It usually happens because the arteries supplying the heart become hardened and narrowed - a process called atherosclerosis, which can occur due to a build up of fatty depositis. However, the British Heart Foundation said people can get angina if they are exerting themselves, during activities such as exercise or sex. But many people with angina can continue to enjoy sex. Experts suggest that to reduce the chances of having angina symptoms, avoid having sex after a heavy meal and try not to be too energetic at the start of your sexual activity. People will usually be advised to stop smoking, control high blood pressure, reduce cholesterol levels, remain physically active and maintain a healthy weight.
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Gas p roblem: In gastric situations, the diaphragm paij pressurized which slighg aggravates the stress on lungs and interferes with normal breathing. The shortness of breath i could understand as Very slight chest pain during intercourse good round of love makin could cause that, but the pain is another story. But many people with angina can continue to enjoy sex. In anxiety, there is no change in the health of coronary arteries but high levels of stress hormones may affect the normal physiology of coronary vessels. People will usually be advised to stop Gets topless, control high blood pressure, reduce cholesterol levels, remain physically active and maintain a healthy weight. Very slight chest pain during intercourse pain start from the upper part of stomach and goes all Very slight chest pain during intercourse way to the neck area. Other symptoms include feeling of being dizzy, sick and fainting, profuse sweating and shortness of breath. You may find it surprising, while doctors hear these complaints very often. Diets should be balanced, experts argue, and only moderate amount of alcohol should be consumed. Guest over a Huge redhead teen tit ago. Angina pain is the result of ineffective or inadequate circulation of blood to the cardiac muscles due to narrowing of coronary arteries. It can also be a result of viral infection or environmental factors. Sometimes the pain seems to travel from heart to neck and then into the arms. Gastric reflux can include acid reflux or esophagitis.
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- Guest over a year ago.
- Indeed not, there are many trivial and less complicated causes of chest pain when waking up that may not require immediate or acute interventions.
- It usually happens because the arteries supplying the heart become hardened and narrowed - a process called atherosclerosis, which can occur due to a build up of fatty depositis.
Victorian government portal for older people, with information about government and community services and programs. Chest pain can be serious. It may be caused by temporary poor blood flow to the heart angina , or by a sudden blockage in the coronary arteries resulting in a heart attack. There are other possible causes of chest pain such as indigestion and muscle strain.
Aside from the heart, the many parts of the chest that can cause chest pain include the lungs, oesophagus gullet , muscle, bone and skin. Because of the complex system of nerves in the body, the cause of the chest pain may come from elsewhere in your body, such as your abdomen. If you are in doubt about the cause of your chest pain, call for an ambulance. New treatments for heart attack can save lives and prevent serious heart damage.
Symptoms of a heart attack may include:. Symptoms of a heart attack may vary from person to person, and some people have few symptoms or none at all.
This can occur with exercise or high emotion, cold weather or after eating a large meal. The pain eases with rest. Angina does not usually cause damage to the heart. The cause of the pain is reduced flow of blood to the heart due to fatty deposits atherosclerosis building up on the inner walls of the coronary arteries. This is also referred to as coronary artery disease. It is important to remember that people without these risk factors can also develop cardiovascular disease.
The symptoms of a heart attack are similar to other conditions, so your chest pain may have nothing to do with your heart. If any activity brings on chest pain , stop what you are doing. If the chest pain persists, call an ambulance to report a possible heart attack. If you have any doubt about your pain, call an ambulance anyway. Before medical treatment can begin, the cause of the pain must be found. You may have a lot of tests done including:. If your healthcare professional thinks you may have angina, they may order further tests to check the state of the blood vessels that supply your heart.
They may also arrange an exercise stress test on an exercise bike or treadmill. It is not always easy to diagnose the cause of chest pain. If your doctor has ruled out serious causes of chest pain, it is likely you will make a full recovery. General self-care suggestions include:.
The following content is displayed as Tabs. Once you have activated a link navigate to the end of the list to view its associated content. The activated link is defined as Active Tab. The heart is about the size of a clenched fist and lies in the middle of your chest, behind and slightly to the left of your breastbone Heart attack is an emergency.
