

There is a wide list of pathological risk sources that trigger the activation mechanism of heart pain and nausea. These include:

  • disorders of the cardiovascular system;
  • vegetative-vascular dystonia;
  • bronchitis, pneumonia;
  • hypertensive crisis;
  • dysfunction of the pancreas and liver.

Nausea and chest discomfort indicate disorders of the nervous or cardiovascular systems. When the heart rate increases, the salivation process accelerates, the breathing rhythm changes, blood pressure (BP) changes, and pain occurs in the heart area, involuntary irritation of the vomiting center occurs. Which is located next to the autonomic, vasomotor and respiratory centers.

Banal overeating, leading to stretching of the walls of the stomach, can also cause nausea and compression of the vessels adjacent to the main organ. The use of certain medications, the metabolites of which can activate the receptors of the vomiting center, should not be excluded from the list of causes.

Heart failure

It is characterized by functional changes in the anatomical nature of the heart, which lead to swelling of the abdomen and legs, increased blood pressure: the patient begins to experience chest pain and attacks of nausea.

Violation of the pumping function of the organ is accompanied by: constipation, flatulence, nausea, vomiting. This clinical picture is caused by disruptions in the functioning of the stomach and intestines, changes in reflexes and hypoxia. Risk factors also include changes in the structure of the myocardial muscle tissue, which negatively affect the function of the heart and increase the pressure inside the organ, which leads to tissue swelling in the abdominal and sternal area.

A feeling of discomfort in the epigastric region with heart failure occurs due to stagnation of blood in the vessels and swelling in the lungs.

Tachycardia

A symptomatic condition that is manifested by an increase in the frequency of contractions of the heart muscle (more than 100 beats per minute). The body reacts with a rapid pulse to stressful situations, extreme physical activity, oxygen starvation, overwork and taking medications. The patient is recorded:

  1. headache;
  2. nausea;
  3. frequent pulsation of veins in the cervical regions;
  4. fainting states.

Tachycardia is treated with medications, breathing exercises and herbal medicine.

Coronary heart disease (CHD)

It is characterized by a pathological condition in which the coronary arteries are clogged or reduced in the lumen, and a lack of blood supply is recorded in the heart muscle.

The patient feels a burning, stabbing pain in the chest after physical activity, which gradually disappears during the period of rest. IHD causes discomfort in the form of:

  • shortness of breath;
  • increased sweating;
  • radiating pain to the shoulder blade, left arm, neck;
  • dizziness;
  • nausea;
  • arrhythmias.

Therapy for coronary heart disease is based on taking medications, following a special diet, and limiting physical activity.

Angina pectoris

It is positioned as an ailment that manifests itself in the form of acute chest pain, the source of which is a deficiency of blood supply to the myocardium. Angina pectoris is considered one of the forms of manifestation of coronary artery disease. Risk factors include: arterial hypertension, obesity, excessive physical activity, bad habits, psycho-emotional stress. The patient feels:

  1. chest pain;
  2. shortness of breath;
  3. nausea;
  4. vomiting;
  5. presence of a foreign object inside;
  6. panic attacks.

In the treatment of angina pectoris, the following are effective: medications, a special diet, physical activity in acceptable amounts, traditional medicine recipes, abstinence from alcohol and tobacco.

Heart attack

It is the initial form of myocardial infarction, in which a sudden disruption of blood circulation occurs and the development of the process of necrosis in the structure of the heart muscle. The list of the main causes of the pathological condition includes: lack of physical activity for a long time, uncontrolled use of non-steroidal drugs, diabetes mellitus, atherosclerosis of the coronary vessels, dysmetabolic syndrome.

The patient suffers from burning pain behind the sternum, which can radiate to the shoulder girdle and neck, and he experiences difficulty breathing (shortness of breath). Activation of an attack of nausea and a gag reflex are not pronounced signs of pathologies of a cardiac nature, but indicate the presence of concomitant disorders relating to the gastrointestinal tract system. Rehabilitation of patients with a disease that can be fatal includes drug therapy, surgery, physical therapy and diet.

Hypertensive crisis

Refers to pathological conditions when there is a sharp increase in blood pressure, which leads to vascular hypertonicity and increased blood circulation. Ailments of the central nervous system, liver, endocrine system, hormonal imbalances are common factors in the development of a hypertensive crisis.

At risk are patients who are obese, abuse bad habits, are regularly exposed to stress, and experience excessive physical activity. Symptoms of the disorder may include:

  • headache;
  • chills;
  • nausea (vomiting);
  • noise in ears;
  • discomfort in the heart area;
  • flickering of flies before the eyes.

Treatment of hypertensive crisis is based on the prescription of pharmacological agents, diet and exercise.

Vegetative-vascular dystonia (VSD)

Belongs to the category of functional disorders related to the regulation of the respiratory, cardiovascular (less often other) systems. VSD is not considered a separate disease, but is a complex of symptomatic manifestations indicating the presence of mental and somatic illnesses.

Nervous stress (depression, stress), genetic predisposition, alcohol abuse, exhausting physical activity/sedentary lifestyle are the main factors that create favorable conditions for the development of vegetative-vascular dystonia. The patient may feel:

  1. heartache;
  2. malaise;
  3. headache;
  4. nausea;
  5. cardiopalmus;
  6. blood pressure changes;
  7. insomnia.

VSD therapy is aimed at restoring the patient’s physical and psycho-emotional state.

Pancreas and liver disorders

Certain types of pathologies related to dysfunction of these digestive organs may be accompanied by pain in the chest. Deterioration of liver function leads to disruption of the circulation of biologically active elements through the vessels and an increase in the concentration of substances that have a vasodilating effect. Cirrhosis (poor protein synthesis and disturbances in electrolyte metabolism) creates favorable conditions for the development of heart pathologies.

Inflammation of the pancreas (pancreatitis) can aggravate attacks of angina/tachycardia and provoke an exacerbation of dangerous pathologies. The patient feels severe pain in the chest, during which it is difficult to determine which organ is actually affected (heart, stomach, liver, kidneys). Additional symptoms of pancreatitis include: diarrhea, nausea, vomiting, belching, pale skin. Treatment of pathologies of the liver and pancreas, manifested by heart pain and nausea, includes the prescription of medications and a special diet.

Distinctive signs of heart pain from other colics

Diseases that affect the main organ of the human body are almost always accompanied by pain syndromes in the left side of the chest. If discomfort from the heart area is transferred to the neck, shoulder or chin, then there is a high probability of myocardial infarction. The pain is long lasting.

With angina pectoris, colic goes away within 15-20 minutes: they become active at the same time of day (after physical exertion). Pericarditis is characterized by gradually increasing pain (from minor tingling to acute cardialgia). Discomfort intensifies during swallowing food, after changing body position and performing active movements. The unpleasant syndrome is weakened if the patient presses his legs to his chest or lies on his right side.

General signs of cardiac colic are as follows:

  • the pain is burning, stabbing, pressing, shooting in nature;
  • pain increases after mental and physical exertion;
  • the pain radiates to neighboring areas of the body (arm, neck, jaw).

Chest discomfort can be relieved by taking nitroglycerin and prescribing a rest regimen.

Lack of air in heart pathologies occurs after physical activity or overeating. Colic in the heart area is accompanied by another unpleasant symptom - swelling of the tissues: at the initial stage, swelling of the legs or abdominal cavity is barely noticeable, but over time the size and localization of the pastiness increases. A characteristic sign of heart pathologies is snoring and respiratory arrest during sleep.

Heart pain and nausea in children

Young patients are no less bothered by unpleasant symptoms than adults. In children aged 5-7 years, the heart muscle works in an enhanced mode, which is associated with the active growth and development of blood vessels: the child feels discomfort in the chest. For physiological reasons, the pulse of fidgety and hyperactive children can go off scale: the heart rate returns to normal when the child rests and calms down.

The risk factors that provoke chest pain and nausea in children and adults are the same: neuroses, disorders of the digestive system, diseases of the musculoskeletal system, ailments of a vegetative nature, infectious pathologies. When a child has VSD, colic in the heart and discomfort in the epigastric region can begin in the absence of physical activity. Neurotic conditions are accompanied by unpleasant sensations in the chest, feelings of anxiety and restlessness.

When a baby is diagnosed with infectious diseases (streptococci, staphylococci), the heart may become ill 1-2 weeks after the virus enters the body. Discomfort can be felt in the left side/center of the chest and transforms into neighboring areas of the body (shoulder, neck, jaw): the pain is short-term, but stabbing in nature. The pediatrician is obliged to carefully examine the child’s body (ECG, ultrasound of the heart, digestive organs, blood test), determine the existing symptoms and prescribe the optimal treatment.

Treatments for Heart Pain and Nausea

Elimination of discomfort in the chest and epigastrium is based on complex therapy, which includes: the prescription of a certain set of medications, a special regimen/diet, the use of herbal medicine recipes, strict adherence to a daily and rest regimen, and limiting/increasing physical activity. Taken together, these rehabilitation methods provide the maximum recovery effect.

Medications

In the treatment of pathologies manifested by chest pain and nausea, it is recommended to use:

  1. beta blockers(restore myocardial contractility - “Carvitol”, “Betalol”, “Serdol”);
  2. glycosites(eliminate pain syndrome - “Izolanid”, “Celanid”, “Digoxin”);
  3. peripheral vasodilators(promote vasodilation - “Pentral”, “Kardiket”, “Sustak”);
  4. calcium channel blockers(improves metabolism and activates bioenergetic processes in cells - “Verapamil”, “Diacordin”).

Important! For sudden pain in the heart, Nitroglycerin is used: the medicine is quickly absorbed into the blood, dilates blood vessels and eliminates colic in the chest.

For VSD, the following are prescribed: nootropic drugs (Paracetam, Glycine), cebroangiocorrectors (Stugeron, Cavinton), sedatives (Valocordin, Corvalol).

Coronary heart disease is treated with: beta-adrenoblockers (Vasocardin, Niperten), antiplatelet agents (Acecardol, Thrombol), anticoagulants (Heparin, Coumarin), cholesterol-lowering drugs (Lovastin, Fenofibrate) ), diuretics (“Indapamide”, “Furasimide”).

Symptoms of angina pectoris are eliminated: with beta blockers (Oxprenolol, Carvedelol), lipid-lowering drugs (Cholestyramine, Simvastatin), calcium antagonists (Bepredil, Diltiazem).

In case of a heart attack, the following are prescribed: thrombolytics (Warfarin, Thromboass), anticoagulants, beta blockers, nitrates (Sustonit, Nitroderm), angiotensin-converting enzyme inhibitors (Ramipril, Ceronapril).

ethnoscience

Herbal remedies and recipes for alternative methods of treatment help get rid of heart problems and nausea. Healers and traditional healers recommend using:

  • decoction of motherwort and hawthorn(15 g of raw material is brewed in a thermos (0.75 l), the drink is infused for 2 hours and filtered; take: 30 g half an hour before meals);
  • decoction of medicinal collection(field horsetail (20 g), knotweed (30 g), hawthorn flowers (50 g) are poured with boiling water (0.5 l); the mixture is left for 3-4 hours and filtered; take 2 tbsp. 5-6 once a day);
  • horseradish and honey mixture(ingredients in the amount of 10 g are mixed and infused for 1 hour; the medicine is taken once a day, 30 ml and washed down with water);
  • garlic tincture(300 g of crushed raw material with a mushy consistency, pour 0.2 liters of alcohol, cover the drink with a lid and place in a dark place for 10 days; take 5-10 ml after a meal).

Important! The use of each herbal medicine recipe for medicinal purposes requires prior consultation with a doctor: certain types of herbs and plants can be a source of allergies.

Prevention

You can reduce the likelihood of pathologies, the signs of which are pain in the heart and discomfort in the epigastric region, if:

  1. adhere to the principles of a healthy diet (the diet is dominated by vegetables, fruits and dishes rich in polyunsaturated fatty acids (red fish, seafood), fried, spicy, smoked and salty foods are excluded);
  2. dose physical activity;
  3. give up bad habits (alcohol, tobacco);
  4. control weight;
  5. control blood cholesterol levels and blood pressure levels;
  6. avoid stressful situations;
  7. maintain an optimal balance of time spent on work and rest (sleep at least 8 hours a day).

For the purpose of prevention, you should be examined at least 2 times a year by specialized specialists (cardiologist, gastroenterologist) to check for the absence of pathologies related to the cardiovascular and digestive systems of the body.

Pain and discomfort appearing in the heart area are an alarming sign. In this way, diseases often appear that pose a serious danger to human health and life. Heart pain and nausea often occur together. How should one act in such a situation, and what pathologies can these symptoms indicate?

Causes of nausea and pain in the heart area

It should be remembered that pain and discomfort in the heart area primarily signals that a vital organ is in danger. Often the appearance of symptoms such as nausea and heart pain requires immediate medical attention. Along with the above symptoms, patients often experience shortness of breath, severe weakness, anxiety, and fear.

Nausea and heart pain can occur simultaneously when the gastrointestinal or cardiovascular system is affected. The most common causes of such symptoms are the following pathologies:

  • heart failure;
  • attack during myocardial infarction;
  • hypertensive crisis;
  • vegetative-vascular dystonia;
  • acute diseases of the pancreas or liver;
  • bronchitis and pneumonia in acute severe form.

Heart failure may include chest pain and nausea. These symptoms are caused by several factors: disturbances in the anatomy of the muscle tissue of the heart, deterioration in the functioning of this organ, the appearance of swelling in the abdominal cavity and chest, as well as increased intracardiac pressure. All this leads to nausea and pain in the heart.

During myocardial infarction, pain and painful, prolonged nausea may appear some time before the attack. This period can be several days. The same symptoms are observed with the acute development of pathology. In addition to these two signs, during an attack caused by myocardial infarction, others are noted: weakness, vomiting, tachycardia, a sharp rise in blood pressure followed by a decline, gradually increasing shortness of breath and an increasing feeling of burning and pain in the chest space. Patients often complain of an unreasonable feeling of fear and anxiety; cases of fainting during an attack are widespread. It is also possible for the pathology to be asymptomatic, in which its only manifestation is nausea.

A hypertensive crisis is a sudden rise in blood pressure. Symptoms of this condition include severe pressing pain in the heart, nausea that leads to vomiting but does not bring relief, and dizziness.

The diagnosis of “vegetative-vascular dystonia” is quite common in our country, but in many other countries it is not made. According to the international classification, similar conditions in which there are signs of disruption of the normal functioning of the autonomic nervous system are called somatoform dysfunctions or disorders. Symptoms that indicate vegetative-vascular dystonia are insomnia, pressure instability, tachycardia, vomiting, nausea and heart pain. All these signs, most often, are of a psycho-emotional nature. There were practically no complications or consequences observed. However, the appearance of such symptoms requires careful attention, a comprehensive examination and, if necessary, proper treatment.

In some cases, pathologies of the gallbladder, pancreas and liver are manifested by pain that is localized or radiates to the heart area. With such diseases, frequent nausea may occur that does not lead to vomiting. Pain can affect the hypochondrium and abdomen. A symptom of gallbladder damage is bitterness in the mouth.

Sharp pain in the chest and nausea are frequent companions of inflammatory diseases of the lower respiratory system. Pain with pneumonia and bronchitis is caused by strong constant overstrain of the intercostal muscles, which occurs with prolonged painful coughing. Nausea is associated with general damage to the body by toxins released by pathogenic microorganisms. In addition, this phenomenon can be a side effect of medications taken. You can determine whether pneumonia or bronchitis is the cause of chest pain and nausea by paying attention to the presence of other symptoms. Thus, increased temperature, increased sweating, chills, runny nose and other signs of damage to the upper respiratory system indicate respiratory diseases.

