The common causes of vague chest pain include ischemic cardiomyopathy, costochondritis, intercostal neuralgia, pleurisy and reflux esophagitis, etc., which need to be treated according to the causes.
1. Ischemic cardiomyopathy: according to the condition, drugs can be given to increase the blood supply of the coronary artery and reduce the burden on the heart, such as isosorbide mononitrate, metoprolol, etc., and in the acute stage, it is necessary to consult a doctor in time, and cardiac interventional surgery can be given when necessary.
2. Costochondritis: non-steroidal anti-inflammatory drugs such as ibuprofen can be given; antibacterial drugs such as levofloxacin can be given to treat bacterial infections; resection of the lesion can be given to those with serious infections.
3. Intercostal neuralgia: Carbamazepine and other drugs can be given to treat it, and diclofenac sodium and other painkillers can also be given, and those caused by herpes zoster can be given antiviral drugs such as acyclovir to treat it.
4. Pleurisy: those caused by bacterial infection can be given antibacterial drugs such as cephalosporin, those caused by tuberculosis infection can be given anti-tuberculosis drugs such as rifampicin, and those caused by aseptic inflammation can be given non-steroidal anti-inflammatory drugs such as ibuprofen. Those with lung cancer can be treated with radical surgery, radiotherapy and chemotherapy (cisplatin, etc.) according to the stage and type of lung cancer.
5. Reflux esophagitis: mild cases can be treated with medicines to inhibit gastric acid, such as omeprazole, cimetidine, etc. Those who are ineffective in conservative treatment can be treated with anti-reflux surgery.
The specific situation is recommended to go to the hospital, clear cause, drugs need to be used under the guidance of a professional physician.