Chest pain on exertion may be caused by intercostal neuritis, coronary artery disease, pleurisy, and trauma. Treatment includes medication, surgery, etc. The use of medication should follow the doctor’s instructions.
1. Intercostal neuritis: pain in the area innervated by the intercostal nerves, pins and needles, burning pain, pain aggravated by coughing or deep breathing. Nutritional nerve drugs, such as methylcobalamin, can be used. Severe pain can use non-steroidal anti-inflammatory drugs, such as ibuprofen. Can also use local anesthetic drug closure treatment, local anesthetic such as lidocaine.
2. Coronary heart disease: patients with coronary heart disease in the exertion, there is a strong contraction of the heart, increased oxygen consumption, cardiac hypoxia, ischemia, manifested as chest pain, chest tightness and so on. Patients need to take sufficient rest, sublingual nitroglycerin and other drugs. If the condition is serious, surgical treatment is feasible, such as percutaneous coronary intervention.
3. Pleurisy: such as tuberculosis pleurisy, manifested as chest tightness, cough, etc., also may appear chest pain when exerting oneself. It is necessary to receive regular anti-tuberculosis treatment, such as taking isoniazid, rifampicin and so on.
4. Trauma: due to the patient’s rib fracture caused by trauma, the chest will also be painful when exerting oneself. This kind of patients should pay attention to rest and recuperation, if necessary, can take non-steroidal anti-inflammatory drugs, such as ibuprofen and so on to relieve the patient’s pain.
Chest pain with exertion can also be seen in other diseases, it is recommended that patients go to the regular hospital in a timely manner, so as to avoid delaying the condition.