What to do for heart pain, nausea and dizziness

The appearance of nausea, heart pain, vomiting, weakness must be treated carefully; these symptoms should not be left to chance, as they can have the most dire consequences. A qualified doctor and the modern level of diagnostics allow you to quickly determine the cause of the problem, and then prescribe the necessary course of treatment. In each specific case, a different treatment is prescribed, so you cannot be treated on the advice of friends and neighbors.

The specialist must, in addition to recommendations for treating the underlying disease, prescribe therapy in order to cope with unpleasant symptoms. In addition, he gives advice on organizing a daily routine, necessary rest, opportunities for physical activity and a diet that should be followed.

Urgent medical help should be sought if the following warning signs are present:

  • heart pain and nausea do not subside after taking nitroglycerin tablets;
  • in addition to nausea and heart pain, there is severe shortness of breath, very high blood pressure, cold sweats, unexplained anxiety, fear and restlessness;
  • the duration of heart pain exceeds a quarter of an hour.

You can get rid of nausea and chest pain only after identifying the causes of their occurrence. Since different pathologies require the use of different drugs and treatment methods.

In case of functional disorders of the heart and blood vessels, you should take medications that lower pressure and normalize the functioning of the heart muscle. The therapeutic complex also includes drugs that have a positive effect on the condition of blood vessels and blood composition.

For vegetative-vascular dystonia, complex treatment is prescribed, including medications that improve the functioning of the nervous system and sedatives. Other treatment methods are also prescribed, such as physiotherapy, therapeutic massage and exercise, reflexology, etc.

A disease such as myocardial infarction requires urgent medical care, which can only be provided in a hospital setting. The course of treatment, its duration and the means used depend on the individual data of the patient and the extent of damage to the heart muscles. The chances of a favorable outcome increase significantly if you consult a doctor in a timely manner (less than 10-12 hours).

Treatment of inflammatory pathologies of the respiratory system depends on the nature of the disease: viral or bacterial. In addition to antivirals or antibiotics, it includes vitamins, mucolytics and detoxification therapy. It is important to choose the right antibiotic for treatment. Although there are broad-spectrum antibiotics that are quite effective, drugs prescribed based on the results of microbiological tests are much more effective.

Diseases of the pancreas, liver and gall bladder require specific treatment to restore the affected organs. To get rid of nausea in such cases, take antiemetics, for example, Zoloft, Cerucal or others. A thorough examination of the patient is imperative.

He begins to remember meals, possible poisoning from low-quality products.

The patient develops the following symptoms:

  • acute pain, which is compared to the feeling of severe cutting;
  • the symptom is characteristic of the upper abdomen;
  • Nausea appears, turning into vomiting.
  • There is a feeling of compression in the upper part of the body in the thoracic spine on the left.

This condition is preceded by a sharp deterioration in health, paleness of the skin and a change in the shade of the nasolabial triangle. The patient complains of short-term loss of consciousness, attention, and thinking.

Having called the emergency room due to the listed signs, the sick person is hospitalized in general therapy or the infectious diseases department, taking into account signs of exacerbation of diseases of the gastrointestinal tract and acute poisoning. Only timely diagnosis allows one to determine the true cause of nausea and vomiting. Sometimes the provoking factors are a combination of diseases of the digestive system and heart.

The doctor needs to rule out pneumonia and cold symptoms. Sometimes a painful cough and attacks of spasms affect the functioning of blood vessels.

2. Causes of symptoms and disease

Pain, discomfort, including nausea in the upper abdomen, especially on the left, are sure signs of a disruption in the normal functioning of organs. They are often accompanied by mental states of fear and depression. The pain can be so severe that it does not allow you to make normal movements or be active.

This is how diseases that indicate pathology of the gastrointestinal tract or heart function manifest themselves. In some cases they are combined.

The list of symptomatic pictures includes diseases:

At the time of the onset of a hypertensive crisis, the patient experiences headaches of a compressive nature in the forehead, back of the head, and temples. Nausea and vomiting do not bring relief.

The disease is often accompanied by chest pain and dizziness, which indicates spasm of the blood vessels in the brain.

In cases of heart failure, the following occurs:

  • swelling in the peritoneum, on the lower extremities;
  • intracardiac pain;
  • changes in the anatomical structure of the heart.

During the pre-infarction state, the patient experiences bouts of nausea, which are accompanied by:

  • acute pain in the scapula, epigastrium;
  • when palpating the pulse, tachycardia is noticeable;
  • external examination reveals cold sweat appearing on the forehead, changes in the shades of the skin, mosaic phenomena;
  • subjective sensations of lack of air, inability to take a full breath;
  • feeling of fear, darkening of the eyes, loss of consciousness.

Nausea and burning sensation in the chest are warning signs of myocardial infarction. Sometimes the patient does not feel other symptoms, assuming that the symptoms will go away on their own, attributing them to changes in atmospheric pressure, poor sleep, and the like. In fact, the condition requires immediate hospitalization in a hospital setting.

During attacks of vegetative-vascular dystonia, characteristic pain in the head and heart appears. They are associated with emotional stress. Vomiting brings minor relief. There is instability in pressure for several hours.

3. How is diagnostics carried out?

When considering the causes of discomfort in the abdominal area, the doctor must assess the general condition of the patient.

Features of differential diagnosis for the gastralgic form of infarction and coronary insufficiency involve the exclusion of diseases associated with the abdominal organs.

The main indications are:

  • presence of pain in the chest area and below;
  • hyperesthesia of the skin in the area of ​​the atria, clavicle and shoulder on the left;
  • nausea that is not caused by eating;
  • gag reflexes, belching;
  • probable shock or collapse.

In some diseases of the gastrointestinal tract (cholecystitis, stomach ulcers, duodenal ulcers), the pain is similar, but the heart rate is the same. Blood pressure remains within normal limits, but can sometimes be elevated.

There are often cases of concomitant diseases, when diagnosis is difficult.

A few days before the onset of a heart attack, patients experience “precursors”, which are often attributed to a psychological state:

The doctor prescribes procedures that will help distinguish accompanying signs from leading ones.

  1. Anamnesis, questioning and external examination of the patient using palpation and percussion.
  2. Measuring blood pressure and pulse at time intervals.
  3. Prescribing a general and biochemical analysis of blood, urine, exudate for inflammatory lung diseases.
  4. An ECG helps determine abnormalities in the cardiovascular system.
  5. Ultrasound of the heart and blood vessels.
  6. Cardiogram with exercise.
  7. Ecocardiography.
  8. Ultrasound of the abdominal organs with an unclear diagnosis.
  9. If an aortic rupture is suspected, palpation is performed to detect a tumor with pulsation. In the lower extremities, vascular beating is completely absent.

Only a correctly made diagnosis during medical supervision of the patient’s condition in an outpatient or inpatient setting.

4. Treatment approaches

Medication assistance

Having made a diagnosis, doctors prescribe treatment that is aimed at eliminating symptoms. It should be comprehensive, combining therapeutic approaches with cardio areas.

  1. If a myocardial infarction occurs, the patient is admitted to the hospital. The first day is observed in the intensive care unit, where intensive coronary therapy is carried out. It provides timely nutrition to the heart muscles and eliminates thrombosis. The cause of a heart attack is blockage of blood vessels, when the outcome can be fatal. Gradually, the cells are deprived of nutrition and die. The larger the area affected, the less chance of survival. It is important to normalize the heart rhythm and monitor the general condition of organs and systems. Early medical intervention gives a chance to avoid disability and death.
  2. In cases of exacerbation of coronary artery disease, treatment is possible both in the hospital and at home. It all depends on the severity of the patient’s condition. Thrombolytic and antispasmodic drugs are prescribed when using drugs to nourish the heart muscles.
  3. When crises of hypertensive state or vegetative-vascular dystonia occur, doctors recommend antihypertensive drugs. In some cases, the dose may be excessive, which will lead to a worsening of the condition. Only an individual dosage will help avoid problems.
  4. In cases of neurogenic pain, sedatives are prescribed to stabilize the mental state and nervous system. Treatment is carried out at home, occasionally in the hospital in the neurological department.

In any case, if you experience nausea and pain in the abdomen, sternum, heart, or in the cervical and thoracic segments of the spine, you should consult a doctor.

Timeliness will give a chance for survival and continuation of an active life. All treatment takes place only under the supervision of a doctor until recovery.

Therapy at home

If nausea occurs suddenly or continues for more than 5 hours, then the patient can be offered folk remedies to alleviate the general condition.

  1. Call an ambulance, despite possible refusals of treatment.
  2. Drops of Corvalol, Valocordin, Valoserdin help eliminate the primary symptoms of pain.
  3. Not everyone is recommended to take Nitroglecyrin. It may make the condition worse.
  4. Offer plenty of fluids. Green tea with sugar and lemon helps.
  5. A decoction of calming herbs: valerian roots, lemon balm, peppermint, eucalyptus.
  6. If there are suspicions of problems in the gastrointestinal tract, chamomile and dill decoctions help.
  7. Apply cold ice or pieces of ice to your temples.
  8. Provide fresh air flow. The patient is placed on high pillows and a window or window is opened.
  9. Wet a cotton swab or swab with ammonia and apply it and let it sniff periodically.
  10. You cannot make sudden movements. Only complete rest will ensure stabilization in the functioning of the body and internal systems.
  11. Refrain from eating food until the cause of the pathological manifestations is determined.

You should not use alcoholic beverages. The advice to “drink a glass” of cognac or vodka can only aggravate the situation and lead to a quick death. A sharp dilation of blood vessels under the influence of ethyl alcohol will completely disrupt homeostasis. The critical condition will worsen and a new attack will occur.

5. Preventive measures

Patients who are at risk should be aware of the degree of independent responsibility for life and their health.

  • know and regularly measure blood sugar and cholesterol levels;
  • if you have a lot of body weight, achieve weight loss;
  • take antihypertensive medications on time as prescribed by your therapist or cardiologist;
  • avoid unnecessary emotional overload and physical stress;
  • regulate sleep, which should last at least 8 hours;
  • Take daily walks in the fresh air, which provides an influx of oxygen and has a positive effect on well-being.

Strengthening muscles and blood vessels is the main task. Nutritional therapy and regular exercise help with this. The complexes are selected individually, which depends on the degree of vascular damage, muscle function and strength, general condition, and the patient’s mood for recovery.

It is important to use the possibilities of herbal medicine, which will help solve problems, strengthen the immune system, and fill the body with glycoside vitamins.

If you pay close attention to yourself, the prognosis can be favorable. Timely examination and observation by therapists gives a chance to achieve full health. Neglecting the rules of behavior, which will provoke the risk of cardiovascular disease, can lead to irreparable consequences.

To summarize, pain and nausea are signs of many diseases.

The following can distinguish a dangerous condition in diseases of the heart and blood vessels:

  • the pain arose suddenly, may be sharp, aching, pulling;
  • nausea is not associated with food intake, accompanied by the urge to vomit, which does not bring relief;
  • there are sharp sensations of squeezing in the chest;
  • it is difficult to breathe in and out, to make movements;
  • the skin changed color and became different shades;
  • within a quarter of an hour the symptoms do not go away, despite taking medications and first aid.

Only a medical specialist can make the correct diagnosis. He will prescribe treatment and advise methods of preventing illnesses.

What to do if you have nausea accompanied by heart pain?

In some cases, heart disease can occur without symptoms for a long period. However, most patients with cardiac pathology immediately notice pain in the chest and in the heart area, periodic cephalalgia or dizziness, weakness or shortness of breath. Nausea with the urge to vomit often appears, which causes severe discomfort and thereby aggravates the general condition. These manifestations may indicate various pathologies, and therefore, if nausea and heart pain occur, you should immediately consult a doctor for examination and identify the cause of the symptoms.

Why can nausea occur with cardialgia?

Complaints that the heart hurts and feel sick indicate a pathology of the cardiovascular or nervous system. The appearance of such symptoms can be caused by many factors. The mechanism of nausea and vomiting is the same. The human brain has a vomiting center. Anatomically, it is located in the medulla oblongata, near the respiratory, vasomotor and autonomic centers, and is closely connected with them. Changes in the frequency and rhythm of breathing, increased salivation, increased heart rate and pain in the heart provoke irritation of the vomiting center and precede nausea. The stimulating effect on the vomiting center is exerted by irritation of internal receptors, which occurs when:

Medicines whose metabolites have a stimulating effect on the cells of the vomiting center can also cause nausea. Cardialgia, heart pain in the left half of the chest or in the armpit area may signal one of the diseases of the cardiovascular system, which is characterized by a combination of symptoms of aching pain in the heart and nausea.

What pathologies of the cardiovascular system need to be excluded?

Most often, nausea is accompanied by an unpleasant feeling of discomfort in the epigastric region, stomach or esophagus, and a desire to vomit. Some patients note that they feel dizzy and have heart pain. Nausea can be a sign of diseases of various origins and only a doctor can determine the cause. To avoid making an incorrect diagnosis, the entire range of symptoms and complaints of the patient is taken into account. Below is a list of diseases in which the leading symptom is nausea and cardialgia:

  1. Hypertension and persistent increase in blood pressure over 150/100 mm. Hg Art., in which severe nausea or vomiting appears at the peak of pressure, dizziness, a feeling of noise in the head and ears.
  2. Hypertensive crisis. With a sharp increase in pressure, severe nausea appears, salivation and weakness in the lower extremities increase, sweating or numbness in the palms, perspiration and sweating on the face, noise and ringing in the head and ears.
  3. An attack of angina and chest pain of varying intensity may be accompanied by weakness, sweating, discomfort in the chest and stomach, mild nausea, fatigue and discomfort in the epigastric region.
  4. Acute coronary syndrome. The appearance of severe nausea long before a painful attack is typical, with a feeling of constriction in the chest, rapid breathing, a feeling of lack of air, an attack of panic and fear of death.
  5. Acute myocardial infarction. In rare cases, sharp pain and cramps in the stomach first appear, which is accompanied by sweating and severe vomiting, regardless of food intake.
  6. A heart rhythm disorder in which an irregular, rapid contraction of the heart and pulse is felt as trembling or fluttering in the sternum. Against the background of severe weakness, dizziness and sweating, salivation may increase, nausea and vomiting of food eaten the day before may appear.
  7. Compensated heart failure, which causes constant fatigue, loss of strength, headaches and periodic nausea.
  8. Chronic heart failure in the stage of decompensation. Persistent deterioration of the condition is accompanied by an increase in impotence, shortness of breath, swelling, constant nausea and aching pain in the heart area.
  9. Myocarditis against the background of ARVI. In the acute phase of the disease, severe shortness of breath, a feeling of tightness in the chest with a lack of air, nausea with periodic vomiting and chills, aggravated by an increase in body temperature, are disturbing.
  10. Poisoning with cardiac drugs from the group of cardiac glycosides or acetylsalicylic acid. Nagging pain in the heart and dizziness, hand tremors, nausea and vomiting occur with an overdose of these medications.

Tactics for helping a patient with nausea or vomiting due to heart pain

Similar symptoms may appear due to poisoning, a psychosomatic disorder, or signal cardiac pathology. If nausea and cardialgia occur, you must:

  1. Calm down, take a calm, comfortable position, remove excess clothing and normalize your breathing.
  2. If you experience pain in the heart, a feeling of strong heartbeat, lack of air, headache, nausea and vomiting, you should call an ambulance.
  3. While waiting for a doctor, you should not take medications on your own.
  4. As first aid, you can apply a cool compress to the forehead and face, ventilate the room, and give the patient water to drink.
  5. Pregnant women should be especially careful about their condition; if alarming symptoms appear, they should immediately contact an obstetrician-gynecologist.

conclusions

Many factors can trigger nausea and heart pain. These symptoms may indicate both cardiac pathology and a disorder of the autonomic nervous system, a psychosomatic disorder or food poisoning. To identify the exact cause and prescribe effective treatment for nausea and cardialgia, you should contact a cardiologist or therapist.

