Tag: chest pain

Complications Concerning Middle Back Pain

Many symptoms of thoracic pain or middle back pain are rare and hardly distinguishable when compared with the more common types of back pain. Usually, middle back pain may be closely related to neck pain (or cervical neck pain) and chest pain. This is why signs of this condition may be misinterpreted as symptoms of other related ailments.

The reason why people have differing opinions on middle back pain is because most are only considered as referred pains. The pain that the sufferer feels is much different in location than that of the actual location. You and your doctor may never find the real cause of middle back pain if you look for them in the middle back. The same is true with lower back pain and upper back pain.

Contrary to what is popularly believed, middle back pain is simpler than what we were made to believe. It may be stimulated by the trigger points in the muscles at the back. These trigger points include erector spinae, infraspinatus, latissimus dorsi and multifidi, rhomboids, serratus posterior inferior, serratus posterior superior, subscapularis, and trapezius.

That long list of Latin terms may have complicated things for you but it will get even more complicated when the actual location of pain is displaced in the upper back and especially in the middle back. The following are few of the complications that we are to talk about:

The trigger points located at the scalene muscles that cover the front and the back of the neck may stimulate a continuing pain between the blades of your shoulders in the upper back. This fact is rarely known among people experiencing the actual pain. As it is, the pain may be a referred pain causing people to frequently misinterpret the pain in the shoulder blades as pain that occurs in other locations.

Often, there is a trigger point in the serratus anterior located under your arm that may cause frequent middle back pain. This pain may be felt at the tip of the shoulder blades. This condition is so subtle that even an expert on trigger points may overlook the symptoms.

There are also trigger points at the rectus abdominus or the stomach that may cause the excruciating middle back pain. This is often undiagnosable and even the best therapists may not be able to determine this condition. In this form of middle back pain, no therapy may be applied.

You see, the actual pain may be complex enough to make things hard both for the sufferer and the physician. If the condition is triggered on some other place undefined, it may even be harder to diagnose and treat.

Help Someone Having a Panic Attack

Panic attacks often occur to anyone without warning. So whenever someone had an attack, it is important that you know what to do.

Understand what a panic attack is. A panic attack is a sudden surge of overwhelming fear or anxiety. It is manifested by several signs and symptoms. During an attack, a person experiences increased heartbeat or palpitation, chest pain, hyperventilation or shortness of breath, stomach churning, upset stomach, trembling and shaking, muscle tension, sweating, dizziness and light-headedness, hot or cold flashes, tingling sensation or numbness, fear of dying, going crazy or losing control and feeling detached from the surroundings.

Seek for emergency medical help. It is important to call for a health professional especially if a person experiences an attack for the first time.

Identify the cause of the symptoms. The signs and symptoms of panic attack are similar to medical conditions. Hyperventilation or shortness of breath can be a sign of asthma. Chest pain, increased heartbeat or palpitation and sweating can be a heart attack. Talk to the person and determine if the symptoms are caused by other medical conditions. When in doubt, a health professional will be a great help.

While waiting for help, find the cause of attack. Once it is established that the cause of the symptoms is really a panic attack, find the source of the panic and take the person away from it. Do not make an assumption about what the person needs. A person who is suffering from the attack may know exactly what to do or has medications which will get him through the attack, so it is best to ask.

Don’t surprise the patient. Be predictable with your movements. Do not grab, hold or restrain. Keep him calm and stay calm yourself. Reassure the person that everything is going to be fine but do not dismiss his fear by saying “it’s all in your mind” or “don’t worry about it” or “you are overreacting.” Take note that the fear is very real to the victim so it dismissing the fear has no effect or can even make the matter worse.

Help the patient to control his breathing. Many patients breathe heavily during an attack; others hold their breath. Using deep breathing technique is a very effective way to purge the symptoms of a panic attack as well as calm the patient down. Guide the person and tell him to breathe in for 3 slow counts. Then ask him to hold his breath for 3 slow counts and breathe out for another 3 slow counts. Do this several times until the person is calm. You can also advice him to breathe into a paper bag. This way, he will re-breathe his carbon dioxide. Carbon dioxide helps correct the blood acid level that had been disturbed by excessive breathing. But be careful when using paper bags since they may trigger another fear.

Stay with the person throughout his ordeal. Never leave a person especially if he is having difficulty in breathing. Be patient. They may act rude or unfriendly but remember that it is temporary and will go back to normal as soon as the attack is over.

Do not forget that for the patient, the thoughts are real. Reassure him the help is on the way. Never allow the patient to do things that will put his life at risk.

What You should Do if You Had a Panic Attack

What You should Do if You Had a Panic Attack

Experiencing a panic attack for the first time can be distressing not only because of the actual experience during the attack but also because you tend to develop fear of future attacks. Also known as anticipatory anxiety, fear of future attacks causes continuous fear and tension disabling you to relax. Often when the condition is not addressed, it will lead to phobic avoidance wherein you avoid places, situations, gatherings, and events where emergency help is not readily available or where having an attack can be embarrassing.

