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Symptoms of disease - pain in the heart of a child

Pain in the hearts of the children are one of the most frequent causes of treatment to the doctor. The doctor it is important to clarify their location, time of occurrence, the constancy or sporadic painful phenomena, intensity, distribution, communication pain with physical or psycho-emotional stress and other factors. It is important to establish cause and to pain relieving factors.

Painful sensations in the heart of the children are, in General, prickly character (86,9%), localized in the area of the apex of the heart (96,1%), are provoked by stress (79,6), not irradiating, not connected with physical activity, decreased or disappear at diverting attention of the child, as well as after administration of sedative drugs.

Which diseases there is pain in the heart of a child

1. Pain in the heart of the children tend to have a functional character and, as a rule, may not be associated with pathology of the heart. Cardialgia in children of early school age are usually a manifestation of the so-called diseases of growth, when the intensive growth of the heart muscle is more than the growth of blood vessels, supplying the blood in body.
This pain usually arises from adynamic, emotional, moving children in the face of physical load, fast walking or Jogging. Is the child to stop, relax, calm down, and the pain is going away. Such cardialgia usually caused character, may be repeated more than once, and periodically during several months.

2. Pain in my heart in adolescence are usually associated with the violation of the autonomic regulation of the heart, that is, are the manifestations of vegetative-vascular dystonia. Pain in the heart when the IRR is also often caused nature to the site in the left half of the chest, left underarm area, may occur in a quiet position.

3. Very often the child pathology of other organs and systems simulates the pain in my heart. In the first place - it is the pathology of the spine (scoliosis, early osteochondrosis). On the second place pathology of the nervous systems (neuroses, etc.) And, finally, the pathology of the gastrointestinal tract (dyskinesia, holetsistoholangity). Typical for children is the lack of ability to localize the source of pain. So, for example, in case of pain in the abdomen, a small child may appear on the chest and heart area.

4. Pain in the neuroses usually localized in the very heart (in the upper), is stuck, aching character, is accompanied by a number of emotional manifestations, restlessness.
Sharp pain when you inhale, cough or other respiratory movements usually indicate the pleura and pericardial area or the connection as a possible source of the pain, although the pain in the chest wall, is also likely to affect the respiratory movements. Like this pain, which regularly occurs when walking fast and disappears after a few minutes after the stop, is still considered to be the sign of typical angina, although such effects may be observed in patients with disorders and injuries of the skeleton.

5. Particular attention should be paid, if the pain in the heart of a child arises against the background of acute current diseases (Ari, influenza), which can testify to the development of viral myocarditis. And also, if the pain occur after 2-3 weeks after a bout of strep throat or scarlet fever. After such time after a streptococcal infection begins rheumatism. In such threatening complications, as myocarditis, rheumatism, except the pain in my heart disturb and other complaints: signs of intoxication, malaise, pain in the joints, heart intermissions, etc. In this case, you must immediately consult the doctor.

6. Associated with the defeat of the heart cardialgia in children are observed in the anomalous coronary blood circulation, pericarditis, with the dramatic expansion of the heart or great vessels. When anomalous coronary close of the left coronary artery from the pulmonary syndrome (Blandta-white-Garland) pain compressive, localized behind the breastbone, can irradiate in the neck, jaw, shoulders.

7. Postcardiotomy syndrome. The dull pain behind the breastbone, fever, arthralgia appear within a few weeks after surgery, accompanied by the opening of the cavity of the heart, in 30% of the operated children. Is characterized by an expansion of the frontiers of the heart, increased erythrocyte sedimentation rate, increase of antibodies to the heart muscle in the blood, which is seen as the hyperergic reaction of an organism to damage to the cells of the heart muscle.

8. When pericarditis can be two kinds of pain in the heart. Pleural pain, connected with the breathing movements and combined with a cough and (or) a deep breath is caused by pleuritic component of infectious pleuro pericarditis. The second type of Gore pain is a pressure of the retrosternal pain that simulates a myocardial infarction or angina pectoris. Due to the pain of inflammation sensitive internal parietal the surface of the pericardium or irritation of the afferent nerve fibers of the heart, lying in peri-adventitial layer of the surface of the coronary arteries. Pain, caused by pericarditis, usually expressed a sense of pressure. It comes with infectious or rheumatic pericarditis. The intensity of the pain varies from minor to severe, pain increases when driving, deep breath. During the transition dry pericarditis in the exudative painful sensations are terminated, at the same time appear mute the colors of the heart, venous stagnation, triangular shadow of the mediastinum.
Stupid long pain in the heart, sometimes with a strong sense of stinging, as well as pain radiating to the left arm and shoulder, as if an angina pectoris, may be due to myocarditis or pericarditis due to acute heart expansion. If the pain is combined with the noise of friction, synchronized with the heart beats, visible venous stagnation in the veins of the neck and gepatomegaliei, you should think about pericarditis (typical configuration of the x-ray of the heart).

9. Mistakenly believe that the pain in the heart of a child is a manifestation of the blemish. Congenital heart disease often have other clinical signs.
Cardialgia are observed in the defeat of the great vessels is first of all with primary pulmonary hypertension, the development of the aneurysm at a pathology of the aorta (Marfan syndrome, the non-aortoarteriit, etc.), a pulmonary embolism, etc. As the cause of pain in the heart of the defeat of coronary vessels in children is rare and is observed in abnormalities of the coronary vessels, with congenital heart disease (tetrad of Fallot, aortic stenosis, its transposition, the anomalous origin of the left coronary artery from the pulmonary artery), when coronaritis on the background of hard currency, nonspecific arteritis, periarteritis nodosa, YURA, rheumatism, when non-rheumatic carditis, infectious endocarditis.