Reviews and comments

Any use of site materials is permitted only with the consent of the portal editors and by installing an active link to the source.

The information published on the site is intended for informational purposes only and in no way calls for independent diagnosis and treatment. To make informed decisions about treatment and medications, consultation with a qualified physician is required. The information posted on the site is obtained from open sources. The portal's editors are not responsible for its accuracy.

Are nausea and vomiting symptoms of serious cardiovascular diseases or harmless functional disorders?

Nausea and vomiting are extremely negative manifestations that arise in connection with specific abnormal conditions or pathologies of the body. And today we will talk about how nausea and vomiting manifests itself in heart disease: heart attack, arrhythmia, myocardial infarction, heart failure and others.

What are nausea and vomiting

Nausea is manifested by an unpleasant feeling of emptiness in the stomach and a wave of lightheadedness approaching the oral cavity, and a pressing pain in the head often occurs. Unpleasant sensations develop and increase in the stomach and esophagus. Nausea is often accompanied by vomiting - a sudden, painful and often repeated - spasm of the stomach and the release of food masses treated with hydrochloric acid through the mouth.

Nausea and vomiting are so pronounced and cause so much discomfort and unpleasant sensations that it is not difficult to detect them in yourself. These are obvious symptoms. Symptoms of nausea and vomiting may also sometimes be accompanied by dizziness, headache or pain in the heart area and fever - it all depends on the specific case.

Experts will tell you what nausea and vomiting are and why they are dangerous in the video below:

Types of symptoms

Often, manifestations of nausea and vomiting are symptoms of internal diseases that are not detected or treated in time, or acute conditions in which immediate medical attention is urgently needed. As a rule, vomit consists of semi-digested products, the mucous contents of the stomach. Vomiting of bitter bile is usually a sign of exacerbation of cholecystitis, pancreatitis. The so-called “fecal vomiting” accompanies intestinal obstruction.

Usually, nausea and vomiting do not appear separately, but in combination with other unhealthy manifestations:

  • pain or cramps in the stomach and/or intestines;
  • darkening of the eyes;
  • severe weakness;
  • increased heart rate, perspiration, severe sweating;
  • copious amounts of saliva with a sour or bitter taste in the mouth;
  • belching, diarrhea, increased gas formation;
  • muscle pain, skin soreness (with severe intoxication);
  • dizziness, fever and chills;
  • pain in the back of the head, squeezing pain in the head;
  • yellowness of the skin, sclera.

We will discuss below the causes of nausea and vomiting in adults and children with heart disease.

What diseases may this symptom indicate?

Cardiogenic diseases

Heart pathologies, in addition to chest pain, are often accompanied by nausea and even paroxysmal vomiting. This is an alarming symptom of life-threatening problems in the function or structure of the heart. These include the following:

Insufficiency of the pumping function of the heart

Very often accompanied by nausea, flatulence, constipation, paroxysmal vomiting and other symptoms of dyspepsia. This happens due to the following reasons:

  1. Dysfunction of the digestive organs of varying degrees due to hypoxia (oxygen deficiency in tissues) and reflex influences.
  2. An abnormal change in the structure of the myocardial muscle tissue, a decrease in heart function, which leads to an increase in intracardiac pressure, tissue swelling in the chest and peritoneum, and nausea.
  3. Often, nausea and vomiting with weak heart activity manifests itself as a side effect of the drugs used in therapy (aspirin, cardiac glycosides).

Myocardial infarction

In addition to the regular appearance of a burning sensation and sharp pain attacks in the heart, sometimes a painful feeling of nausea develops just before a heart attack. The symptom is quite characteristic of the acute development of such a disorder in the myocardium. High blood pressure and tachycardia are replaced by a sharp drop in pressure, increasing shortness of breath, nausea and vomiting attacks, together with a feeling of incomprehensible fear and “dagger” pain in the chest.

Abdominal (gastric) infarction is characterized by spasmodic or cutting pain in the epigastric region with nausea and vomiting. It absolutely masks the true cause of pain in the heart, “mimics” it as digestive problems. Pain occurs only in the stomach area along with lightheadedness, creating the false impression that these are signs of poisoning from spoiled foods or a regular attack of gastritis.

Specifics of pain and nausea in this type of heart attack:

  1. The pain appears suddenly, which is typical for gastritis, ulcers of the digestive organs, food poisoning, and develops quickly, increasing to extremely pronounced sensations.
  2. The pain begins without any connection with the consumption of foods, and an attack of vomiting does not give the patient relief.
  3. Typically, people with this type of attack have had multiple episodes of angina before.

More often, “gastric infarction” affects women (not always, and this must be taken into account for men). The diaphragm in the female body is located slightly higher than in men. The lower segment of the heart is in contact with the diaphragm and is closer to the stomach, causing a feeling of pressure, pain and nausea in this area. Often these sensations are accompanied by panic and fear, but the real state of affairs and confirmation of the diagnosis of a heart attack are determined only by electrocardiography.

With a typical heart attack, the patient feels a burning pain in the heart, numbness in the arm, radiating pain in the jaw, shoulder, and shoulder blade, but these are standard symptoms. Often, nausea is the only symptom of a painless pathology, which is manifested by many atypical symptoms. More often this concerns women, whose heart attack is sometimes almost asymptomatic.

This video will tell you which diseases are most often accompanied by vomiting and nausea:

Digestive organs

General information

Nausea and vomiting often reflect the external manifestation of the following painful conditions of the digestive tract:

  • acute forms of diseases requiring immediate hospitalization and surgical treatment: appendicitis, pancreatitis, blockage of bile ducts with stones;
  • peritonitis, intestinal obstruction, bleeding during perforation of ulceration of the intestines and stomach, cholecystitis.

In these acute conditions, not just nausea and vomiting develop, but a whole complex of symptoms, where the main one is pain.

  • chronic pathologies: gastritis, gastroesophagitis with periodic heartburn, gallstones, hiatal hernia in the esophagus, enterocolitis, stomach and intestinal ulcers, duodenitis;
  • hepatitis, liver cirrhosis;
  • immunity to certain products (allergies);
  • gastroparesis (dysfunction of muscle contractions);
  • dyskinesia of the bile ducts (especially often in childhood and adolescence when there is a large amount of fat in the diet);
  • inflammatory processes in the intestines, including Crohn's disease, ulcerative colitis, irritable bowel;
  • diverticulum in the esophagus, intestines;
  • tumors of various origins;
  • defects of the digestive system: stenosis (narrowing) of the lumen of the esophagus or gastric pylorus, atresia of the digestive tract (fusion of the canals);
  • food poisoning, helminthiasis, viral gastroenteritis;
  • foreign objects that have entered the digestive organs
  • diverticulum or neoplasms of the esophagus, stomach, intestines.

Individual states

For certain painful conditions, the characteristics of nausea and vomiting are not the same and differ in intensity, frequency of vomiting attacks, duration, and specificity of vomit.

  • Gastritis with low acidity is often accompanied by unpleasant nausea, independent of the type of food, but not vomiting. The peculiarity is that it increases after eating (but not always). More often, the symptom worries patients suffering from a complex of diseases, for example, gastritis and cholecystitis or pancreatitis.
  • The combination of nausea and vomiting is more common in patients with abnormally active secretion of gastric juice or those suffering from “ulcers”. A high concentration of hydrochloric acid corrodes the mucous membrane, and vomiting is the only way that helps remove contents from the stomach and bring relief. In peptic ulcers, vomited food has a sour odor.
  • With intestinal inflammation, vomiting usually occurs during exacerbation, signaling the progression of the disease.
  • In pathologies of the gallbladder and liver, attacks of nausea and vomiting almost always appear in combination with other symptoms characteristic of these diseases: bitter taste in the mouth, beer-like urine, lightened feces, itching of the skin caused by the activity of liver enzymes, yellow tint of the skin and sclera of the eyes .

Other pathologies

In addition to diseases of the heart and digestive organs, symptoms of nausea and vomiting are very often present in severe pathological conditions of the nervous system and are observed in the following diseases:

  • intracranial neoplasm;
  • Brain injuries, including swelling, contusion, concussion and compression;
  • Brain infections - encephalitis, meningitis;
  • neurosyphilis and HIV;
  • borreliosis;
  • poisons secreted by staphylococci, enteroviruses, streptococci, salmonella, E. coli, Vibrio cholerae, clostridia;
  • diabetes,
  • high intracranial and blood pressure;
  • poor kidney function, kidney stones;
  • pathologies of the inner ear - Meniere's disease or labyrinthitis;
  • diseases associated with the endocrine system: hypothyroidism, phenylketonuria and ketoacidosis (with a high risk of coma), thyrotoxicosis, adrenal dysfunction;
  • acute poisoning, cerebral hemorrhage, sepsis;
  • nausea is a constant “companion” of patients who undergo radiation and chemotherapy for cancer.

Read below about the treatment options for nausea and vomiting.

If no problems are identified

Nausea and vomiting can be non-dangerous functional states, that is, they are the body’s response to a stressful situation, an extremely unpleasant pungent odor, or prolonged nervous tension. In this case, a serious illness that can provoke nausea or vomiting is not detected.

Possible causative factors independent of any pathologies:

  • motion sickness in vehicles or on water (kinetosis);
  • overeating, high fat diet;
  • negative side effect from medications;
  • penetration into the body of toxins from spoiled foods, fumes, chemicals;
  • psychogenic nausea with fear, nervousness, strong psycho-emotional stress;
  • the period of bearing a child (nausea, as a rule, disappears by the beginning of the 2nd trimester);
  • overheating (hyperthermia), sunstroke;
  • severe migraine.

How to deal with them

General rules

Symptoms of nausea and bouts of vomiting often signal minor or extremely dangerous disorders in the body. Therefore, before eliminating a symptom, it is worth analyzing the patient’s condition and all other abnormal manifestations.

Particular attention should be paid to nausea, which is accompanied by the following symptoms:

  • chest pain, cough (possible heart attack, pulmonary embolism);
  • black stool, blood in stool and vomit (internal bleeding, perforation of an ulcer, intestinal perforation);
  • any acute pain in the abdomen (acute inflammation of the peritoneum or digestive organs, termination of pregnancy);
  • vomiting and nausea in the 2nd – 3rd trimester often warn of a sharp rise in blood pressure and the possible development of preeclampsia, which threatens the life of the fetus and mother, treatment of which is carried out only in an obstetric hospital;
  • heavy or shallow breathing, fainting, rapid pulse (myocardial failure, pulmonary pathologies, asthma);
  • impairment of consciousness (coma due to hypoglycemia and other severe conditions)
  • temperature above 38.5 C (inflammation of various organs, systems, tissues, infection, blood poisoning);
  • intense headache, rigidity (stiffness, inflexibility) of the neck muscles;
  • pronounced pallor, profuse sweat, cold and sticky, fear of death, panic.

The appearance of these signs, along with nausea or vomiting, warns of the onset of life-threatening conditions, which require immediate consultation with a doctor, and sometimes a call to the resuscitation team.

  • In addition, consultation with a doctor is mandatory if nausea occurs after a head injury.
  • In the case of nausea, combined with chest pain of varying severity and other alarming symptoms, an accurate diagnosis is urgently needed to identify the cause. For example, to relieve nausea due to disorders of the heart and vascular function, medications are required to lower blood pressure, improve heart function, vascular condition, and blood properties.
  • Treatment of autonomic vascular disorders usually includes the complex use of sedatives, antidepressants, and sometimes tranquilizers, which also relieve the feeling of nausea.
  • In case of a heart attack, relieving the symptom of nausea or stopping vomiting attacks is impossible without active inpatient therapy, which depends on the degree of damage to the heart muscle. The time factor is extremely important here - cell restoration is possible if treatment begins as early as possible (the limit is 12 hours from the onset of the attack).

Only a pediatrician prescribes medications for nausea in a child. Following nausea, the child often begins to vomit, which threatens dehydration. Therefore, in case of sudden vomiting (repeated), especially in small children, with elevated temperature, diarrhea, parents should immediately call an ambulance.

  • If an acute intestinal pathology (intestinal perforation, appendicitis), brain injury, symptoms of irritation of the meninges or intestinal infection (for infants) is detected in a child, urgent hospitalization follows.
  • When vomiting in children, measures must be taken to restore the fluid and minerals that “gone” with the vomit. Use: Regidron, Hydrovit, 5% glucose in a ratio of 2 to 1. Within 6 hours, the baby should drink 100 ml of liquid per 1 kg of body weight (or 1 teaspoon of solution every 5 - 10 minutes). Then the child continues to drink in a volume of 100 ml per 1 kg of weight per 24 hours.

Medicines for nausea and vomiting

Common anti-nausea and vomiting medications are used for specific illnesses or conditions that they may help.

  • Thus, anti-nausea medications during pregnancy will not help eliminate nausea during a heart attack, hemorrhage, hypoglycemia, or internal bleeding. All medications have a fairly large number of contraindications; most are prohibited when carrying a baby due to the threat of abortion and danger to the development of the baby.
  • Many should not be taken by children, people suffering from glaucoma, high blood pressure, and in other cases that must be taken into account so as not to cause harm. Therefore, any listing of medications is a general overview.

An overview list of medications that relieve nausea for specific indications:

  • Aeron for motion sickness, Validol, Anestezin.
  • Cerucal (for radiation therapy, other pathologies).
  • Benzodiazepine tranquilizers alleviate fears, suppress the urge to vomit, eliminate nausea, calm after surgery: Rudotel, Seduxen, Relanium, Diazepam, Prazepam.
  • Pipolfen, Betaver, Betagistin, Betaserc, Vestibo, Vesical, Denoy, Betanorm, Tagista, Vazoserc, Betacentrin, Microzer, Bonin, Dimenhydrinate will help with labyrinthine disorders, dizziness, Meniere's disease.
  • Ciel, Dramamine, Aviamarin are also used for Meniere's syndrome, motion sickness, and vestibular disorders.
  • Vertigohel, a homeopathic drug Avia-Sea, is indicated for nausea during motion sickness in any transport.
  • Nitrofurans. In case of poisoning, the first choice drugs are medications that suppress vital activity and bind enteroviruses, bacteria that poison the body with poisons - Furazolidone, a cheap and effective drug that helps with vomiting and diarrhea. Besides it - Enterofuril, Stop-diar, Nifuraxazide.
  • Cerucal (metoclopramide), Riabal, No-Spasm (Prifinium Bromide), Motilium (domperidone), Buscopan are used directly for vomiting in gastric and intestinal disorders.
  • Zofran, Lotran, Tropisetron (Novoban, Tropindol), Domegan, Granisetron (Avomit, Kitril), Ondator, Ondansetron for nausea and vomiting in the treatment of cancer tumors and in the period after the use of general anesthesia.

During nausea and vomiting during pregnancy:

  • Kokkulin, Splenin, Chofitol;
  • Herbal preparations for calming with motherwort, lemon balm, calendula herbs.

Nausea and vomiting are so pronounced and cause so much discomfort and unpleasant sensations that it is not difficult to detect them in yourself. These are obvious symptoms. Symptoms of nausea and vomiting may also sometimes be accompanied by dizziness, headache or pain in the heart area and fever - it all depends on the specific case.

