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Chapter 163 Chest Pain in the Bath, Be Careful of Coronary Heart Disease
Chest pain is often encountered clinically when taking a bath. The causes of chest pain are generally coronary heart disease, angina pectoris, pleuritic pain, pain caused by sternal or periosteal diseases, neuralgia, etc.

The typical onset of angina pectoris is sudden pain behind the sternum in the precordial area. The pain is mostly located behind the upper or middle sternum, and may also spread to the precordial area. It can radiate to the left shoulder or the inner side of the forearm of the left upper limb to reach the little finger and ring finger. It can also manifest as toothache, epigastric pain.The nature of the pain is mostly stuffy, suffocating, compressive, and even the fear of dying.Angina pectoris is a disease of blood vessels that supply blood to the heart muscle in the human body, resulting in insufficient blood supply, which makes people feel chest tightness and pain.

Especially during activities, such as when taking a bath, blood vessels on the skin surface of the body dilate and blood increases. On the contrary, the blood flow in the viscera decreases at this time. The continuous activity of the human body places more emphasis on the demand for blood from the heart muscle, and the relationship between supply and demand worsens. In severe cases, myocardial infarction may occur, which is life-threatening.

In such a situation, you must stop all activities and immediately take a half-lying rest at the nearest location. Don’t be nervous. If you know you have coronary heart disease, take a spare piece of “nitroglycerin” and put it under your tongue. If the symptoms disappear quickly, Then take a rest temporarily or go to the hospital for treatment. If you still can't relieve it within 15 to 20 minutes, you need to go to the cardiovascular specialist hospital for treatment as soon as possible.If the chest pain is severe, does not disappear with rest, and sweats profusely, you should immediately explain the symptoms to the doctor so as to receive timely and accurate treatment.

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Do not take a full meal or an empty stomach before taking a bath.Taking a bath after a full meal can increase the burden on the heart and aggravate myocardial ischemia.Taking a bath on an empty stomach is prone to hypoglycemia, causing dizziness, even fainting, and shock.

(End of this chapter)