If you have warning signs of heart attack, get help fast. Call triple zero and ask for an ambulance Heart attack warning signs aren't what you think. Symptoms vary and they may not always be severe. Learn the warning signs because the sooner you recognise your heart attack and get treatment, the Although blocked blood vessels can cause both coronary heart disease and some types of stroke, stroke is not the same as heart disease Over , Australians are living with coronary heart disease.
Learn about what you should know about managing heart disease Heart disease affects both women and men. Cardiologist Cathie Coleman from St Vincent's Hospital explains the risk factors for heart disease and what actions you can take to lower your risks Absolute risk is a measure your doctor can calculate to understand the likelihood of you experiencing a heart attack or stroke in the next five years Heart Foundation of Australia warns of the risk of high blood pressure and tells you what you can do to keep your blood pressure down Over , Australian's are currently living with coronary heart disease.
There are actions you can take to help prevent heart disease and to manage your life after a heart attack Did you know that your mental health can affect your heart health and your heart health can affect your mental health?
Depression can also affect how well people with heart disease recover, and This health assessment questionnaire will identify which zones of your lifestyle are contributing to your personal health risk and provide actions you can take to make positive change Hypertension, or high blood pressure, can increase your risk of heart attack, kidney failure and stroke Learn about the warning signs and symptoms you may experience if you are having a heart attack or angina attack With a heart attack every minute counts.
The warning signs of a heart attack can be varied and may not always be sudden or severe. Hear Danny's story about his heart attack Jo tells of her experience with heart disease including having 5 stents in her 40s and a triple bypass at age Replacing foods that contain saturated fats with foods that contain polyunsaturated and monounsaturated fats will help to lower your cholesterol A diet low in saturated fats and high in fibre and plant foods can substantially reduce your risk of developing heart disease Learn how to cut down on salt This video explains some common heart procedures and provides questions to ask your doctor to ensure you understand what has happened to your heart Aortic stenosis may be congenital present from before birth , but is often diagnosed during teenage years Congestive heart failure is present when the heart cannot pump enough blood to satisfy the needs of the body Some congenital heart defects are mild and cause no significant disturbance to the way the heart functions Angina attacks can be prompted by exertion or physical exercise, when the hard-working heart muscle requires greater amounts of oxygen Atrial fibrillation AF is a type of arrhythmia, which means that the heart beats fast and abnormally An enlarged heart isn?
Some children acquire a heart problem after an illness in childhood, and this is called an acquired heart defect Many children have innocent heart murmurs that don? You should be investigated for long QT syndrome if you faint for no apparent reason, during or after exercise or emotional excitement Metabolic syndrome is a collection of conditions that can increase your risk of diabetes, stroke and heart disease Noonan syndrome is a genetic condition that usually includes heart abnormalities and characteristic facial features Pericarditis symptoms may be similar to those of heart attack and include chest pain and abnormal heart rhythms A doctor may recommend an electrocardiogram for patients who may be at risk of heart disease because of family history, smoking, overweight, diabetes or other conditions After heart bypass surgery, eat a wide variety of fresh fruit and vegetables, wholegrain cereals and cold-water fish People with coronary heart disease talk about the medical procedures that followed their heart attack and diagnosis A person with an artificial cardiac pacemaker can live a normal life and can still perform moderate to strenuous activities Transplantation varies depending on the transplant organ or tissue so speak with your medical team about surgical procedures, recovery and medications Attending cardiac rehabilitation will help you to create a good foundation for living with your heart condition Make sure you follow your plan when you leave hospital, take your medication and keep your appointments with doctors Understanding basic first aid techniques can help you cope with an emergency.
Find out about basic care for injuries and emergency situations Heart disease occurs when your arteries become clogged with fatty material. You can lower your risk of having a heart attack by following simply lifestyle choices This page has been produced in consultation with and approved by: Heart Foundation.
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It happens when the food we eat is passed through the esophagus, but the sphincter that guards the communication between esophagus and stomach is not fully competent. Costochondritis takes place when there is an ongoing inflammation in costochondral joints or costoclavicular joints. You must seek medical help in following situations:. Other symptoms include feeling of being dizzy, sick and fainting, profuse sweating and shortness of breath. Heart attack is inevitable when coronary arteries are blocked due to formation of a blood clot, thereby obstructing the blood supply to the heart muscles. Angina pain is the result of ineffective or inadequate circulation of blood to the cardiac muscles due to narrowing of coronary arteries.