Nausea is manifested by an unpleasant feeling of emptiness in the stomach and a wave of lightheadedness approaching the oral cavity, and a pressing pain in the head often occurs. Unpleasant sensations develop and increase in the stomach and esophagus.

Heart palpitations and headaches are normal for growing children. It’s just that during the maturation of a teenager, the heart and blood vessels develop unevenly, which leads to ailments. Typically, such symptoms appear in very active and emotional children, and in calm and well-sleeping children, this deviation is less common. Once the child has stopped and calmed down, the pain usually goes away.

In adolescence, if a child has a stabbing heart, and these sensations radiate to the left side of the chest and armpit, then he most likely has vegetative-vascular dystonia.

If heart pain is observed during a period of influenza or ARVI, then parents should urgently consult a doctor, as this can lead to complications.

The appearance of arrhythmia, a rapid heartbeat of 90 beats or more, is tachycardia. In a healthy body, tachycardia occurs only under physical or strong emotional stress.

The occurrence of pathological tachycardia is a consequence of problems of the cardiovascular system. It is manifested by pulsation of blood vessels in the neck, dizziness and restlessness. The prolonged presence of this symptom leads to heart failure, sudden cardiac arrest, and heart attack.

Complaints that the heart hurts and feel sick indicate a pathology of the cardiovascular or nervous system. The appearance of such symptoms can be caused by many factors. The mechanism of nausea and vomiting is the same.

The human brain has a vomiting center. Anatomically, it is located in the medulla oblongata, near the respiratory, vasomotor and autonomic centers, and is closely connected with them. Changes in the frequency and rhythm of breathing, increased salivation, increased heart rate and pain in the heart provoke irritation of the vomiting center and precede nausea.

  • a sharp increase in blood and intracranial pressure;
  • heart rhythm disturbances;
  • lack of oxygen and reflex effect on the digestive organs during hypoxia;
  • increase in intracardiac pressure;
  • increased intra-abdominal pressure;
  • excessive stretching of the stomach walls by drinking a large amount of liquid or eating food.

Medicines whose metabolites have a stimulating effect on the cells of the vomiting center can also cause nausea. Cardialgia, heart pain in the left half of the chest or in the armpit area may signal one of the diseases of the cardiovascular system, which is characterized by a combination of symptoms of aching pain in the heart and nausea.

Heart pain and nausea in children

Anxiety symptoms in children arise due to the same factors. A child is diagnosed with a certain number of diagnoses more often than an adult.

  • The hearts of babies carry out a super-intensive blood supply. This occurs due to uneven growth of blood vessels and the organ itself. As a result, the heart area experiences pain.
  • Chest pain can occur in active children. The nature of the pain that comes as a result of physical activity. The child’s autonomic system is not fully formed and cannot cope with the load. Therefore, a child who often experiences symptoms should not do intense exercise.

The heart beats strongly and hurts only during physical activity. At rest it calms down.

The cause of pain may be vegetative dystonia. It is accompanied by stabbing pain in the chest. Parents should also pay attention to pain in the heart area that occurs after a cold. Unpleasant sensations may indicate the development of rheumatism or myocarditis.

Heart diseases: list and symptoms, treatment

Timely pre-medical and emergency medical care during an attack of myocardial infarction in most cases is the key to the patient’s successful recovery. It is the absence of such activities that often becomes the cause of death even for young people who have encountered this acute cardiac pathology.

Cardiologists recommend that all patients with coronary artery disease know the first signs of myocardial infarction and the rules for providing first aid. It is also important to know what treatment the patient will be prescribed in the hospital in order to prepare for a conversation with the attending physician and ask him the necessary and important questions.

The answer to this question is always clear – immediately. That is, already when the patient began to show the first signs of myocardial infarction. Its onset is signaled by the following typical symptoms:

  • intense chest pain;
  • irradiation of pain to the left arm, shoulder blade, teeth or neck area;
  • severe weakness;
  • fear of death and severe anxiety;
  • cold clammy sweat;
  • nausea.

With atypical forms of heart attack, the patient may experience other symptoms:

  • stomach ache;
  • digestive disorders;
  • vomit;
  • dyspnea;
  • suffocation, etc.

First aid in such situations should begin with calling an ambulance. When talking with the dispatcher of this service, you must:

  • report the symptoms observed in the patient;
  • express your assumption about the possibility of myocardial infarction;
  • ask to send a team of cardiologists or resuscitators.

After this, you can begin to carry out those activities that can be performed outside the medical institution.

First aid

  1. The patient must be carefully placed on his back and given the most comfortable position (semi-sitting or a cushion placed under the back of his head).
  2. Ensure a flow of fresh air and the most comfortable temperature conditions. Remove clothing that interferes with free breathing (tie, belt, etc.).
  3. Convince the patient to remain calm (especially if the patient exhibits signs of motor agitation). Talk to the victim in a calm and even tone, do not panic or make sudden movements.
  4. Give the patient a Nitroglycerin tablet under the tongue and a sedative (Corvalol, motherwort tincture or valerian).
  5. Measure blood pressure. If the pressure is not more than 130 mm. Hg Art., then it is advisable to re-take Nitroglycerin every five minutes. Before the doctors arrive, you can give 2-3 tablets of this drug. If the first dose of Nitroglycerin caused a severe throbbing headache, then the dosage should be reduced to ½ tablet. When using this drug in the form of a spray, its single dose should be 0.4 mg. If the patient's first dose of Nitroglycerin caused a sharp decrease in blood pressure, then this drug should not be used further.
  6. Give the patient a crushed Aspirin tablet (to thin the blood).
  7. Count the patient's pulse. If the heart rate is no more than 70 beats/minute and the patient does not suffer from bronchial asthma, then he can be given one of the beta blockers (for example, Atenolol 25-50 mg).
  8. You can put a mustard plaster on the area where the pain is located (remember to keep an eye on it so that there is no burn).

During the provision of first aid, the patient’s condition may be complicated by the following conditions:

  • fainting;
  • heart failure.

If fainting occurs, it is necessary to remain calm and ensure the normal functioning of the respiratory system. The patient must be placed in a horizontal position, a cushion placed under his shoulders and dentures (if any) removed from the mouth.

In case of cardiac arrest, artificial respiration and chest compressions must be performed before the medical team arrives. The frequency of compressions on the midline of the chest (heart area) should be 75-80 per minute, and the frequency of blowing air into the airways (mouth or nose) should be about 2 breaths every 30 compressions on the chest.

Emergency medical care for myocardial infarction begins with relief of acute pain. For this, various analgesics (Analgin) and narcotic drugs (Promedol, Morphine, Omnopon) in combination with Atropine and antihistamines (Diphenhydramine, Pipolfen, etc.) can be used.

Then, to assess the severity of the heart attack, the patient is given an electrocardiogram. If hospitalization is possible within half an hour, the patient is immediately transported to a medical facility. If it is impossible to transport the patient to the hospital within 30 minutes, thrombolytics (Alteplase, Purolase, Tenecteplase) are administered to restore coronary blood flow.

A stretcher is used to transfer the patient to the ambulance, and during transportation to the intensive care unit, humidified oxygen is inhaled. All these measures are aimed at reducing the load on the heart muscle and preventing complications.

After arrival at the intensive care unit, to eliminate pain and agitation, the patient is given neuroleptanalgesia with Talamonal or a mixture of Fentanyl and Droperidol. In case of a prolonged angioedema attack, the patient can be given inhalation anesthesia using a gaseous mixture of nitrous oxide and oxygen.

  1. Nitroglycerin, Isosorbide dinitrate, Isoket - in the acute period of a heart attack, these drugs are used to reduce the myocardial oxygen demand, first they are administered intravenously, and after stabilizing the patient's condition - orally and sublingually.
  2. Beta blockers (Anaprilin, Inderal, Obzidan, Propranolol) - help slow the heart rate and reduce the load on the heart.
  3. Antiplatelet agents (Aspirin) thin the blood and prevent the development of a new heart attack.
  4. Anticoagulants (Heparin) - used to prevent recurrent heart attacks and reduce blood clotting.
  5. ACE inhibitors (Ramipril, Captopril, Enalapril, etc.) are used to lower blood pressure and reduce the load on the heart.
  6. Sedative and hypnotic drugs (Diazepam, Oxazepam, Triazolam, Temazepam, etc.) are used when it is necessary to limit the patient’s activity and for sleep disorders.
  7. Antiarrhythmic drugs (Novocainamide, Rytmilen, Lidocaine, Difenin, Amiodarone, etc.) are used for cardiac arrhythmias to stabilize cardiac activity and reduce the load on the myocardium.

Other pharmacological drugs can be used to treat myocardial infarction, since the tactics of drug treatment of the patient depends on the general condition of the patient and the presence of other pathologies (diseases of the kidneys, blood vessels, liver, etc.).

Also, for the treatment of myocardial infarction, modern medicine uses various instrumental, highly effective techniques to restore coronary blood flow:

  • balloon angioplasty;
  • coronary artery bypass grafting.

Such surgical techniques allow patients with severe forms of myocardial infarction to avoid serious complications and prevent the high risk of mortality from this cardiac pathology.

All patients with myocardial infarction are advised to limit their physical activity, since this regime promotes faster replacement of the infarction area with scar tissue. In the first days, the patient must observe strict bed rest, and from 2-3 days, in the absence of complications and signs of heart failure, his motor regimen begins to gradually expand.

These days the patient can eat on his own. He also needs to be washed and cleaned, and he must use a bedpan to defecate (the use of a bedside toilet seat is permissible only with the permission of a doctor and only for patients with a stable heart rhythm).

Starting from 3-4 days, the patient is allowed to sit on a chair for about 30-60 minutes twice a day. In case of an uncomplicated heart attack, the patient is allowed to start walking between 3-5 days (this time is determined by the doctor). The time of such walking and the distances over which the patient moves increase gradually.

In an uncomplicated form of myocardial infarction, the patient is discharged from the hospital on days 7-12, and in complicated cases it can take place only after 3 weeks or more. In the future, the patient must undergo a course of rehabilitation, which can be performed in specialized institutions or at home.

In the first week after myocardial infarction, the patient is recommended to have a low-calorie diet with limited salt, animal fats, liquids, foods with nitrogenous substances, excessively coarse fiber and cholesterol.

In the first 7-8 days, all dishes should be pureed. Food is taken in small portions 6-7 times a day.

The diet may include the following foods and dishes:

  • wheat bread crackers;
  • semolina, oatmeal, buckwheat and rice cereals;
  • lean veal;
  • low-fat varieties of fish;
  • chicken meat;
  • protein steam omelette;
  • low-fat cheese;
  • fermented milk drinks;
  • butter;
  • salad of fresh grated carrots and apples;
  • vegetable soups;
  • boiled beets and cauliflower;
  • pureed fruit;
  • compotes and fruit drinks;
  • rosehip decoction;
  • weak tea;

During this period, the following foods and dishes are prohibited:

  • dough products (pancakes, donuts, cakes, pies);
  • smoked and marinated dishes;
  • pickles;
  • fried foods;
  • sausages;
  • fatty dairy products;
  • salty and spicy cheeses;
  • caviar;
  • fat meat;
  • boiled and fried eggs;
  • fish and mushroom broths;
  • pasta;
  • cooking fat;
  • mushrooms;
  • legumes;
  • sorrel;
  • turnip;
  • grape;
  • tomato juice;
  • spices;
  • chocolate;
  • natural coffe.

2-3 weeks after a heart attack, the patient is recommended the same set of products and list of restrictions, but the food may no longer be pureed, prepared without adding salt and taken about 5 times a day. Subsequently, the patient's diet expands.

  • reduction of physical activity;
  • diet (reducing the amount of water and salt consumed).
  • Dizziness and headaches can be localized in any part of the head: temporal, occipital or frontal. This may cause stomach pain, nausea, and loss of vision or hearing. These are signs of pathologies of different organs or even entire systems of the body.

    The main diseases with such symptoms include:

    • angina pectoris;
    • hypertensive crisis;
    • heart attack;
    • vegetative-vascular dystonia;
    • cardiac ischemia;
    • heart failure;
    • pneumonia or bronchitis in advanced form;
    • liver or pancreas diseases.

    With angina, the patient feels pain in the heart and tightness in the chest. Often this disease is accompanied by a change in skin color to pale, hands become cold, and sweat appears on the forehead.

    Hypertensive crisis is a disease in which there is a sharp rise in blood pressure. Symptoms: pressing and aching pain in the heart, dizziness and nausea with vomiting.

    Heart attack. Nausea, loss of consciousness, acute, “dagger” heart pain, shortness of breath, fainting, panic, trembling and weakness - these are all signs of a heart attack. It happens that a terrible attack does not manifest itself in any way, and only a feeling of nausea can signal it.

    There is another type of heart attack - gastric (abdominal) heart attack, to which women are more susceptible. In this case, the victim has severe pain in the stomach area, which hides the heart pain.

    The symptoms of a gastric infarction are somewhat different from the symptoms of a regular infarction and appear as follows:

    • the stomach suddenly begins to ache (with gastrointestinal diseases, the pain appears gradually);
    • pain increases quickly and reaches an extreme point;
    • pain does not depend on food intake;
    • vomiting does not improve the patient’s well-being;
    • Most likely, the victim had previously been diagnosed with angina pectoris.

    Heart attack

    Vegetative-vascular dystonia is an ambiguous disease; such a diagnosis is made only in our country. Abroad, this disease is not recognized, and dystonia is considered only a symptom of other ailments. If the autonomic nervous system does not function properly, the patient may not sleep at night and suffer from rapid heartbeat and pressure changes. Dizziness, heart pain and nausea also indicate this problem.

    The reasons for this condition are stress and changes in psycho-emotional stress. Complications of vegetative-vascular dystonia have not yet been identified, however, the disease should not be underestimated and it is better to consult a doctor, since VSD is associated with the state of the nervous system, and proper therapy will not cause harm.

    How to recognize VSD by indirect signs

    Coronary heart disease is a disease in which the heart does not receive the amount of blood necessary for normal functioning. In this case, the patient experiences abnormal heartbeat, shortness of breath, nausea and, as a result, vomiting, weakness and increased sweating, especially on the forehead. The patient may confuse the symptoms with gastrointestinal diseases, since the pain is similar to heartburn.

    With heart failure, a nagging pain in the heart area and nausea appear. The causes of the disease are caused by disturbances in the structure of the muscle tissue of the heart, increased pressure inside the chambers of the heart, stagnation of blood in the vessels and the development of pulmonary edema. This is why a person feels nauseous.

    Insufficiency of the pumping function of the heart can be expressed in constipation, flatulence and bouts of vomiting. The causes of the disease are as follows:

    • improper functioning of the digestive organs due to lack of oxygen;
    • overdose or improper use of medications.

    Pneumonia or bronchitis. Heart pain and nausea are a sign not only of diseases of the heart apparatus, but also of the lower parts of the human respiratory system. The pain appears due to a strong “clogging” cough.

    In this case, the patient complains of chills, severe cough, nausea, runny nose, fever and sweating. It is the temperature, runny nose and chills that indicate respiratory disease.

    Diseases of the liver or pancreas. In this case, the patient has pain in the heart area, he feels nauseous, but does not vomit. Unpleasant sensations may also be observed under the ribs. If the gallbladder does not work properly in the mouth, there is a feeling of bitterness in the mouth.

    Tachycardia is often accompanied by nausea, which reduces quality of life. Individually, these symptoms are not so critical, but if they occur simultaneously and for a long time, they can cause a serious illness.

