3 Common Causes of Chest Pain! Emergency or Not!

3 Common Causes of Chest Pain! Emergency or Not!


– Look at this. – Hi folks, I’m Bob
Schrupp, physical therapist. – Brad Heineck, physical therapist. – We are the most famous
physical therapists on the internet. – In our opinion, of course, Bob. – You’re playing like a
little child again, Brad. – Did you ever play that? – Uh no. Oh I know what you’re talking about, yeah. What we’re going to talk
about today is three common causes of chest
pain, emergency or not, that’s the big question, isn’t it Brad? – Right, you gotta get
excited, you need to go in, we’re gonna let you know. – Yeah, we’re going to talk
about some common things causes of chest pain that
are not a heart attack. – Right, so there’s some good news here. – Alright, by the way, if
you’re new to our channel please take a second to subscribe to us, we provide videos on staying
healthy, fit, pain free and we upload every day. And yes siree Bob, you’re
gonna want to go to bobandbrad.com because we’re
always giving something away and you go to the giveaway section and what are we giving away Brad? – Say it Bob! – A SleepOvation mattress! – He said a SleepOvation
mattress by the way. (laughter) – You can also go to
Facebook and it’s pinned to the top of the page there. Want a shorter version of us?
Like a shorter version of Bob, less speaking, go to Instagram or Twitter. – He’s four foot six on those. – That’s right. – So this is not a full mattress,
it’s not for short people, this is just a sample of how they’re made. – They really are great for comfort as far as if you have painful
sleeping, this is your baby. Alright I’m gonna take
it out of the way Brad. – Say goodbye! So chest pain you know
it’s one of those things I think most people know that
if you’re having chest pain there’s potential that you
may be having a heart attack or what they call in the medical world a myocardial infarction,
but we’ll say heart attack cause it’s a lot easier. And the bad thing about
them is they can be fatal. – Oh yeah. – You can easily just fall
over and die from those. – Right. – But the good news is
that they’re treatable if you get in in time and you can live very healthy lives afterwards. – You know I can just
tell you in my brief time on this earth that you used
to see so many more deaths from heart attacks and now I think they’re so much better at
treating high cholesterol and high blood pressure. – And even now the surgeries often times they don’t even split
the chest and go in there they’ll go in through the femoral vein and they’ll put stints in, all that stuff has really come a long way so it’s not near as invasive. – The wonder of medicine. – Right but we got some
good news coming up near the end of this video
that’s gonna give you some more positive.
– More hope. – Yep exactly. So what are symptoms
of a heart attack Bob? – Gotcha, chest pain
and shortness of breath. – There you go give me some more Bob. Worse with activity!
– Worse with activity. Nausea, heart burn, and stomach pain. – Stomach pain, right. Left arm pain, typically the left arm. Jaw.
– Jaw. Really people talk about
it like they feel like there’s an elephant on their chest. – Yep, right. – And a lot of them you know
I’ve had a couple friends that have had heart attacks and they said that I mean you really don’t feel well, you know what I mean? And your color often isn’t great either, if someones around you, you kind of have that gray looking palette. – Ash tray, you’re like an ash try. – Sure. – Then the other two
and I’m really good at these other two because I’ve had them and I’ve gone in to
the doctor to make sure that I wasn’t having a heart attack. – So you can speak from experience here. – Yeah I’ve gone in three
times in the last seven years to make sure my chest pain
wasn’t a heart attack. – And I applaud you for
that Brad I really do because it’s really easy to
go in with a false positive and then you think oh my
god that’s what’s going on again and you don’t go in. So you need to go in each time. – And I’m the kind of person
that I don’t like doctors. – Yeah you don’t, you don’t like doctors and I could see you not going. – I like them I just don’t like to go see them on a professional basis. Anyway so heartburn.
– Very common. – In the medical terminology it’s GERD is the abbreviation. – Gastral esophagal reflux disease. – Right that’s why they call it GERD. – We actually see this a lot. Brad I bet you it’s one of
the more common diagnosis that we see in people. – More often with elderly
or getting up there, 50’s 60’s and so on. And you know that’s from
the hydrochloric acid in your stomach does really well in there it’s very potent and helps digest food, but it can come up. – Yeah it’s not meant to go back up. – Yeah then it starts to burn, and I actually had this
that’s what I went in for this last time because
I also have costochondritis which is the other cause. – We’ll talk about that in a minute. – A little bit, so I knew
I wasn’t having symptoms from that because I had that twice before. – And you knew what it was. – Yeah I mean I have it
on and off all the time but this is different
cause I was laying in bed and it was like oh I was
burning right in here like this is not my normal thing going on and I thought oh I gotta
go in cause I’ve got some big stuff coming
up, I’ve got a bike race coming up this week and I’m going up to the blah blah blah, I don’t wanna be- – You’re gonna be in remote areas. – Yeah I’ve gotta know I’m healthy, and you know you gotta do it anyways. So I went in and they said
well what kinds of things have you been doing in
the last week or two. It was all normal with the