Very slight chest pain during intercourse. Introduction
Couldn't find what you looking for? New Reply Follow New Topic. Guest over a year ago While having sex I have pains in my chest and shortning of breath. Pains in the chest accompanied by a shortness of breath isn't good. The shortness of breath i could understand as any good round of love makin could cause that, but the pain is another story.
Our hearts race and our respirations increase during sex, our blood has to pump extra hard, but if your chest hurts upon exertion, you may want to speak to a Cardio Doctor. These symptoms may alleviate spontaneously after a few days. Painkillers or over-the-counter analgesics can be consumed for pain-relief. Angina pain is the result of ineffective or inadequate circulation of blood to the cardiac muscles due to narrowing of coronary arteries.
This narrowing of arteries can be due to the atheroma formation at one or multiple locations within the coronary arteries. Some other symptoms include nausea, tiredness, pain in arms, neck or stomach, fatigue, problems in breathing and sweating when exerting yourself. Usually the angina pain does not stay for a longer period of time and vanishes within few minutes after rest.
Heart attack is inevitable when coronary arteries are blocked due to formation of a blood clot, thereby obstructing the blood supply to the heart muscles. The clot can be removed by medications to dissolve or dissolute the clot. Symptoms : The classic symptoms of heart attack include extreme pain in the chest even when you are resting or chest pain when waking up, feeling of extreme pressure and heaviness in the chest. Other symptoms include feeling of being dizzy, sick and fainting, profuse sweating and shortness of breath.
Likewise, the chest feels pain when these muscles get strained and this can be due to over-stretching or ischemic injury of muscles. The muscle can get inflamed, thereby increasing the pain while breathing movements. The pain may persist for a longer period of time and may even get worse with excessive activity. Sometimes the pain may get so extreme that individual misinterpret it as the pain of angina. The propensity of developing chest pain due to anxiety is much higher in individuals with a recent history of heart attack or other cardiac problems.
In anxiety, there is no change in the health of coronary arteries but high levels of stress hormones may affect the normal physiology of coronary vessels. The swelling is usually benign but can get very painful in some cases. It is usually hard to predict the course of pain; for example, it can be very sudden and generalized i.
An injury in the chest region can also cause pain and discomfort. It can also be a result of viral infection or environmental factors. Other causes are:. It also affects adjoining area of ribs with breastbone. It can be due to heavy coughing or external pressure. Muscular strain can cause inflammation and chest pain that may persist for a longer period of time and gets worse with movement.
Gas p roblem: In gastric situations, the diaphragm gets pressurized which further aggravates the stress on lungs and interferes with normal breathing. This can be treated by avoiding dairy products before sleeping and by quitting smoking and use of illicit drugs.
Sex and Heart Disease
NCBI Bookshelf. Boston: Butterworths; Pain, pressure, tightness, or other discomfort originating in or radiating to the chest constitutes an important indicator of potentially serious cardiac or cardiovascular disorders.
Because the probable etiology often can be determined from the history alone, the clinician should systematically evaluate characteristics of the pain. Precise definition of the pain allows the list of possible causes to be narrowed and guides the physical examination and choice of diagnostic tests. A central goal is to determine whether the pain is likely caused by myocardial ischemia. Angina pectoris is a recognizable pain syndrome, and careful attention to the features of the history aids the clinician in determining whether a patient's pain is typical of angina pectoris.
Patients should be asked to describe the quality of their discomfort in their own words. Anginal pain is typically described as dull, heavy, or crushing. The patient may describe a pressure sensation rather than a true pain. Sharp, stabbing, or burning pain is less typical of angina. Anginal pain is usually located substernally or across the anterior chest. Pain located exclusively in either the left or right chest is atypical.
While radiation of the pain to the left arm is typical of angina, patients with coronary artery disease also frequently have pain that radiates to the right arm or neck. Angina usually becomes worse with exertion and is relieved by rest. If the patient notes that less exertion is required to cause the pain when going out in cold weather or after eating a large meal, then the pain is likely to be caused by coronary artery disease.