    As the disease progresses, symptoms may appear gradually as the severity of the condition worsens. Sometimes there is an abrupt onset of clinical symptoms of heart disease and concomitant pathologies of other organs and systems.

    Man is an integral mechanism. This postulate helps to understand why heart pain, nausea and dizziness occur simultaneously. The heart hurts and the patient feels sick with the following diseases:

    • pathology of the cardiovascular system;
    • pulmonary diseases;
    • acute or chronic diseases of the pancreas;
    • inflammatory or toxic liver damage;
    • disorders of the digestive system, such as the stomach;
    • pathology of the vascular system and neurocirculatory regulation.

    Most often, heart pain, headache and nausea accompany the onset of cardiac pathologies.

    Among them are hypertension, coronary artery disease, and angina pectoris. The consequence of inadequate or insufficient treatment of these diseases is an emergency condition - myocardial infarction. This is an acute disorder of the blood supply to the heart muscle in a certain area, which leads to disruption of the heart.

    A heart attack can be diagnosed by severe pain. The patient has difficulty breathing, his vision becomes dark, his body temperature may rise, and his consciousness is confused. Acute cessation of blood circulation to the heart muscle becomes a consequence of insufficient treatment of organ pathologies or develops unexpectedly during a stressful situation.

    Pulmonary diseases

    Diseases of the respiratory system are often accompanied by heart pain, dizziness, nausea, and weakness. Among the most common conditions with similar symptoms are pneumonia, bronchitis, and bronchiolitis. The results of instrumental studies help make the correct diagnosis. This:

    1. Radiography;
    2. X-ray;
    3. Determination of the physiological possibility of breathing;
    4. Cardiogram.

    Why is it necessary to conduct a full examination if a pulmonary origin of pain in the cardiac region is suspected? An X-ray picture of the organs of the chest cavity will help to identify the presence of not only pathological changes in the lungs or bronchi, but also to establish the boundaries of the main motor that promotes blood and the parameters of its operation.

    Digestive organs

    Pancreatitis, hepatitis, even peptic ulcer of the duodenum and stomach can masquerade as cardiac pathologies due to aching pain in the heart and nausea. The mechanism of the phenomenon is well known to physiologists.

    Inflammation of the digestive organs causes irritation of the vagus nerve, which provokes signs of a clinical picture of heart damage.

    There is pain behind the sternum bone, tingling on the left side of the chest. There is abdominal tension upon palpation, vomiting occurs, and may be accompanied by diarrhea.

    In the chronic course of vascular pathologies and regulation of blood flow, the patient is bothered by severe pain in the head and tinnitus. Insufficient blood flow and weakness of the vascular wall lead to hunger of the heart muscle, intense heartbeat, nagging pain in the heart, and dizziness.

    As mentioned above, not only pathologies of this organ can cause heart pain. The close interaction and location of the heart next to the lungs, mediastinal and digestive systems can often mask their diseases as pain in the heart area.

    Diseases of the lungs or bronchi can manifest as painful sensations that can be mistaken for pain in the heart. It must be taken into account that pulmonary problems are accompanied by additional symptoms: cough, choking, fatigue, increased sweating, especially at night.

    Irritation of the vagal (vagus) nerve occurs due to the development of a focus of inflammation in the liver and pancreas. This phenomenon leads to dull or acute pain in the heart area and chest area.

    This sensation can radiate under the shoulder blade, into the back, which increases the resemblance to a heart attack or angina pectoris. Nausea and sometimes vomiting accompany the onset of a painful attack or the immediate attack of pain.

    Insufficient blood supply to the muscles of the heart and lungs during vegetative-vascular dystonia provokes rapid fatigue of muscle fibers. The small volume of air entering the respiratory tract leads to oxygen starvation of the brain structures, so pain in the heart area is accompanied by dizziness, nausea, and sometimes convulsions of central origin.

    The pain that occurs in the heart area makes everyone who experiences it worry. This is an alarming symptom of very life-threatening diseases. Sometimes heart pain and nausea occur at the same time.

    It is necessary to clearly understand that pain in the heart and nausea are, first of all, alarming signals that make it clear to a person that vital organs are in serious danger, and the current situation requires the use of immediate measures.

    Nausea and chest pain can appear simultaneously if several pathologies occur at once: cardiovascular and gastrointestinal tract. However, most often pain and nausea have the following causes:

    • vegetative-vascular dystonia;
    • heart failure;
    • pneumonia, bronchitis;
    • hypertensive crisis;
  • vegetative-vascular dystonia;
  • heart attack (myocardial infarction);
  • pneumonia, bronchitis;
  • hypertensive crisis;
  • diseases of the liver, pancreas.
  • Left ventricular failure: causes, forms, signs, diagnosis, help, therapy

    Before visiting a doctor, it is worth writing down the parameters of the malaise: the duration and frequency of attacks, when they appear, how you feel after. All information will help the doctor more accurately understand the nature of the disease. To make a diagnosis, the doctor conducts a series of studies:

    • hormone analysis to determine the functioning of the thyroid gland;
    • Analysis of urine;
    • blood pressure measurement;
    • general blood analysis.

    If the results are ambiguous, hardware diagnostics are prescribed:

    • ECG and ultrasound of the heart to monitor heart contractions;
    • echocardiography to study the valvular apparatus of the heart;
    • chest x-ray to examine internal organs;
    • research of the cardiovascular system.

    When considering the causes of discomfort in the abdominal area, the doctor must assess the general condition of the patient.

    Features of differential diagnosis for the gastralgic form of infarction and coronary insufficiency involve the exclusion of diseases associated with the abdominal organs.

  • presence of pain in the chest area and below;
  • hyperesthesia of the skin in the area of ​​the atria, clavicle and shoulder on the left;
  • nausea that is not caused by eating;
  • gag reflexes, belching;
  • probable shock or collapse.
  • In some diseases of the gastrointestinal tract (cholecystitis, stomach ulcers, duodenal ulcers), the pain is similar, but the heart rate is the same. Blood pressure remains within normal limits, but can sometimes be elevated.

    There are often cases of concomitant diseases, when diagnosis is difficult.

  • insomnia;
  • anxious thoughts;
  • increased emotionality;
  • discomfort.
  • The doctor prescribes procedures that will help distinguish accompanying signs from leading ones.

    Folk remedies for treating heart disease

  • nitrates;
  • diuretics.
  • Unfortunately, it is currently impossible to completely eliminate this disease. Treatment methods are used to prevent the development of complications, including heart attack and slow the progression of coronary artery disease.

    Differences between heart pain and others

    Burning and painful sensations of a squeezing nature always raise the idea of ​​a heart problem. Experts note some differences between non-cardiogenic pain and cardiac pain.

    Non-cardiogenic

    An unpleasant symptom is not associated with organ pathologies and is characterized by:

    • Stinging feelings.
    • Pain radiating to the left arm when coughing.
    • Unpleasant sensations cause sudden movement.
    • Nitroglycerin is not effective.
    • They are permanent.

    Heartfelt

    Pain as a result of cardiac pathologies manifests itself as follows:

    • It feels heavy.
    • Periodic burning sensation in the heart area.
    • The sensations are of a compressive nature.
    • Appear spontaneously.
    • Feelings of discomfort subside by taking nitroglycerin.

    To prevent relapses, you need to strictly monitor your lifestyle. Strong coffee and alcohol are not foods for people suffering from heart disease.

    If you experience any discomfort, especially in the area of ​​the main organ, you should consult a doctor. Only an experienced specialist will be able to make the correct diagnosis and prescribe the correct therapy.

    Types of symptoms

    Often, manifestations of nausea and vomiting are symptoms of internal diseases that are not detected or treated in time, or acute conditions in which immediate medical attention is urgently needed. As a rule, vomit consists of semi-digested products, the mucous contents of the stomach.

    The main complication of vomiting, which is especially difficult for children, is dehydration caused by massive loss of fluid, sugars and mineral salts.

  • darkening of the eyes;
  • severe weakness;
  • dizziness. fever and chills;
  • yellowness of the skin, sclera.
  • We will discuss below the causes of nausea and vomiting in adults and children with heart disease.

    Often, manifestations of nausea and vomiting are symptoms of internal diseases that are not detected or treated in time, or acute conditions in which immediate medical attention is urgently needed. As a rule, vomit consists of semi-digested products, the mucous contents of the stomach.

    • pain or cramps in the stomach and/or intestines;
    • darkening of the eyes;
    • severe weakness;
    • increased heart rate, perspiration, severe sweating;
    • copious amounts of saliva with a sour or bitter taste in the mouth;
    • belching, diarrhea, increased gas formation;
    • muscle pain, skin soreness (with severe intoxication);
    • dizziness, fever and chills;
    • pain in the back of the head, squeezing pain in the head;
    • yellowness of the skin, sclera.

    It should be remembered that very often even major diseases of the cardiovascular system do not make themselves felt for years. Therefore, pay attention to the risk factors for their development:

    • Smoking, alcohol.
    • Emotional and physical stress.
    • Lack of sufficient physical activity.
    • Excessive consumption of fats and salt.
    • Age (usually elderly), gender (usually men).

    If you fall into a risk group, this is already a reason to consult a cardiologist, even without visible symptoms. Remember that a healthy lifestyle helps prevent the development of many heart diseases. Cardiovascular diseases are a striking example of how our habits shape our general condition and can prolong life.

    If you have any of the following symptoms of cardiovascular diseases, you should undergo an examination as quickly as possible:

    • Pain in the heart area.
    • Dyspnea.
    • Swelling of the legs.
    • Insomnia or drowsiness.
    • Palpitations, irregular heart rhythm.
  • Frequent pulse and heartbeat. This condition is normally observed during physical activity, anxiety, fear or excitement. But if arrhythmia occurs daily or even several times a day for no apparent reason, get examined by a specialist.
  • Dyspnea – difficulty breathing, feeling of lack of air. This symptom occurs in 90% of people suffering from one or another heart disease.
  • Dizziness, nausea, loss of consciousness, sweating, swelling. Such signs appear regularly in some patients, while in others they are completely absent.
  • It is worth noting the fact that people often do not pay attention to most of the body’s signals. In addition, there is not always a pronounced pain syndrome of a particular heart disease. The list and symptoms are individual in each case.

    This is how diseases that indicate pathology of the gastrointestinal tract or heart function manifest themselves. In some cases they are combined.

    At the time of the onset of a hypertensive crisis, the patient experiences headaches of a compressive nature in the forehead, back of the head, and temples. Nausea and vomiting do not bring relief.

    The disease is often accompanied by chest pain and dizziness, which indicates spasm of the blood vessels in the brain.

  • swelling in the peritoneum, on the lower extremities;
  • intracardiac pain;
  • changes in the anatomical structure of the heart.
  • acute pain in the scapula, epigastrium;
  • when palpating the pulse, tachycardia is noticeable;
  • external examination reveals cold sweat appearing on the forehead, changes in the shades of the skin, mosaic phenomena;
  • subjective sensations of lack of air, inability to take a full breath;
  • feeling of fear, darkening of the eyes, loss of consciousness.
  • Nausea and burning sensation in the chest are warning signs of myocardial infarction. Sometimes the patient does not feel other symptoms, assuming that the symptoms will go away on their own, attributing them to changes in atmospheric pressure, poor sleep, and the like. In fact, the condition requires immediate hospitalization in a hospital setting.

    During attacks of vegetative-vascular dystonia, characteristic pain in the head and heart appears. They are associated with emotional stress. Vomiting brings minor relief. There is instability in pressure for several hours.

    Nausea and vomiting are extremely negative manifestations that arise in connection with specific abnormal conditions or pathologies of the body. And today we will talk about how nausea and vomiting manifests itself in heart disease: heart attack, arrhythmia, myocardial infarction, heart failure and others.

  • severe weakness;
  • Fatigue and fatigue. Unfortunately, this symptom occurs in almost every second person living in a metropolis. It is unlikely that anyone will pay attention to such a slight ailment. But if such a condition was not previously normal for you, but appeared completely unexpectedly and lasted for a long time, this is a serious reason for concern about your heart health.
  • Chest pain is often a warning of an impending heart attack. The symptom has various manifestations: the pain can be sharp, short-term or long-term “squeezing”, there are feelings of heaviness and stiffness in the chest. Unpleasant sensations may spread to the shoulder girdle, left arm or leg.
  • Dizziness, nausea and heart pain can be symptoms of both gastrointestinal and heart diseases. That is why you need to carefully consider this issue in order to be able to take action in time and restore your health.

    The combination of symptoms described is similar to signs of poisoning. These include:

    • nausea;
    • vomiting, which may contain blood clots;
    • sharp pain, especially in the upper abdomen;
    • headache;
    • feeling of squeezing in the chest.

    That is why the patient tries to remember all his recent meals in order to confirm the diagnosis. However, these signals may indicate another, more serious disease.

    Possible localization of pain in heart disease

    Heart failure is most often associated with other diseases in a person. The most common cause of heart failure is coronary artery disease, which is a disorder that causes narrowing of the arteries that supply blood and oxygen to the heart. Other conditions that may increase your risk of developing heart failure include:

    • cardiomyopathy, which is a disorder of the heart muscle that causes the heart to weaken;
    • congenital heart defect;
    • heart attack;
    • heart and vascular disease;
    • certain types of arrhythmias or irregular heart rhythms;
    • high blood pressure;
    • emphysema, chronic obstructive pulmonary disease;
    • diabetes;
    • an overactive or underactive thyroid gland;
    • AIDS;
    • severe forms of anemia are a deficiency of red blood cells;
    • some cancer treatments such as chemotherapy;
    • drug or alcohol abuse.

    Symptoms

    The first signs of heart failure syndrome appear in the presence of congestive processes in the systemic or pulmonary circulation, as well as with reduced myocardial contractility. The occurrence of these pathological conditions is possible as a result of organic damage to individual parts of the heart and blood vessels (for example, with progressive atherosclerosis of the coronary arteries and other heart diseases).

    You should pay attention to the following symptoms:

    • constant lethargy, apathy;
    • sleep disturbance in a supine position;
    • blue discoloration of the nasolabial triangle;
    • dyspnea;
    • wheezing when inhaling and exhaling;
    • sudden weight gain;
    • loss of appetite;
    • persistent cough;
    • irregular pulse;
    • cardiopalmus;
    • bloating;
    • ragged breathing.

    If one or more of the above symptoms are detected, it is necessary to urgently show a doctor to confirm or deny the presence of abnormalities in the functioning of the cardiovascular system. If cough and wheezing are left untreated for a long time, there is a high risk of rupture of the walls of the left ventricle, which can lead to pulmonary edema and cardiogenic shock.

    Heart failure: causes, symptoms, treatment and prevention

    Patients who are at risk should be aware of the degree of independent responsibility for life and their health.

  • know and regularly measure blood sugar and cholesterol levels;
  • if you have a lot of body weight, achieve weight loss;
  • take antihypertensive medications on time as prescribed by your therapist or cardiologist;
  • avoid unnecessary emotional overload and physical stress;
  • regulate sleep, which should last at least 8 hours;
  • Take daily walks in the fresh air, which provides an influx of oxygen and has a positive effect on well-being.
  • Strengthening muscles and blood vessels is the main task. Nutritional therapy and regular exercise help with this. The complexes are selected individually, which depends on the degree of vascular damage, muscle function and strength, general condition, and the patient’s mood for recovery.

    It is important to use the possibilities of herbal medicine, which will help solve problems, strengthen the immune system, and fill the body with glycoside vitamins.

    If you pay close attention to yourself, the prognosis can be favorable. Timely examination and observation by therapists gives a chance to achieve full health. Neglecting the rules of behavior, which will provoke the risk of cardiovascular disease, can lead to irreparable consequences.