exception I went fishing on Lake Michigan for salmon, three to five foot
swells and I was vomiting over the side of the boat and I could just feel that you know. – Well I gotta say it was worth
it because he brought back the best salmon, I’m gonna
have some of it today it is awesome, sorry
Brad you need to go back. – Yeah so the heartburn that I experienced then took me to a $1000
emergency room check up, that’s an expensive chunk
of salmon you got there. – I’ll enjoy it. But I want to make the point
that I have treated people that had a heart attack and
they didn’t go in right away because they thought they
were having heartburn. Many times I’ve seen
this I’ve seen them go, well I thought I was having
heartburn so I didn’t go in then it ended up being an
actual heart attack so. – Some of the things with heartburn some common symptoms I
think chest pain again, often times with bending
forward because you know that acid can work it’s way up easier from gravity helping. Lying, and that’s what it is
I was just lying in bed there and I wasn’t aware of that, and then of course with eating. – That’s where a lot of people sleep like propped up right. – Yeah you tilt the bed up a little bit you know if you’ve got a hospital bed or you put a bunch of pillows under you or use the wedge that we showed. – I imagine one thing
Brad maybe I’m speaking out of turn here but if you
take like is it Prilosec? What is it they take for
that, heartburn right? – Yeah Liz? – Liz thinks it’s Prilosec. – She’s pretty sure. – My son in law actually takes
milk and it takes it away, and so if you took that and it went away I think that’s a pretty good
sign you were having heartburn. – Trying to self diagnose. – Well I mean if you did it really quickly and you go oh it takes it away immediately I think you could feel pretty sure. – One thing I noticed
when I drank hot coffee it felt really good there. – It did. – Yeah it did so I could’ve
put two and two together but I’m glad I went in
cause well this gets back. – Yeah let’s get number three. – Back to number three, costochondritis. It’s a mouth full and all
it is, and this is not that unusual, where your ribs connect to your sternum that is
actually a joint there and it should be cartilaginous joint. Did I say that right, did I pronunciate? – Yes you did pronounce that very well. – I was thinking about it. But anyways often times there’s tender spots
right along the sternum and I found when I was
in the emergency room and the doctor said is it tender here, I was like no well so then I went over and I did find one spot
it was just on fire. – I bet it was. – So it’s not like the
whole areas inflamed like in this case it was just one spot. – You mean when you had costochondritis, not this last time? – Well I had both at
the same time evidently, costochondritis on top of heartburn. – Oh I see. – That’s why I went in Bob
it was a double header. – Sure, gotta make sure
it wasn’t a triple header. – Exactly right. – If you have costochondritis by the way we’ve got a great video on how to treat it and it does work pretty well. – I’ve gotta get the ball out or the, what’s that called? – The back pod. – The back pod, right. – So invented by a guy from Australia, I mean I know we’re
talking out of turn here because you don’t know what that is but it’s a device that you actually lay on and stretch out your
ribcage and it takes away the sticky points. – Yep exactly. So with that often times
like if I lay on the ball, can you see the ball up there Liz? So if you do exercise
and you lay down chest on the ball or anytime you
put pressure on your chest that can flare up costochondritis. Like with me, throwing a
football and things like that can throw it up. – Which all makes sense,
even biking right? – Yep, when I stand up. – I know a friend that got it biking, so. – You can get shortness
of breath a little bit, anything that makes
your chest go in and out it can be irritated. So overall the bottom line
and we mentioned this, what are you gonna do? Is it an emergency or not? Well you really need to go with this. – You can’t mess with this, you can’t. – You gotta go in. – Sorry you gotta go in, I
mean its just not worth it I mean the downside is
so huge if you’re wrong. – And the good side, there’s
two good sides about it. Number one, when you leave and
they say your heart is fine. – You got a piece of mind. – You feel so much, you
sleep so much better. My wife was better with
me she treated me better, she didn’t nag at every
oh your chest is hurting, you’re going in, no I’m not! – Good thing she’s watching over you. – Yeah I hope she doesn’t see this video. Anyways and the other
thing is I was talking to the ER doctor, everything was all done, I was getting ready to go and I said well how often do people
come in with chest pain and it’s not a problem? He said well I’ve been working a lot, he was a resident, you
know they work them 24/7. He says I’ve been a lot
for the last three weeks and there’s been about 15
between 15 and 20 people that came in with chest
pain, and he said zero. None of them had cardiac problems. So it’s common not to have
it but if you’re the one, you don’t want to be the
one so you got to go out. – Exactly I mean it’s in
my family my dad had it, I’ve got relatives who’ve tipped over too. – You’ve especially got a history too, but don’t even think about
that because very often it’s underdiagnosed in women because they don’t think women are
gonna have heart problems, so. – It can be a quagmire can’t it? – By the way we can fix
just about anything. – Except for –
– A broken heart! – This really fits in it though. – Yeah it does. So let’s fix that thing!