Patients with coronary disease frequently report pain brought on by emotional stress or sexual intercourse. Pain that is pleuritic or is brought on by moving the arms or torso is less likely to be caused by coronary disease. Patients occasionally will attribute pain to exertion, but careful questioning will reveal that the pain comes and goes with deep breaths or body movements during heavy exercise. Such pain usually is not caused by coronary artery disease. For patients reporting chest pain brought on by exertion, clarify the amount of exertion required to cause the pain.
Patients with a history of recurrent pain that now occurs with decreasing levels of exertion may require urgent treatment.
Similarly, improving exercise tolerance is strong evidence that a treatment regimen has been effective. Whether or not the pain is caused by exertion, its severity provides a clue to its etiology. The frequency and duration of pain should be defined, although these data are less helpful in distinguishing the cause of attacks.
Episodes of pain caused by coronary disease usually last less than an hour. Symptoms accompanying chest pain often provide diagnostic clues.
Cough or dyspnea suggests pulmonary disorders. Diaphoresis frequently occurs in acute myocardial infarction. Dysphagia, nausea, and vomiting suggest a gastrointestinal etiology. The patient should be asked to describe the temporal relationship between the pain and associated symptoms. Not surprisingly, patients with a history of myocardial infarction are likely to be found to have coronary disease as the cause of recurrent episodes of pain.
Other conditions that should be asked about include valvular or rheumatic heart disease, hypertension, peptic disorders, esophageal disorders such as achalasia, rheumatologic disease, chronic lung disease, hyperventilation syndrome, and anxiety states. Pain may originate from several different structures within the chest, including the skin, ribs, intercostal muscles, pleura, esophagus, heart, aorta, diaphragm, or thoracic vertebrae.
The pain may be transmitted by intercostal, sympathetic, vagus, and phrenic nerves. The innervations of the deep structures of the thorax follow common pathways to the central nervous system, making it difficult to localize the source of pain. In pursuing the cause of chest pain, a probabilistic approach to diagnosis will aid in making decisions about patients.
As indicated in Chapter 61 the clinician can estimate the probability of a particular diagnosis for a particular patient. Several studies of coronary arteriography in patients referred for evaluation of recurrent chest pain have quantified the prevalance of coronary artery disease in different chest pain syndromes. These prevalence figures should be interpreted with caution, however. Arteriography studies consistently have shown that women have a lower prevalance of coronary disease than men.
In men, the risk of coronary disease increases steadily between the ages of 30 and 70, with little further increase above age Arteriography studies have reported disease prevalances in patients evaluated at referral centers, and these selected populations have a higher prevalance of coronary disease than the general population.
In a study reported by Sox et al. None of these patents, who were seen at a walk-in clinic, had evidence of ischemic heart disease on follow-up. Clinicians should attempt to estimate the underlying rates of disease in their clinical settings when interpreting a patient's disease risk.
While several studies have provided data for estimating the risk of coronary artery disease, there has been less investigation of the prevalance of other disease in patients with chest pain. Of patients whose recurrent chest pain is not caused by coronary artery disease, approximately half have reflux esophagitis or esophageal contraction abnormalities. Other possible etiologies include chest wall disorders, hyperventilation, or pulmonary disease, which are relatively common in some populations.
Patients with acute pain include those whose episodes are of recent onset or those who have had a recent increase in the intensity or frequency of recurrent pain. Patients with chronic pain include those who have recurrent episodes of pain occurring in a relatively stable pattern. The leading diagnostic consideration in patients with chronic chest pain is coronary artery disease. The commonest clinical presentation of coronary artery disease is recurrent angina pectoris.
A helpful diagnostic feature of coronary artery disease is that the pain usually improves with specific medications. Relief of anginal pain within 3 minutes of taking sublingual nitroglycerin is strong evidence that coronary disease has caused the pain.