    To summarize, pain and nausea are signs of many diseases.

  • the pain arose suddenly, may be sharp, aching, pulling;
  • nausea is not associated with food intake, accompanied by the urge to vomit, which does not bring relief;
  • there are sharp sensations of squeezing in the chest;
  • it is difficult to breathe in and out, to make movements;
  • the skin changed color and became different shades;
  • 1. What is it?

    One of the symptoms of cardiovascular diseases is nausea, which is often accompanied by vomiting, even bleeding.

    A patient who has encountered such a problem for the first time will first think about digestive disorders, which is quite logical. He begins to remember meals, possible poisoning from low-quality products.

    The patient develops the following symptoms:

    • acute pain, which is compared to the feeling of severe cutting;
    • the symptom is characteristic of the upper abdomen;
    • Nausea appears, turning into vomiting.
    • There is a feeling of compression in the upper part of the body in the thoracic spine on the left.

    This condition is preceded by a sharp deterioration in health, paleness of the skin and a change in the shade of the nasolabial triangle. The patient complains of short-term loss of consciousness, attention, and thinking.

    Having called the emergency room due to the listed signs, the sick person is hospitalized in general therapy or the infectious diseases department, taking into account signs of exacerbation of diseases of the gastrointestinal tract and acute poisoning. Only timely diagnosis allows one to determine the true cause of nausea and vomiting. Sometimes the provoking factors are a combination of diseases of the digestive system and heart.

    The doctor needs to rule out pneumonia and cold symptoms. Sometimes a painful cough and attacks of spasms affect the functioning of blood vessels.

    2. Causes of symptoms and disease

    Pain, discomfort, including nausea in the upper abdomen, especially on the left, are sure signs of a disruption in the normal functioning of organs. They are often accompanied by mental states of fear and depression. The pain can be so severe that it does not allow you to make normal movements or be active.

    This is how diseases that indicate pathology of the gastrointestinal tract or heart function manifest themselves. In some cases they are combined.

    The list of symptomatic pictures includes diseases:

    At the time of the onset of a hypertensive crisis, the patient experiences headaches of a compressive nature in the forehead, back of the head, and temples. Nausea and vomiting do not bring relief.

    The disease is often accompanied by chest pain and dizziness, which indicates spasm of the blood vessels in the brain.

    In cases of heart failure, the following occurs:

    • swelling in the peritoneum, on the lower extremities;
    • intracardiac pain;
    • changes in the anatomical structure of the heart.

    During the pre-infarction state, the patient experiences bouts of nausea, which are accompanied by:

    • acute pain in the scapula, epigastrium;
    • when palpating the pulse, tachycardia is noticeable;
    • external examination reveals cold sweat appearing on the forehead, changes in the shades of the skin, mosaic phenomena;
    • subjective sensations of lack of air, inability to take a full breath;
    • feeling of fear, darkening of the eyes, loss of consciousness.

    Nausea and burning sensation in the chest are warning signs of myocardial infarction. Sometimes the patient does not feel other symptoms, assuming that the symptoms will go away on their own, attributing them to changes in atmospheric pressure, poor sleep, and the like. In fact, the condition requires immediate hospitalization in a hospital setting.

    During attacks of vegetative-vascular dystonia, characteristic pain in the head and heart appears. They are associated with emotional stress. Vomiting brings minor relief. There is instability in pressure for several hours.

    3. How is diagnostics carried out?

    When considering the causes of discomfort in the abdominal area, the doctor must assess the general condition of the patient.

    Features of differential diagnosis for the gastralgic form of infarction and coronary insufficiency involve the exclusion of diseases associated with the abdominal organs.

    The main indications are:

    • presence of pain in the chest area and below;
    • hyperesthesia of the skin in the area of ​​the atria, clavicle and shoulder on the left;
    • nausea that is not caused by eating;
    • gag reflexes, belching;
    • probable shock or collapse.

    In some diseases of the gastrointestinal tract (cholecystitis, stomach ulcers, duodenal ulcers), the pain is similar, but the heart rate is the same. Blood pressure remains within normal limits, but can sometimes be elevated.

    There are often cases of concomitant diseases, when diagnosis is difficult.

    A few days before the onset of a heart attack, patients experience “precursors”, which are often attributed to a psychological state:

    • insomnia;
    • anxious thoughts;
    • increased emotionality;
    • discomfort.

    The doctor prescribes procedures that will help distinguish accompanying signs from leading ones.

    1. Anamnesis, questioning and external examination of the patient using palpation and percussion.
    2. Measuring blood pressure and pulse at time intervals.
    3. Prescribing a general and biochemical analysis of blood, urine, exudate for inflammatory lung diseases.
    4. An ECG helps determine abnormalities in the cardiovascular system.
    5. Ultrasound of the heart and blood vessels.
    6. Cardiogram with exercise.
    7. Ecocardiography.
    8. Ultrasound of the abdominal organs with an unclear diagnosis.
    9. If an aortic rupture is suspected, palpation is performed to detect a tumor with pulsation. In the lower extremities, vascular beating is completely absent.

    Only a correctly made diagnosis during medical supervision of the patient’s condition in an outpatient or inpatient setting.

    4. Treatment approaches

    Medication assistance

    Having made a diagnosis, doctors prescribe treatment that is aimed at eliminating symptoms. It should be comprehensive, combining therapeutic approaches with cardio areas.

    1. If a myocardial infarction occurs, the patient is admitted to the hospital. The first day is observed in the intensive care unit, where intensive coronary therapy is carried out. It provides timely nutrition to the heart muscles and eliminates thrombosis. The cause of a heart attack is blockage of blood vessels, when the outcome can be fatal. Gradually, the cells are deprived of nutrition and die. The larger the area affected, the less chance of survival. It is important to normalize the heart rhythm and monitor the general condition of organs and systems. Early medical intervention gives a chance to avoid disability and death.
    2. In cases of exacerbation of coronary artery disease, treatment is possible both in the hospital and at home. It all depends on the severity of the patient’s condition. Thrombolytic and antispasmodic drugs are prescribed when using drugs to nourish the heart muscles.
    3. When crises of hypertensive state or vegetative-vascular dystonia occur, doctors recommend antihypertensive drugs. In some cases, the dose may be excessive, which will lead to a worsening of the condition. Only an individual dosage will help avoid problems.
    4. In cases of neurogenic pain, sedatives are prescribed to stabilize the mental state and nervous system. Treatment is carried out at home, occasionally in the hospital in the neurological department.

    In any case, if you experience nausea and pain in the abdomen, sternum, heart, or in the cervical and thoracic segments of the spine, you should consult a doctor.

    Timeliness will give a chance for survival and continuation of an active life. All treatment takes place only under the supervision of a doctor until recovery.

    Therapy at home

    If nausea occurs suddenly or continues for more than 5 hours, then the patient can be offered folk remedies to alleviate the general condition.

    1. Call an ambulance, despite possible refusals of treatment.
    2. Drops of Corvalol, Valocordin, Valoserdin help eliminate the primary symptoms of pain.
    3. Not everyone is recommended to take Nitroglecyrin. It may make the condition worse.
    4. Offer plenty of fluids. Green tea with sugar and lemon helps.
    5. A decoction of calming herbs: valerian roots, lemon balm, peppermint, eucalyptus.
    6. If there are suspicions of problems in the gastrointestinal tract, chamomile and dill decoctions help.
    7. Apply cold ice or pieces of ice to your temples.
    8. Provide fresh air flow. The patient is placed on high pillows and a window or window is opened.
    9. Wet a cotton swab or swab with ammonia and apply it and let it sniff periodically.
    10. You cannot make sudden movements. Only complete rest will ensure stabilization in the functioning of the body and internal systems.
    11. Refrain from eating food until the cause of the pathological manifestations is determined.

    You should not use alcoholic beverages. The advice to “drink a glass” of cognac or vodka can only aggravate the situation and lead to a quick death. A sharp dilation of blood vessels under the influence of ethyl alcohol will completely disrupt homeostasis. The critical condition will worsen and a new attack will occur.

    5. Preventive measures

    Patients who are at risk should be aware of the degree of independent responsibility for life and their health.

    Doctors suggest:

    • know and regularly measure blood sugar and cholesterol levels;
    • if you have a lot of body weight, achieve weight loss;
    • take antihypertensive medications on time as prescribed by your therapist or cardiologist;
    • avoid unnecessary emotional overload and physical stress;
    • regulate sleep, which should last at least 8 hours;
    • Take daily walks in the fresh air, which provides an influx of oxygen and has a positive effect on well-being.

    Strengthening muscles and blood vessels is the main task. Nutritional therapy and regular exercise help with this. The complexes are selected individually, which depends on the degree of vascular damage, muscle function and strength, general condition, and the patient’s mood for recovery.

    It is important to use the possibilities of herbal medicine, which will help solve problems, strengthen the immune system, and fill the body with glycoside vitamins.

    If you pay close attention to yourself, the prognosis can be favorable. Timely examination and observation by therapists gives a chance to achieve full health. Neglecting the rules of behavior, which will provoke the risk of cardiovascular disease, can lead to irreparable consequences.

    To summarize, pain and nausea are signs of many diseases.

    The following can distinguish a dangerous condition in diseases of the heart and blood vessels:

    • the pain arose suddenly, may be sharp, aching, pulling;
    • nausea is not associated with food intake, accompanied by the urge to vomit, which does not bring relief;
    • there are sharp sensations of squeezing in the chest;
    • it is difficult to breathe in and out, to make movements;
    • the skin changed color and became different shades;
    • within a quarter of an hour the symptoms do not go away, despite taking medications and first aid.

    Only a medical specialist can make the correct diagnosis. He will prescribe treatment and advise methods of preventing illnesses.

    Was the article helpful? Perhaps this information will help your friends! Please click on one of the buttons:

    upheart.org

    Nausea due to heart failure

    Pain and discomfort appearing in the heart area are an alarming sign. In this way, diseases often appear that pose a serious danger to human health and life. Heart pain and nausea often occur together. How should one act in such a situation, and what pathologies can these symptoms indicate?

    Causes of nausea and pain in the heart area

    It should be remembered that pain and discomfort in the heart area primarily signals that a vital organ is in danger. Often the appearance of symptoms such as nausea and heart pain requires immediate medical attention. Along with the above symptoms, patients often experience shortness of breath, severe weakness, anxiety, and fear.

    Nausea and heart pain can occur simultaneously when the gastrointestinal or cardiovascular system is affected. The most common causes of such symptoms are the following pathologies:

    Heart failure;

    Attack during myocardial infarction;

    Hypertensive crisis;

    Vegetovascular dystonia;

    Acute diseases of the pancreas or liver;

    Bronchitis and pneumonia in acute severe form.

    Heart failure may include chest pain and nausea. These symptoms are caused by several factors: disturbances in the anatomy of the muscle tissue of the heart, deterioration in the functioning of this organ, the appearance of swelling in the abdominal cavity and chest, as well as increased intracardiac pressure. All this leads to nausea and pain in the heart.

    During myocardial infarction, pain and painful, prolonged nausea may appear some time before the attack. This period can be several days. The same symptoms are observed with the acute development of pathology. In addition to these two signs, during an attack caused by myocardial infarction, others are noted: weakness, vomiting, tachycardia, a sharp rise in blood pressure followed by a decline, gradually increasing shortness of breath and an increasing feeling of burning and pain in the chest space. Patients often complain of an unreasonable feeling of fear and anxiety; cases of fainting during an attack are widespread. It is also possible for the pathology to be asymptomatic, in which its only manifestation is nausea.

    A hypertensive crisis is a sudden rise in blood pressure. Symptoms of this condition include severe pressing pain in the heart, nausea that leads to vomiting but does not bring relief, and dizziness.

    The diagnosis of “vegetative-vascular dystonia” is quite common in our country, but in many other countries it is not made. According to the international classification, similar conditions in which there are signs of disruption of the normal functioning of the autonomic nervous system are called somatoform dysfunctions or disorders. Symptoms that indicate vegetative-vascular dystonia are insomnia, pressure instability, tachycardia, vomiting, nausea and heart pain. All these signs, most often, are of a psycho-emotional nature. There were practically no complications or consequences observed. However, the appearance of such symptoms requires careful attention, a comprehensive examination and, if necessary, proper treatment.

    In some cases, pathologies of the gallbladder, pancreas and liver are manifested by pain that is localized or radiates to the heart area. With such diseases, frequent nausea may occur that does not lead to vomiting. Pain can affect the hypochondrium and abdomen. A symptom of gallbladder damage is bitterness in the mouth.

    Sharp pain in the chest and nausea are frequent companions of inflammatory diseases of the lower respiratory system. Pain with pneumonia and bronchitis is caused by strong constant overstrain of the intercostal muscles, which occurs with prolonged painful coughing. Nausea is associated with general damage to the body by toxins released by pathogenic microorganisms. In addition, this phenomenon can be a side effect of medications taken. You can determine whether pneumonia or bronchitis is the cause of chest pain and nausea by paying attention to the presence of other symptoms. Thus, increased temperature, increased sweating, chills, runny nose and other signs of damage to the upper respiratory system indicate respiratory diseases.

    What to do for heart pain, nausea and dizziness

    The appearance of nausea, heart pain, vomiting, weakness must be treated carefully; these symptoms should not be left to chance, as they can have the most dire consequences. A qualified doctor and the modern level of diagnostics allow you to quickly determine the cause of the problem, and then prescribe the necessary course of treatment. In each specific case, a different treatment is prescribed, so you cannot be treated on the advice of friends and neighbors.

    The specialist must, in addition to recommendations for treating the underlying disease, prescribe therapy in order to cope with unpleasant symptoms. In addition, he gives advice on organizing a daily routine, necessary rest, opportunities for physical activity and a diet that should be followed.

    Urgent medical help should be sought if the following warning signs are present:

    Heart pain and nausea do not subside after taking a nitroglycerin tablet;

    In addition to nausea and heart pain, there is severe shortness of breath, very high blood pressure, cold sweats, unexplained anxiety, fear and restlessness;

    The duration of pain in the heart exceeds a quarter of an hour.

    You can get rid of nausea and chest pain only after identifying the causes of their occurrence. Since different pathologies require the use of different drugs and treatment methods.

    In case of functional disorders of the heart and blood vessels, you should take medications that lower pressure and normalize the functioning of the heart muscle. The therapeutic complex also includes drugs that have a positive effect on the condition of blood vessels and blood composition.

    For vegetative-vascular dystonia, complex treatment is prescribed, including medications that improve the functioning of the nervous system and sedatives. Other treatment methods are also prescribed, such as physiotherapy, therapeutic massage and exercise, reflexology, etc.

    A disease such as myocardial infarction requires urgent medical care, which can only be provided in a hospital setting. The course of treatment, its duration and the means used depend on the individual data of the patient and the extent of damage to the heart muscles. The chances of a favorable outcome increase significantly if you consult a doctor in a timely manner (less than 10-12 hours).

    Treatment of inflammatory pathologies of the respiratory system depends on the nature of the disease: viral or bacterial. In addition to antivirals or antibiotics, it includes vitamins, mucolytics and detoxification therapy. It is important to choose the right antibiotic for treatment. Although there are broad-spectrum antibiotics that are quite effective, drugs prescribed based on the results of microbiological tests are much more effective.

    Diseases of the pancreas, liver and gall bladder require specific treatment to restore the affected organs. To get rid of nausea in such cases, take antiemetics, for example, Zoloft, Cerucal or others. A thorough examination of the patient is imperative.