45 thoughts on “3 Common Causes of Chest Pain! Emergency or Not!”

  1. I get rib pain and chest muscles, (I think reason number 3 you said) I have AS so blame that but how to I get the tightness out of the muscles so its less painful?

  2. I’ve dealt with severe ‘health anxiety’ thinking I had heart issues. I have muscle pain and costocondritis right where my heart is which triggered it. Saw the cardiologist (even after the Dr.’s EKG cleared me) and was 100% cleared. Remember that heart issues are not ‘fleeting’ pain but are what B & B described. Sucks that anxiety mimics heart issues.

  3. I was "the one" this past week! Never ignore chest pain! Mine was less painful than heartburn but resulted in a lifesaving stent.

  4. My mom was the one. She went in to the ER for chest pain to had an aeortic dissection and had to have emergency open heart surgery only hours later. She recovered, but if she hadn't gone in, she would have died from it. It was scary bc they were actually going to send her home, but a nurse noticed her legs were very swollen and they investigated further and found a very tiny tear in her heart. 🙁

  5. I would add to all your good points that since we are an increasingly stressed out society, that's all the more reason not to ignore symptoms.

  6. I was having very painful chest pains, up into my neck & down my arm. Went through a round of tests & everything was normal but the Dr. put me on an aspirin regimen & gave me a bottle of nitroglycerin tablets just in case. Pretty scary stuff, always get your symptoms checked out!

  7. I had a coronary 2 years ago. Pain on the back side of my left shoulder and cold drenching sweat. Ended up with 5 stents. Hardest thing in the world is toknow when to say we need to head to er

  8. I have serious GERD….if I went to doctor for every painful burn, I would live there. And I take generic nexium twice a day.

  9. The 'classic' symptoms you discribed are classic symptoms for men. Woman's symptoms can be completely different so please include info on woman's symptoms as well & how they can be different.

  10. You can get a CAC test (scan) on your heart to see if you are at risk for heart disease. I think this is a good idea for everyone to do

  11. Having RA, Fibromyalgia and GERD, all of which cause pain in the sternum, I wouldn't have a clue if I was having a heart attack! Though, I don't get out of breath when I exercise, or the classic jaw or arm pain either, so I guess I'm okay!

  12. Prilosec takes time to work, just a basic otc antiacid works faster. Noncardiac chest pain can be scary, and needs to be checked out. When I had my heart attack chest pain was the one thing I never experienced.

  13. Women’s symptoms can be much more subtle, even to the point of pain not being that bad. Can you please do another video reviewing how women’s heart attack symptoms are often atypical and even missed by doctors.

  14. Having had severe anemia to the point where I almost had to have a transfusion I think I know how it feels to not have a properly functioning cardiovascular system. A 5 minute walk felt like running 5 miles, you have almost no power because there is not enough oxygen delivered to your muscles. I imagine a heart attack would feel similar.

  15. They said I had GERD. Turns out the problem went away when I stopped eating like a pig and got rid of chronic constipation. All it took was a doctor to be blunt and honest with me for me to make changes.

  16. Can you have stress pains on the right side of your chest? Breathing hurts and I take like 4 tums and it usually goes away. But no burning and nothing to do with my throat or stomach?

  17. To CURE GERD drink 1/4 cup Aloe Vera GEL 2 X day. You will be amazed! Oh yeah, for it to work optimally, do not eat or drink anything for 30 minutes before or after taking the gel. You might want to add a little fruit juice with the gel. It doesn't have a taste, but the texture is weird. It is good for a nervous stomach as well. $10 for a quart is an affordable way to take care of your gut, heartburn, and your sense of well-being.

  18. Be careful with that back pod guys, I invested in one and it ended up hurting me worse than ever helping me followed directions completely. It's a rough one

  19. Here's one for ya. Coronary artery spasm .
    I have frequent heartburn so when I woke up one night with that old feeling again. I went to the bathroom and chewed up a Tums ultra then sat on the edge of the bed until it went away. 5 minutes later, hmm, still there. I eat another one. 5 minutes after that, still there but now I can feel the same sensation on the back and side of my left arm. I'm and EMT so I know that if this is what I hope it isn't "Time = muscle" So I drove myself to the ER (never drive if you suspect you might be having a heart attack) and long story short blood test indicated elevated cardiac enzymes, vitals and EKG showed normal. They kept me for another day and after an interesting time in the cath lab the Dr said I (at age 49) had only a 20% oclusion witch is great news. So what caused the angina? It was a coronary artery spasm. There are other conditions that contributed to the diagnosis but that's a whole other story.

  20. Such a good way to get good information out there to people. Listening to your banter is a lot more informational than listening to a medical lecture. Great idea!

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