06-14-2006, 06:42 AM
I've read that chest pain is a typical symptom of Lupus but it's all saying a sharp jabbing pain. I'm having dull chest pain all over. Has anyone else had this?
06-15-2006, 03:30 PM
There can be serveral reasons for your chest pain. Some more serious than others. You are correct, it is not uncommon for Lupus patients to have some form of chest pain. They are not always the sharp, jabbing pain. It is best that you discuss and describe your chest pain to your doctor so that appropriate tests can be done and treatment can be started. Some of the conditions that can cause a pressing/pressure pain are:
Pericarditis: Chest pain that is predominantly felt below the breastbone (sternum) and/or below the ribs on the left side of the chest and, occasionally, in the upper back or neck. Breathing causes the lungs and heart to move in the chest and rub against the irritated pericardium, worsening the pain. Pain may worsen when you lie down and may improve when you sit up and lean forward. Changes in position can increase or decrease pressure on and irritation of the inflamed pericardium.
Myocarditis: An inflammation of the heart muscle. Usually caused by viral infections such as coxsackie virus, adenovirus, and echovirus. It may also occur during or after various viral, bacterial, or parasitic infections (such as polio, influenza, or rubella). The symptoms are: Fever, Chest pain that may resemble a heart attack, Joint pain or swelling, Abnormal heart beats, Fatigue, Shortness of breath, Leg swelling, Inability to lie flat
Atherosclerosis: A condition in which fatty material is deposited along the walls of arteries. This fatty material thickens, hardens, and may eventually block the arteries. Eventually, this fatty tissue can erode the wall of the artery, diminish its elasticity (stretchiness) and interfere with blood flow. Plaques can also rupture, causing debris to migrate downstream within an artery. This is a common cause of heart attack and stroke. Clots can also form around the plaque deposits, further interfering with blood flow and posing added danger if they break off and travel to the heart, lungs, or brain. Many physicians now suspect that there is an immune system component to the problem (inflammation may help cause atherosclerosis). When blood flow in the arteries to heart muscle becomes severely restricted, it leads to symptoms like chest pain.
Pleurisy/Pleuritis: Pleurisy is inflammation of the linings around the lungs (the pleura). There are two layers of pleura; one covering the lung and the other covering the inner wall of the chest. These two layers are lubricated by pleural fluid. Pleurisy is frequently associated with the accumulation of extra fluid in the space between the two layers of pleura. This fluid is referred to as a pleural effusion.
The most common symptom of pleurisy is pain that is generally aggravated by breathing. Although the lungs do not contain any pain nerves, the pleura are abundant in nerve endings. When extra fluid accumulates in the space between the layers of pleura, the pain usually is less severe. With very large amounts of fluid accumulation, the expansion of the lungs can be limited, and shortness of breath can worsen.
Peace and Blessings