Decreased frequency of attacks after starting a beta blocker, calcium channel blocker, or long-acting nitrate preparation suggests that coronary artery disease is the cause. Esophageal disease is a common cause of recurrent chest pain. Esophagitis, usually secondary to acid reflux from the stomach, frequently causes esophageal pain. The acid causes chemical damage and inflammation of the mucosa, resulting in pain that often has a burning quality.
Clues to the presence of reflux esophagitis include a history of acid—peptic disease and symptoms of reflux, such as regurgitation or acid taste in the mouth. Chest pain caused by esophageal reflux tends to occur after meals and may be related to body position. Episodes of pain can be induced by bending over at the waist. They often occur at night, because the recumbent posture enhances reflux of acid into the esophagus.
Relief of pain by antacids, topical lidocaine, or by specific maneuvers to reduce reflux suggests this diagnosis. Esophageal motor disorders also commonly cause chest pain. While reflux esophagitis causes pain by irritation of the esophageal mucosa, motor disorders cause pain by contraction and spasm of the muscular wall of the esophagus. Esophageal spasm often occurs as a secondary manifestation of reflux esophagitis. Such patients will report a pattern of pain similar to that seen in reflux esophagitis, occurring after meals and aggravated by body position.
Patients may report varying qualities of pain. Esophageal motor disorders can be independent of acid reflux disease, as in patients with achalasia or diffuse esophageal spasm.
These patients show a different pattern of episodes than occurs in patients with acid reflux. The pain usually is unrelated to body position and may occur while eating instead of after meals. Dysphagia is frequently a prominent symptom in patients with primary motor disorders. Esophageal motor disorders may be relieved by nitrates and calcium channel blockers, via relaxation of the smooth muscle wall of the esophagus.
Because these agents also relieve the chest pain caused by coronary artery disease, the clinician may have difficulty using medication response as a clue to the cause of undiagnosed chest pain. Nitrates and calcium channel blockers can relax the lower esophogeal sphincter and aggravate esophageal reflux, thereby increasing symptoms of reflux esophagitis. Myocardial ischemia sometimes occurs in the absence of fixed obstructions of the coronary arteries, resulting in recurrent chest pain.
Obstructive disease of the intramural small vessels can cause ischemia. Valvular aortic stenosis, hypertrophic cardiomyopathy, and thyrotoxicosis can also cause myocardial ischemia.
The quality and pattern of pain in these conditions usually is similar to that of coronary artery disease. These entities nearly always are accompanied by physical examination findings typical of the underlying disease, and so their detection usually is not difficult.
Coronary vasospasm can cause myocardial ischemia in the absence of obstructive coronary disease. The pain usually has a quality similar to the pain of obstructive coronary disease, but it tends to occur in an unpredictable pattern.
The pain typically is not induced by exertion and may awaken the patient from sleep. Some patients report emotional stress as a trigger. The pain frequently responds to sublingual nitroglycerin, and the frequency of episodes decreases after therapy with calcium channel blockers or long-acting nitrates.
Thus, the absence of electrocardiographic changes during pain makes coronary vasospasm unlikely. Mitral valve prolapse MVP is a controversial etiology of chronic chest pain. Clinical and echocardiographic studies have demonstrated that MVP is a common finding in otherwise healthy adults. Population studies have found the incidence of chest pain to be no higher in individuals with mitral valve prolapse than in those without the disorder. Nevertheless, there have been numerous clinical reports of patients in whom mitral valve prolapse was the only identifiable etiology of recurrent chest pain.
The patients in these studies have pain with various qualities and patterns, and there is no "typical" chest pain syndrome of MVP. The major value of diagnosing mitral valve prolapse is to identify those patients at risk of endocarditis and arrhythmias. Prospective studies have shown that patients who develop serious complications have either a late systolic murmur or abnormal electrocardiogram in conjunction with the midsystolic click. The chest wall can cause recurrent chest pain, but the clinical diagnosis of chest wall syndromes has not been described well.
The quality and location of chest wall pain vary greatly; precipitating factors are useful for diagnosis. Chest wall pain is often pleuritic and tends to be aggravated by moving the arms or torso. The clinician must make immediate management decisions for patients having new onset of chest pain or an increase in the frequency or severity of recurrent chest pain. Because some of the disorders are life threatening, it must be decided whether to admit the patient.