Take into extreme, this condition may lead to agoraphobia where you begin to avoid much of the activities you usually do. To avoid this, consider the following advices:

1. Consult your medical doctor. Symptoms attributed to panic attacks such racing heart, chest pain, heavy breathing, profuse sweating, agitation, etc., are also common to other physiological and psychological conditions. Seeking for proper diagnosis from your doctor, therefore, will rule out any cause unrelated to anxiety. Tell him your symptoms, when did the attack happen, and how intense the attack was. Your doctor will ask about your past medical history and may run some tests (e.g. urine test, blood test, drug screens, etc.).

2. See a therapist who is properly trained to handle such psychological condition. No, you are not crazy (people who go to a therapist are not crazy). The reason why you have to see a therapist is to process your emotion and prevent future attacks. Do not wait too long to seek help. Left untreated, a panic attack can lead to more severe conditions. Your therapist may subject you to cognitive-behavioral therapy and exposure therapy to process your thoughts.

3. Find the cause of the attack. Some cases of panic attacks may show a “pattern” certain activity, thoughts, time or person you are with at the time of the attack. These give you important clues to eliminate later symptoms.

4. Learn some relaxation techniques you can practice at home or while out. Music, meditation, yoga, and breathing techniques are not only helpful in reducing the symptoms during the actual attack but also in strengthening your body’s relaxation response.

5. Do not add more fear. Absorbing all the fears and other negative thoughts that come with anxiety attack only adds to more fear which worsen the negative impact even further. Instead, recognize that you are afraid and make it work to your advantage.

6. Practice healthy lifestyle (regular exercise, balanced diet, and enough sleep). Studies prove that at little as 30 minutes of physical activity 3 to 5 times a week is a great stress buster, helpful in preventing future attacks. Balanced diet keeps the supply of nutrients and maintains the balance of chemical in the body. Sleeping at least 8 hours each day recharges the body, refreshes the mind, and calms the muscles.

7. Remove all unnecessary stress. Since, panic attacks are closely linked to stress, avoiding things, people, and situations that stress you out help reduce the chance of future attacks.

8. Educate yourself about panic attacks. There are many resources where you can learn more about the condition. Reading books, health magazines and internet articles about panic attack will definitely equip you with the right information on how to combat any negative effects it brings.

Teen Anxiety Attacks: Signs, Symptoms and Remedies

All teens, just like any adult, feel anxious from time to time as a normal reaction to stressors. Going on a date, speaking in public, meeting new people, competing in sports, performing on stage, and taking exams are some of the things that make us feel apprehensive. However, some teens experience severe anxiety than others. Some even feel severe anxiety by just thinking about the situation that has yet to happen. And when someone experiences episodes of panics or develops irrational fear over certain events or problems, it is known as anxiety attack.

When is too much anxiety too much?

Excess anxiety is when you feel worry, anxious and afraid for no apparent reason at all. Under normal circumstances, teens worry because of specific things (like what was mentioned above). But there is an obvious difference between healthy anxiety and irrational anxiousness. Teens during an anxiety attack tend to react disproportionately over simple things or events that seem not to cause any excessive anxious reaction to others. In other words, too much anxiety is an unusual reaction over simple or trivial things.

What are the signs and symptoms of anxiety attacks?

Different people react to situations differently. Hence, there are really no uniform symptoms of anxiety attack that are present to all. Nonetheless, teens may show some or all of the following signs: shortness of breath, chest pain, heart burn, smothering sensation, sweating, shivering, chilling or shaking, numbness in the head and face, neck and shoulder pain, palpitation, derealisation or depersonalization, hyperactivity, dry mouth, fear of going crazy, headaches, stomach pain, and other body pains.

Take note that some of the mentioned signs and symptoms can be caused by other medical, psychological, and physical conditionals. They can also be the effects of current medical treatment, side effects of certain medications or the body’s natural reaction to stimuli.

What are the available remedies for anxiety attacks?

Medication
Severe cases of anxiety attacks may require prescription drugs to control or reduce its symptoms. Prescription drugs may be antidepressants and benzodiazepines. Antidepressants may take some weeks to take effect so it is important to continuously take medications and not just during an attack. Benzodiazepines, on the other hand, have quick relief effects, usually within 30 minutes, but they are highly addictive, thus it should be used with caution. Remember that medication should not be the first treatment option as there are other effective ways to combat the effects of anxiety.

Therapy
Cognitive behavioral therapy (CBT) is one of the most effective ways to treat anxiety attacks or any anxiety disorder for that matter. CBT focuses on the thinking pattern of the patients and replaces negative thoughts with positive ones.

Exposure therapy exposes the person to the physical sensations of panic in a safe and controlled environment. Through repeated exposure, patients gain greater self control and more confidence in facing fearful situation.

Natural Remedies
Proper diet, regular exercise and sufficient sleep bring balance to the body, which help reduce the episodes of anxiety attacks.

Massage, aromatherapy, relaxation and breathing techniques promote wellness, relax muscles and ease muscle tension.

Herbal treatments naturally relieve stress and restlessness associated with anxiety, thus solving anxiety problem.

Thinking positively and talking to a supportive person help stop the occurrence of anxiety attacks.