To what doctors consult, if there is pain in the hearts of children:

If the pain in the heart occurs in apparently healthy child, but is repeated several times, and the child focuses attention on it, that is, the need to visit a pediatrician or children's cardiologist. It is possible that after the examination of the heart (ECG And ultrasonic examination) will need consultations of other specialists - neurologist, orthopedist, the gastroenterologist.
pain in the solar plexus -
The solar plexus (plexus coeliacus), also splanchnic plexus, or celiac plexus, is the largest cluster of nerve cells outside of the Central nervous system. Located in the abdominal cavity around the beginning of celiac and the superior mesenteric artery man directly behind the stomach.
Sometimes it is called the accumulation of abdominal brain (in Latin «the abdomen of the female» means ' belly').

In the solar plexus includes the right and left celiac nodes, Gypsy upper mesenteric node, also in the solar plexus includes n. phrenicus major et minor, and many nerves, which depart from the nodes in different directions like the rays of the sun (hence the name). The nodes of the solar plexus consist of nerve cells, on the bodies and those extensions now ending synapses branching preganglionic fibers that have passed without a break nodes border sympathetic trunk. The nerves of the solar plexus, in addition to the sensitive and parasympathetic fibers, contain numerous postganglionarnae sympathetic fibers, which are branches of cells of its units and Innervate the glands and muscles receptacles aperture, gastrointestinal tract, spleen, kidneys in the adrenal glands and other organs.

Pain in the solar plexus a very serious matter and requires a very careful treatment.

When no disease occurs pain in the solar plexus:

Causes of pain in the solar plexus

1. Pain in the solar plexus caused by physical overload or food poisoning

2. Neuritis (neuralgia) solar plexus
Neuritis of the solar plexus, or solar plexites, called the defeat of the solar plexus, which is composed of celiac nerves, abdominal branches of the vagus nerve and branches from the last babies and two upper lumbar nodes. The solar plexus is connected with various internal organs through from the secondary plexuses: phrenic, adrenal, the upper gastric, hepatic, splenic, mesenteric, etc.
For neuralgia of the solar plexus is characterized by pain, to which with optic neuritis join secretory, disease, trophic and motor disorders of internal organs. Ganglionevrit solar plexus should always be > we try from diseases of the abdominal cavity organs.

Neuritis of the solar plexus can develop in acute and chronic infections (malaria, flu, syphilis, typhoid, etc.) and in inflammatory processes in the area of abdomen (peritonitis, periduodenit, perigastrit, peripankreatit, etc.), in poisonings (lead, nicotine, alcohol) and autointoxication (after long delays feces in the intestines, etc.). Traumatic neuritis of the solar plexus can occur when you punch in the stomach (in the box) or when hitting a soccer ball, when the constriction of the girdle of the stomach, etc. Neuralgia of the solar plexus sometimes appears when enteroptosis, compression plexus aneurysm of the abdominal aorta or cysts of the pancreas, a sharp lordosis spine, increase of the abdominal lymph glands (lymphogranulomatosis).

The main symptom is pain in the epigastric region, often localized along the middle line between the xiphoid process and the navel around the navel, often with a wide radiating pain in the spine and around the tummy. Pain occur paroxysmal, continue for several hours, are of a painful character: carious, piercing, cutting. Sometimes patients take anti pain attitude, body bent, feet are given to the stomach, breathing delayed. The pain intensifies after unrest or heavy physical load. In the epigastric region are developing parestesia: the skin is thick, warm, inside «is bottled feeling the heat», «full stomach», pain irradiating in the area of the chest. In addition sensitive disorders, there are spasms of the stomach, esophagus (pylorospasm), intestine (spastic constipation), as well as atony of the smooth muscles, leading to belching, flatulence, diarrhea, vomiting. Detected and secretory disorders: disorders of the pancreas, reducing acidity gastric juice, polyuria, etc.

Often in neuralgia (optic neuritis) solar plexus there is a irradiance of pains in the small of the back, the lower thoracic vertebrae and in the course of the intercostal nerves in the intestine: thin (through the upper mesenteric plexus) or heavy (through the lower mesenteric plexus) colon or the rectum (through pancreas plexus).

Which doctor should I contact if there is a pain in the heart of a child

  • Neurologist
  • Gastroenterologist
  • Infectious disease physician

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Do you feel heart hurts in children? You should be very careful approach to your health in general. People pay not enough attention to the symptoms of the disease and don't realize that these diseases can be critically dangerous. There are many diseases that in the beginning didn't manifest in our body, but in the end it turns out, unfortunately, it have already been treated too late. Every disease has its own specific features typical symptoms - called symptoms of the disease. Definition of symptoms is the first step in the diagnosis of diseases in general. You just need a few times a year to be screened by a doctor, not only to prevent a terrible disease, but also to maintain a healthy spirit in a body and the organism in general.

Pains by category

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Map of the symptoms and the types of pain is intended solely for educational purposes. We strongly recommend do NOT self-medicate; on all matters relating to the definition of the disease and ways of its treatment, contact your doctor. Md-tips is not responsible for the consequences of use information posted on the site.