    Vegetovascular dystonia

    Heart failure

    Heart attack (myocardial infarction)

    Pneumonia, bronchitis

    Hypertensive crisis

    Diseases of the liver, pancreas

    Vegetative-vascular dystonia is a common diagnosis in Russia, but in Sweden and Europe there is no such diagnosis. Similar conditions that manifest themselves with a large number of symptoms associated with dysfunction of the autonomic nervous system and neuroregulation of the body in Swedish medicine are designated as somatoform disorders or dysfunctions (Somatoforma störningar, in the international classification of diseases has the number F45). Among the common symptoms of vegetative-vascular dystonia, people often find pain in the heart area, nausea, vomiting, insomnia, tachycardia, and unstable blood pressure. The symptoms that arise speak more about a mental than a physical illness, and almost never lead to serious consequences, although they require a thorough examination and, possibly, adequate therapy.

    What to do

    A prerequisite for the successful elimination of chest pain and nausea is an accurate diagnosis of the patient’s condition. After all, to relieve nausea in case of dysfunction of the heart and blood vessels. it is necessary to take medications that lower blood pressure, correct heart function, improve the condition of blood vessels and the rheological properties of the blood. Therapy for vegetative-vascular dystonia is complex and includes sedatives, drugs that optimize the functioning of the nervous system, as well as individual organs and systems. In addition, they also resort to non-drug treatment methods: therapeutic massage, physiotherapeutic procedures, reflexology.

    Why does my heart hurt?

    Nausea

    Nausea is a peculiar unpleasant sensation in the epigastric region, chest, and oral cavity, which often precedes vomiting and is often accompanied by general weakness, sweating, increased salivation, cold extremities, pale skin, and decreased blood pressure.

    Causes of nausea

    Possible causes not related to any disease:

    1. Overeating and/or regularly eating foods that are very high in fat;

    2. Side effects of medications and penetration of toxic substances into the body;

    3. Psychogenic reactions: fear and anxiety, hysteria;

    4. Kinetosis (seasickness), accompanied by a feeling of nausea and motion sickness;

    5. Pregnancy (morning sickness normally goes away by the end of the first trimester);

    6. Exposure to smoke, toxic fumes and various harmful substances;

    7. Sunstroke, hyperthermia.

    Diseases accompanied by nausea

    Diseases that cause nausea are very diverse and can be associated with the digestive, nervous, reproductive, cardiovascular and endocrine systems.

    Most often, nausea develops due to pathologies of the gastrointestinal tract, including:

    1. acute surgical diseases: peritonitis, appendicitis, acute pancreatitis, acute intestinal obstruction, gastrointestinal bleeding, acute cholecystitis;

    2. chronic diseases: gastroesophageal reflux disease (GERD) and hiatal hernia, gastritis, peptic ulcer of the stomach and duodenum, enterocolitis, duodenitis, cholelithiasis, inflammatory bowel disease (Crohn's disease, ulcerative colitis), irritable bowel syndrome, chronic pancreatitis ;

    3. malformations of the gastrointestinal tract: narrowing of the pylorus (stenosis), fusion of a section of the gastrointestinal tract (atresia), developmental defects of the pancreas;

    4. gastrointestinal tract infections: viral gastroenteritis, food toxic infections, helminthiases;

    5. foreign bodies of the stomach, esophagus, intestines;

    6. functional disorders accompanied by impaired motor function of the stomach and intestines;

    7. liver diseases (hepatitis, cirrhosis of the liver);

    8. food intolerances or food allergies.

    In addition to disruption of the gastrointestinal tract, nausea can be caused by diseases of other organs and systems:

    1. Diseases of the central nervous system: brain tumors and injuries, brain infections (encephalitis, meningitis), increased intracranial pressure.

    2. Diseases of the cardiovascular system: hypertension, heart failure, myocardial infarction.

    3. Diseases of the inner ear: Meniere's disease, labyrinthitis.

    4. Diseases of the endocrine system: in diabetes mellitus – ketoacidosis; thyrotoxicosis, adrenal insufficiency, phenylketonuria.

    5. Kidney diseases (urolithiasis, renal failure);

    Nausea is associated with cancer treatment (chemotherapy and radiation therapy), imbalance of blood electrolytes, and migraines.

    Nausea can be a manifestation of such emergency conditions as poisoning, diabetic ketoacidosis, intestinal obstruction, cerebral hemorrhage, acute cardiovascular pathology, renal failure, liver failure, sepsis.

    Most often, nausea does not appear independently, but in combination with other symptoms: abdominal pain, belching, diarrhea, increased gas formation, dyspepsia, vomiting, muscle pain, dizziness, severe fatigue, fever and chills, headache, yellowing of the skin and sclera.

    Particular attention should be paid to the combination of nausea with the following symptoms: black stools or the presence of blood in the stool, the presence of blood in the vomit, severe abdominal pain, difficulty breathing, fainting, impaired consciousness, high body temperature (more than 38.5 ° C), rapid pulse, frequent shallow breathing, severe headache, stiff neck. The appearance of these symptoms indicates the development of a life-threatening condition, if detected, you should immediately consult a doctor. You should also definitely see a doctor if you feel sick after a head injury.

    Examination of a patient with nausea.

    Nausea is a nonspecific symptom of many diseases; therefore, it has diagnostic value only in conjunction with other signs of the disease (for example, with signs of peritoneal irritation in acute appendicitis).

    To determine the direction of the examination, it is necessary to conduct an active interview with the patient. So, if nausea is accompanied by other dyspeptic manifestations (belching, a feeling of heaviness in the epigastric region, etc.) and a relationship is identified between the occurrence of nausea and food intake, diseases of the digestive system should be assumed (gastritis, cholecystitis, pancreatitis, stomach tumor, etc.) and conduct a gastroenterological examination; when nausea is combined with headache, sensitivity or movement disorders, a neurological examination, etc. is necessary.

    Determine what medications the patient took. Drugs that often cause nausea and vomiting include analgesics, cardiovascular drugs, hormonal agents, antibiotics, drugs that primarily act on the central nervous system, and antineoplastic agents. Drug use or withdrawal may also cause nausea or vomiting. If discontinuation of a drug is accompanied by the disappearance of nausea, we can assume that this disorder is associated with taking the drug, but it is necessary to ensure that there are no symptoms for a significant period of time after discontinuation of the drug.

    An objective examination reveals an “acute abdomen” and other life-threatening conditions. If the cause of nausea has not been established, a laboratory examination is performed:

    1. general blood test (possible anemia, leukocytosis, accelerated ESR in case of gastric ulcer, duodenal ulcer, ulcerative colitis, etc.);

    2. electrolytes, urea, creatinine (studied to diagnose kidney function and assess fluid and electrolyte disorders);

    3. biochemical indicators of liver function: ALT (alanine aminotransferase), AST (aspartate aminotransferase), gamma glutamyl transpeptidase, total protein level in the blood, blood albumin, bilirubin);

    4. blood glucose (normal values ​​are 3.3-5.5 mmol/l, an increase in glucose levels indicates the likelihood of diabetes mellitus);

    5. biochemical indicators of pancreatic function: alpha-amylase enzyme, lipase enzyme;

    6. antibodies to Helicobacter pylori (to detect gastric ulcers associated with Helicobacter pylori infection);

    7. In the analysis of stool when diagnosing diseases of the digestive system, the quantity, consistency and shape, color, smell, impurities, presence of mucus, pH are assessed; at the chemical level, the content of blood, bilirubin, stercobilin, and protein is determined;

    8. The study of intestinal microflora is carried out when diagnosing intestinal dysbiosis.

    The plan for further examination depends on the patient’s age and clinical manifestations. It should be especially careful if nausea and vomiting occur for a long time.

    Pregnancy tests should be performed in women of childbearing age.

    Sometimes a general urine test, a toxicological study, cultures, and a study of the function of the endocrine glands (TSH and thyroid hormone levels, morning fasting cortisol levels) are needed.

    To exclude diseases of the gastrointestinal tract, diseases of the liver and biliary tract, a survey radiography of the abdominal cavity, examination of the stomach and intestines with barium, ultrasound of the abdominal organs, CT and endoscopic examinations are performed.

    FEGDS (fibrogastroduodenoscopy) is intended primarily to exclude obstruction, gastric or duodenal ulcers or other organic pathology.

    Colonoscopy is necessary to identify nonspecific ulcerative colitis, Crohn's disease, chronic non-ulcerative colitis, if a tumor process is suspected.

    pH-metry is carried out to study the secretory function of the stomach if gastritis or gastric ulcer is suspected.

    Rectomanoscopy is used for diseases of the rectum.

    If a neurological disorder is suspected (migraine, increased intracranial pressure, pathology of the inner ear), which can cause constant or periodic nausea, a clinical neurological examination should be performed, to exclude increased intracranial pressure by examining the fundus of the eye or conducting magnetic resonance imaging of the brain.

    Sometimes esophageal manometry, 24-hour esophageal pH-metry, a study of gastric motility and evacuation function, and sometimes electrogastrography and a study of small intestinal motility are required to make a diagnosis.

    If psychiatric illnesses that cause constant or recurrent nausea, anxiety disorders, depression, or eating disorders are suspected, a consultation with a psychiatrist is prescribed.

    Treatment of nausea

    Since nausea is a symptom, its treatment method depends on the cause or underlying disease. If you suspect a disease, it is important not to self-medicate, since nausea may be associated with emergency conditions or the initial manifestation of severe pathology, which require immediate consultation with a doctor and the initiation of specific treatment under medical supervision.

    If the cause is not related to the disease, it is necessary to eliminate the harmful factor (sun, smoke, excess food) as quickly as possible.

    For seasickness, it is possible to use scopalamine in the form of a skin patch 5-6 hours before the start of the trip.

    To eliminate nausea in such cases, it is possible to use folk remedies:

    A proven remedy for nausea is green tea.

    Grate ginger root and add to dishes.

    Before meals, drink 0.25-0.5 tablespoons of fresh potato juice.

    Pour a glass of boiling water over a tablespoon of peppermint leaf. Let it brew for two hours. Take the tincture one tablespoon three times a day.

    Boil a teaspoon of dill seeds in 200 ml of water. Take in case of poisoning or stomach upsets.

    Pour a glass of boiling water into 4 teaspoons of dry crushed lemon balm herb. Leave for several hours. Drink ½ cup four times a day before meals.

    Pour 400 ml of cold water into two teaspoons of three-leaf watch and leave for eight hours. Use within 24 hours. Used for nausea to stimulate digestion.

    Possible complications

    In some cases, if left untreated, nausea can lead to complications such as dehydration (impaired water and electrolyte balance in the body) and nutritional deficiencies in the body. As a rule, this is due to the inability to retain water or food in the body, as well as a lack of appetite.

    Which doctor should I contact if I have nausea?

    Depending on the accompanying symptoms, you may need to consult a therapist, gastroenterologist, neurologist, psychiatrist, toxicologist, endocrinologist, or allergist.

    How to relieve heart pain and blood pressure

    heal-cardio.ru

    Nausea and vomiting in cardiovascular diseases: heart attack, heart failure, arrhythmia

    Nausea and vomiting are extremely negative manifestations that arise in connection with specific abnormal conditions or pathologies of the body. And today we will talk about how nausea and vomiting manifests itself in heart disease: heart attack, arrhythmia, myocardial infarction, heart failure and others.

    What are nausea and vomiting

    Nausea is manifested by an unpleasant feeling of emptiness in the stomach and a wave of lightheadedness approaching the oral cavity, and a pressing pain in the head often occurs. Unpleasant sensations develop and increase in the stomach and esophagus. Nausea is often accompanied by vomiting - a sudden, painful and often repeated - spasm of the stomach and the release of food masses treated with hydrochloric acid through the mouth.

    Nausea and vomiting are so pronounced and cause so much discomfort and unpleasant sensations that it is not difficult to detect them in yourself. These are obvious symptoms. Symptoms of nausea and vomiting may also sometimes be accompanied by dizziness, headache or pain in the heart area and fever - it all depends on the specific case.

    Experts will tell you what nausea and vomiting are and why they are dangerous in the video below:

    Types of symptoms

    Often, manifestations of nausea and vomiting are symptoms of internal diseases that are not detected or treated in time, or acute conditions in which immediate medical attention is urgently needed. As a rule, vomit consists of semi-digested products, the mucous contents of the stomach. Vomiting of bitter bile is usually a sign of exacerbation of cholecystitis, pancreatitis. The so-called “fecal vomiting” accompanies intestinal obstruction.

    The main complication of vomiting, which is especially difficult for children, is dehydration caused by massive loss of fluid, sugars and mineral salts.

    Usually, nausea and vomiting do not appear separately, but in combination with other unhealthy manifestations:

    • pain or cramps in the stomach and/or intestines;
    • darkening of the eyes;
    • severe weakness;
    • increased heart rate, perspiration, severe sweating;
    • copious amounts of saliva with a sour or bitter taste in the mouth;
    • belching, diarrhea, increased gas formation;
    • muscle pain, skin soreness (with severe intoxication);
    • dizziness, fever and chills;
    • pain in the back of the head, squeezing pain in the head;
    • yellowness of the skin, sclera.

    We will discuss below the causes of nausea and vomiting in adults and children with heart disease.

    What diseases may this symptom indicate?

    Cardiogenic diseases

    Heart pathologies, in addition to chest pain, are often accompanied by nausea and even paroxysmal vomiting. This is an alarming symptom of life-threatening problems in the function or structure of the heart. These include the following:

    Insufficiency of the pumping function of the heart

    Very often accompanied by nausea, flatulence, constipation, paroxysmal vomiting and other symptoms of dyspepsia. This happens due to the following reasons:

    1. Dysfunction of the digestive organs of varying degrees due to hypoxia (oxygen deficiency in tissues) and reflex influences.
    2. An abnormal change in the structure of the myocardial muscle tissue, a decrease in heart function, which leads to an increase in intracardiac pressure, tissue swelling in the chest and peritoneum, and nausea.
    3. Often, nausea and vomiting with weak heart activity manifests itself as a side effect of the drugs used in therapy (aspirin, cardiac glycosides).
    Myocardial infarction

    In addition to the regular occurrence of burning sensation and sharp pain attacks in the heart, sometimes already 3 to 5 days before a heart attack, a painful feeling of nausea develops. The symptom is quite characteristic of the acute development of such a disorder in the myocardium. High blood pressure and tachycardia are replaced by a sharp drop in pressure, increasing shortness of breath, nausea and vomiting attacks, together with a feeling of incomprehensible fear and “dagger” pain in the chest.

    Abdominal (gastric) infarction is characterized by spasmodic or cutting pain in the epigastric region with nausea and vomiting. It absolutely masks the true cause of pain in the heart, “mimics” it as digestive problems. Pain occurs only in the stomach area along with lightheadedness, creating the false impression that these are signs of poisoning from spoiled foods or a regular attack of gastritis.

    Specifics of pain and nausea in this type of heart attack:

    1. The pain appears suddenly, which is typical for gastritis, ulcers of the digestive organs, food poisoning, and develops quickly, increasing to extremely pronounced sensations.
    2. The pain begins without any connection with the consumption of foods, and an attack of vomiting does not give the patient relief.
    3. Typically, people with this type of attack have had multiple episodes of angina before.

    More often, “gastric infarction” affects women (not always, and this must be taken into account for men). The diaphragm in the female body is located slightly higher than in men. The lower segment of the heart is in contact with the diaphragm and is closer to the stomach, causing a feeling of pressure, pain and nausea in this area. Often these sensations are accompanied by panic and fear, but the real state of affairs and confirmation of the diagnosis of a heart attack are determined only by electrocardiography.

