When chest pain strikes it can be an alarming situation. Most people go straight to thinking they are having a heart attack, and sometimes they are right. But chest pain does not always involve the heart. In fact sometimes it can related to your lungs, stomach, stress, or simply your muscles and bones. Chest pain is nearly always amplified by the anxiety that people feel when they first take note of it. The way to help yourself and others around you is after you dial 9-1-1 to try and remain calm, take a few deep breaths and relax. I will endeavor to give you the knowledge you need to help you feel better and seek further help when it is needed.
Most people when they are having cardiac chest pain describe the pain as dull ache or like someone is sitting on their chest or something is squeezing their chest tightly. Sometimes they will have pain in there upper back as well and even pain in their arms, neck, and jaw. Along with this people usually feel short of breath and even nauseated and may actually vomit. If any of these symptoms are occurring then you should immediately dial 9-1-1.
- Sit down and take slow deep breaths, in through the nose and out through the mouth.
- Take one full strength (325mg) aspirin or four baby (81 mg) aspirin, if your not allergic.
If aspirin makes you nauseated or upsets your ulcers you are not allergic. If aspirin makes you break out and makes it hard for you to breath then you are allergic and skip this step; also make sure to tell EMS and the hospital staff that you are allergic as well.
- Remove or loosen any tight fitting clothing, as this will help to make you more comfortable.
- And remember help is on the way.
Respiratory Chest Pain:
The second most life threating type of chest pain is respiratory (dealing with the lungs) in nature. This can range from hyperventilation to fluid in your lungs. This is also a quite serious condition that can be fatal, although usually if treated quickly enough is survivable. Call 9-1-1. And just remember to try and remain calm and relaxed while waiting for EMS to arrive.
As with cardiac chest pain the person will feel short of breath. This can be for many reasons it all depends on what type of breathing trouble they are having. Normally there will not be pain in the arms, neck, or jaw nor will they be nauseated or vomiting. Although there can be pain in the shoulders and normally the patient will state that their face or hand and fingers feel numb. This is especially so in the hyperventilating person.
Hyperventilation can be caused for several reasons. The first reason is anxiety. Anxiety affects around 1.5 million Americans each month, some of which have never had any type of anxiety episodes before, this includes stress and panic attacks. From time to time people just get hit with so much emotional power at once that they are unable to process it and they begin to hyperventilate. The good news is that this is self correcting problem, at the absolute worse after hyperventilating for several minutes the person will simply pass out and regain consciousness and their breathing will return to normal. The best thing to do is to try and relax and control your breathing. Concentrate on your breathing, try to be deliberate and slow. Remove the person from crowds that naturally gather around and sit down. It is a difficult thing to do on one’s own but it will pass. For people who suffer from frequent panic attacks they know how to deal with them best for their selves.
There is also a form of hyperventilation that occurs when one’s electrolytes are out of balance. This is a serious event, which can only be resolved with medical attention at a hospital. If the person hyperventilating is a diabetic or goes to dialysis then they need to go to a hospital immediately.
Asthma, Bronchitis, COPD, Emphysema are all very similar and have similar home remedies. The patient feels as if they can’t get enough air out there by causing them to feel short of breath. If the person does not have an inhaler prescribed to them by a doctor then a simple solution that most people have in their homes is coffee. Simply make a pot of double strength coffee (Not Decaffeinated, the caffeine is needed) and have them drink a cup. What this does is there is a chemical in the caffeine that works like the main chemical in prescription inhalers and helps the small tubes (bronchi and bronchioles) in the lungs to expand and let air move more easily. Now this is not a fix all cure and the effect will only last for about 30 minutes at most, and sometimes it simply will not be enough. But this should be ample time for help to arrive.
Pneumonia is a common disease although not as fatal as it once was with the wide array of antibiotics we have these days. Pneumonia normally presents after some sort of other infection such as: UTI, staph, etc. And presents with a fever and cough with yellow or greenish phlegm/mucous. With this the pain usually occurs after a day or two of coughing and is based in the muscles of the chest.
Fluid in the lungs is extremely dangerous situation. Basically when fluid fills up your lungs your unable to get enough oxygen in them. The only thing that you can do is sit the person upright and wait for EMS to arrive. Often the person is pale in color is breathing shallow and looks like a fish out of the water, literally. In EMS it is referred to as Guppy Breathing, and this is bad.

Anxiety/Stress/Panic Attack chest pain:
Along with hyperventilating many people experience chest pain as well that feels very similar to cardiac chest pain. You could have the nausea and vomiting and even pain in your arms,neck, and jaw. One of the big factors though is age. Someone having what appears to be cardiac chest pain and is under the age of 35 is most likely having anxiety related chest pain. Not to say that you have to be 35 or older to have a heart attack, but its unlikely in most cases.
Stomach/Gastrointestinal chest pain:
Now most people think that if their stomach hurts they will feel it in their belly, and this is correct most of the time. But sometimes they can also experience pain in their chest. Usually this pain is more burning in nature and can be accompanied with nausea and vomiting as well. This is due to stomach acid and other fluids flowing upwards into the throat. Now most people have experienced heartburn and will take a anti-acid for this but sometimes the pain becomes much more intense. The course of treatment is the same anti-acid. If you don’t happen to have any anti-acid then you can mix 2 Tbsp of Baking soda with an 8 ounce glass of water, this has the same effect. If you have persistent problems then you should definitely check with your doctor as you may have a severe case of heartburn known as Acid Reflux or GERD (Gastroesophageal Reflux Disease). These are not life threatening in and of themselves but can lead to potentially life threatening illnesses if left untreated.
Muscular Chest Pain:
This usually occurs a day or two after strenuous lifting of objects, be it weights or boxes. As with any muscle cramps that occur after they have been exerted more than normal the muscles are tight and painful, this is because they are basically healing themselves and require time and a break from usage. The only treatment is time and your preferred pain reliever.
Pharmaceutical (Drug) induced Chest Pain:
There are certain drugs out there (prescription and street) that can cause chest pains as a side effect. These are usually stimulants in nature. If you’ve started taking a new medication prescribed to you by your doctor and you begin experiencing chest pains call your doctor or pharmacist and ask if this is a side effect if they have not already told you. Just because it is an expected side effect does not mean you shouldn’t go to the hospital. In fact it’s advised that you do go to the hospital just to be safe.
If you have been doing any sort of street stimulant (Cocaine, Amphetamines, Meth, Speed, Crack Cocaine, etc.) and you begin experiencing chest pain it is not part of the trip. You need to go to the hospital immediately, and cease any further drug use immediately. This can also occur if you use gas station counter stimulants (yellow jackets, mini thins, ephedrine, etc.) as well and should be treated in a similar way. People have died from taking these, thus why the FDA has considered banning them in the USA.

In summary, if you have chest pain it may not be a heart attack. But it never hurts to call 9-1-1 or go to the hospital. Remember only you can decide if you feel as if you are having a life threatening situation. And do what you think is right for that situation.