    With a typical heart attack, the patient feels a burning pain in the heart, numbness in the arm, radiating pain in the jaw, shoulder, and shoulder blade, but these are standard symptoms. Often, nausea is the only symptom of a painless pathology, which is manifested by many atypical symptoms. More often this concerns women, whose heart attack is sometimes almost asymptomatic.

    This video will tell you which diseases are most often accompanied by vomiting and nausea:

    Digestive organs

    General information

    Nausea and vomiting often reflect the external manifestation of the following painful conditions of the digestive tract:

    • acute forms of diseases requiring immediate hospitalization and surgical treatment: appendicitis, pancreatitis, blockage of bile ducts with stones;
    • peritonitis, intestinal obstruction, bleeding during perforation of ulceration of the intestines and stomach, cholecystitis.

    In these acute conditions, not just nausea and vomiting develop, but a whole complex of symptoms, where the main one is pain.

    • chronic pathologies: gastritis, gastroesophagitis with periodic heartburn, gallstones, hiatal hernia in the esophagus, enterocolitis, stomach and intestinal ulcers, duodenitis;
    • hepatitis, liver cirrhosis;
    • immunity to certain products (allergies);
    • gastroparesis (dysfunction of muscle contractions);
    • dyskinesia of the bile ducts (especially often in childhood and adolescence when there is a large amount of fat in the diet);
    • inflammatory processes in the intestines, including Crohn's disease, ulcerative colitis, irritable bowel;
    • diverticulum in the esophagus, intestines;
    • tumors of various origins;
    • defects of the digestive system: stenosis (narrowing) of the lumen of the esophagus or gastric pylorus, atresia of the digestive tract (fusion of the canals);
    • food poisoning, helminthiasis, viral gastroenteritis;
    • foreign objects that have entered the digestive organs
    • diverticulum or neoplasms of the esophagus, stomach, intestines.
    Individual states

    For certain painful conditions, the characteristics of nausea and vomiting are not the same and differ in intensity, frequency of vomiting attacks, duration, and specificity of vomit.

    • Gastritis with low acidity is often accompanied by unpleasant nausea, independent of the type of food, but not vomiting. The peculiarity is that it increases after eating (but not always). More often, the symptom worries patients suffering from a complex of diseases, for example, gastritis and cholecystitis or pancreatitis.
    • The combination of nausea and vomiting is more common in patients with abnormally active secretion of gastric juice or those suffering from “ulcers”. A high concentration of hydrochloric acid corrodes the mucous membrane, and vomiting is the only way that helps remove contents from the stomach and bring relief. In peptic ulcers, vomited food has a sour odor.
    • With intestinal inflammation, vomiting usually occurs during exacerbation, signaling the progression of the disease.
    • In pathologies of the gallbladder and liver, attacks of nausea and vomiting almost always appear in combination with other symptoms characteristic of these diseases: bitter taste in the mouth, beer-like urine, lightened feces, itching of the skin caused by the activity of liver enzymes, yellow tint of the skin and sclera of the eyes .

    Other pathologies

    In addition to diseases of the heart and digestive organs, symptoms of nausea and vomiting are very often present in severe pathological conditions of the nervous system and are observed in the following diseases:

    • intracranial neoplasm;
    • Brain injuries, including swelling, contusion, concussion and compression;
    • Brain infections - encephalitis, meningitis;
    • neurosyphilis and HIV;
    • borreliosis;
    • poisons secreted by staphylococci, enteroviruses, streptococci, salmonella, E. coli, Vibrio cholerae, clostridia;
    • diabetes,
    • high intracranial and blood pressure;
    • poor kidney function, kidney stones;
    • pathologies of the inner ear - Meniere's disease or labyrinthitis;
    • diseases associated with the endocrine system: hypothyroidism, phenylketonuria and ketoacidosis (with a high risk of coma), thyrotoxicosis, adrenal dysfunction;
    • acute poisoning, cerebral hemorrhage, sepsis;
    • nausea is a constant “companion” of patients who undergo radiation and chemotherapy for cancer.

    Read below about the treatment options for nausea and vomiting.

    If no problems are identified

    Nausea and vomiting can be non-dangerous functional states, that is, they are the body’s response to a stressful situation, an extremely unpleasant pungent odor, or prolonged nervous tension. In this case, a serious illness that can provoke nausea or vomiting is not detected.

    Possible causative factors independent of any pathologies:

    • motion sickness in vehicles or on water (kinetosis);
    • overeating, high fat diet;
    • negative side effect from medications;
    • penetration into the body of toxins from spoiled foods, fumes, chemicals;
    • psychogenic nausea with fear, nervousness, strong psycho-emotional stress;
    • the period of bearing a child (nausea, as a rule, disappears by the beginning of the 2nd trimester);
    • overheating (hyperthermia), sunstroke;
    • severe migraine.

    How to deal with them

    General rules

    Symptoms of nausea and bouts of vomiting often signal minor or extremely dangerous disorders in the body. Therefore, before eliminating a symptom, it is worth analyzing the patient’s condition and all other abnormal manifestations.

    Particular attention should be paid to nausea, which is accompanied by the following symptoms:

    • chest pain, cough (possible heart attack, pulmonary embolism);
    • black stool, blood in stool and vomit (internal bleeding, perforation of an ulcer, intestinal perforation);
    • any acute pain in the abdomen (acute inflammation of the peritoneum or digestive organs, termination of pregnancy);
    • vomiting and nausea in the 2nd – 3rd trimester often warn of a sharp rise in blood pressure and the possible development of preeclampsia, which threatens the life of the fetus and mother, treatment of which is carried out only in an obstetric hospital;
    • heavy or shallow breathing, fainting, rapid pulse (myocardial failure, pulmonary pathologies, asthma);
    • impairment of consciousness (coma due to hypoglycemia and other severe conditions)
    • temperature above 38.5 C (inflammation of various organs, systems, tissues, infection, blood poisoning);
    • intense headache, rigidity (stiffness, inflexibility) of the neck muscles;
    • pronounced pallor, profuse sweat, cold and sticky, fear of death, panic.

    The appearance of these signs, along with nausea or vomiting, warns of the onset of life-threatening conditions, which require immediate consultation with a doctor, and sometimes a call to the resuscitation team.

    • In addition, consultation with a doctor is mandatory if nausea occurs after a head injury.
    • In the case of nausea, combined with chest pain of varying severity and other alarming symptoms, an accurate diagnosis is urgently needed to identify the cause. For example, to relieve nausea due to disorders of the heart and vascular function, medications are required to lower blood pressure, improve heart function, vascular condition, and blood properties.
    • Treatment of autonomic vascular disorders usually includes the complex use of sedatives, antidepressants, and sometimes tranquilizers, which also relieve the feeling of nausea.
    • In case of a heart attack, relieving the symptom of nausea or stopping vomiting attacks is impossible without active inpatient therapy, which depends on the degree of damage to the heart muscle. The time factor is extremely important here - cell restoration is possible if treatment begins as early as possible (the limit is 12 hours from the onset of the attack).

    Only a pediatrician prescribes medications for nausea in a child. Following nausea, the child often begins to vomit, which threatens dehydration. Therefore, in case of sudden vomiting (repeated), especially in small children, with elevated temperature, diarrhea, parents should immediately call an ambulance.

    • If an acute intestinal pathology (intestinal perforation, appendicitis), brain injury, symptoms of irritation of the meninges or intestinal infection (for infants) is detected in a child, urgent hospitalization follows.
    • When vomiting in children, measures must be taken to restore the fluid and minerals that “gone” with the vomit. Use: Regidron, Hydrovit, 5% glucose in a ratio of 2 to 1. Within 6 hours, the baby should drink 100 ml of liquid per 1 kg of body weight (or 1 teaspoon of solution every 5 - 10 minutes). Then the child continues to drink in a volume of 100 ml per 1 kg of weight per 24 hours.

    Medicines for nausea and vomiting

    Common anti-nausea and vomiting medications are used for specific illnesses or conditions that they may help.

    • Thus, anti-nausea medications during pregnancy will not help eliminate nausea during a heart attack, hemorrhage, hypoglycemia, or internal bleeding. All medications have a fairly large number of contraindications; most are prohibited when carrying a baby due to the threat of abortion and danger to the development of the baby.
    • Many should not be taken by children, people suffering from glaucoma, high blood pressure, and in other cases that must be taken into account so as not to cause harm. Therefore, any listing of medications is a general overview.

    An overview list of medications that relieve nausea for specific indications:

    • Aeron for motion sickness, Validol, Anestezin.
    • Cerucal (for radiation therapy, other pathologies).
    • Benzodiazepine tranquilizers alleviate fears, suppress the urge to vomit, eliminate nausea, calm after surgery: Rudotel, Seduxen, Relanium, Diazepam, Prazepam.
    • Pipolfen, Betaver, Betagistin, Betaserc, Vestibo, Vesical, Denoy, Betanorm, Tagista, Vazoserc, Betacentrin, Microzer, Bonin, Dimenhydrinate will help with labyrinthine disorders, dizziness, Meniere's disease.
    • Ciel, Dramamine, Aviamarin are also used for Meniere's syndrome, motion sickness, and vestibular disorders.
    • Vertigohel, a homeopathic drug Avia-Sea, is indicated for nausea during motion sickness in any transport.
    • Nitrofurans. In case of poisoning, the first choice drugs are medications that suppress vital activity and bind enteroviruses, bacteria that poison the body with poisons - Furazolidone, a cheap and effective drug that helps with vomiting and diarrhea. Besides it - Enterofuril, Stop-diar, Nifuraxazide.
    • Cerucal (metoclopramide), Riabal, No-Spasm (Prifinium Bromide), Motilium (domperidone), Buscopan are used directly for vomiting in gastric and intestinal disorders.
    • Zofran, Lotran, Tropisetron (Novoban, Tropindol), Domegan, Granisetron (Avomit, Kitril), Ondator, Ondansetron for nausea and vomiting in the treatment of cancer tumors and in the period after the use of general anesthesia.

    During nausea and vomiting during pregnancy:

    • Kokkulin, Splenin, Chofitol;
    • Herbal preparations for calming with motherwort, lemon balm, calendula herbs.

    Elena Malysheva will give even more useful tips on how to cope with nausea and vomiting without a doctor in the video below:

    gidmed.com

    Heart pain and nausea, possible causes and treatment

    The pain that occurs in the heart area makes everyone who experiences it worry. This is an alarming symptom of very life-threatening diseases. Sometimes heart pain and nausea occur at the same time. What might the appearance of such symptoms indicate? Should you always seek medical help? Is it possible to deal with the problem on my own?

    Causes of pain in the heart area

    It is necessary to clearly understand that pain in the heart and nausea are, first of all, alarming signals that make it clear to a person that vital organs are in serious danger, and the current situation requires the use of immediate measures. One way or another, pain localized in the chest and nausea are symptoms of serious diseases; they should not be ignored, because along with them shortness of breath, a feeling of weakness, fear, and anxiety may appear.

    Nausea and chest pain can appear simultaneously if several pathologies occur at once: cardiovascular and gastrointestinal tract. However, most often pain and nausea have the following causes:

    • vegetative-vascular dystonia;
    • heart failure;
    • heart attack (myocardial infarction);
    • pneumonia, bronchitis;
    • hypertensive crisis;
    • diseases of the liver, pancreas.

    Vegetative-vascular dystonia is a common diagnosis in Russia, but in Sweden and Europe there is no such diagnosis. Similar conditions that manifest themselves with a large number of symptoms associated with dysfunction of the autonomic nervous system and neuroregulation of the body in Swedish medicine are designated as somatoform disorders or dysfunctions (Somatoforma störningar, in the international classification of diseases has the number F45).

    Among the common symptoms of vegetative-vascular dystonia, people often find pain in the heart area, nausea, vomiting, insomnia, tachycardia, and unstable blood pressure. The symptoms that arise speak more about a mental than a physical illness, and almost never lead to serious consequences, although they require a thorough examination and, possibly, adequate therapy.

    Nausea and chest pain may be signs of heart failure. Anatomical changes in the heart muscle and a decrease in the physiological functions of the organ contribute to the appearance of edema in the chest and abdominal cavity, and the pressure inside the heart increases. All this leads to pain in the chest, as well as nausea.

    A heart attack (myocardial infarction) is sometimes preceded several days by the appearance of pain in the heart and painful nausea. Similar symptoms are also characteristic of the acute process of developing the pathology of a heart attack. Vomiting, nausea, weakness, low blood pressure replace hypertension, tachycardia, while shortness of breath, a feeling of fear and burning pain in the chest increase, and cases of fainting are not uncommon. Often nausea is practically the only symptom of myocardial infarction, and the disease develops painlessly.

    Sharp chest pains and a feeling of nausea often accompany bronchitis and pneumonia. Pain in such cases occurs after a prolonged unproductive cough due to overstrain of the intercostal muscles. Nausea is a consequence of general intoxication due to the activity of microorganisms and taking medications. A sign that heart pain and nausea are symptoms of inflammatory diseases of the upper respiratory tract is the presence of elevated body temperature, chills, and increased sweating.

    A sharp jump in blood pressure characterizes a hypertensive crisis. In this case, patients experience pressing pain in the heart area, nausea, vomiting, which does not bring relief, and dizziness.

    With diseases of the liver, gallbladder and pancreas, pain can be localized in the chest area, and frequent nausea without vomiting also occurs. Often pain is felt in the hypochondrium area, and bitterness may appear in the mouth.

    What to do

    Chest pain, vomiting, nausea, weakness should not be ignored, they cannot be ignored. Timely diagnosis and consultation with a competent specialist can differentiate the cause of symptoms and direct all therapeutic measures to eliminate the disease. Therefore, it is necessary to find out from your doctor what you can take for nausea. In each specific case, the answer to this question will be different.

    There is no need to hesitate to seek emergency help if there are threatening symptoms:

    • heart pain does not stop for more than 20 minutes;
    • pain does not go away after taking nitroglycerin;
    • an attack of nausea and heart pain is accompanied by high blood pressure, cold sweat, shortness of breath, and fear.

    How to Deal with Chest Pain and Nausea

    A prerequisite for the successful elimination of chest pain and nausea is an accurate diagnosis of the patient’s condition. Indeed, in order to relieve nausea in case of dysfunction of the heart and blood vessels, it is necessary to take medications that lower blood pressure, correct heart function, improve the condition of blood vessels and the rheological properties of the blood.

    Therapy for vegetative-vascular dystonia is complex and includes sedatives, drugs that optimize the functioning of the nervous system, as well as individual organs and systems. In addition, they also resort to non-drug treatment methods: therapeutic massage, physiotherapeutic procedures, reflexology.

    Myocardial infarction requires urgent and competent measures in a hospital setting. Therapy, its duration, and volume directly depend on the area of ​​damage to the heart muscle. The success of treatment is much greater if it is started for the first time 12 hours

    Pneumonia and bronchitis, in addition to antimicrobial and antiviral therapy, always includes detoxification agents, vitamins, and mucolytic drugs. Despite highly effective broad-spectrum antibiotics, the most acceptable is the prescription of drugs based on microbiological research data.

    For diseases of the liver and pancreas, the use of drugs that restore the function of these organs, as well as antiemetic drugs (Cerucal, Zoloft), helps quite well against nausea. Additional examination methods will not be superfluous; they will help you individually select the necessary therapy.

    The causes of heart pain and nausea are varied. By listening to the “voice” of one’s own body, a person is able to timely catch signals of dysfunction of organs and systems, and by consulting a doctor, find the right solution to the problem that has arisen.

    error: Content is protected!!