Hey, this is dr. Berry
Let's talk for just a few minutes about which
Kinds of chest pain you should worry about in which kind you can get to when you get to it
Chest pain can be a very concerning symptom and you should be concerned about it
But you don't want to be running to the emergency department for every little tweak you feel in your chest
But at the same time and much more importantly you don't want to stay home because you think your chest pain is no big deal
So I want to go through the different types of chest pain you might experience and when you should go to the emergency
Department or see your doctor now if you have any doubt whatsoever
Obviously called 9-1-1 and if you're having chest pain right now
why are you watching this video call 9-1-1
Okay, because you haven't watched this video yet. So you don't know the difference, so don't take the time to watch this video
Initiate your emergency medical services now, okay
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So every time I get a bright idea you'll be one of the very first to note now. Let's talk about chest pain
so
You're not wired the same in your chest that you're wired
Out in your your fingers and toes if I cut you right here. You're gonna hurt right there
It's not like that in your chest
You can be having a severe lung problem or heart problem and just kind of hurt all over
I have a vague uneasiness or pressure you're not wired the same and so that's why it can become so confusing
with chest pain and then also if you have other problems like diabetes or
previous heart disease lung disease
Then that even Muddy's the water even further as you've probably seen in the media women don't always have the same
classic signs that most men have not all men but most and so for women also women tend to ignore things because they're trying to
Probably do something to take care of, you know their man
And so they ignore themselves and you should not do that. If you're having chest pain you need to listen to this video
Think about this and and get emergency services or go. See your doctor. If you're concerned about your chest pain. Don't put that off
Okay, three types that you don't have to worry about right off the bat
first
If an exercise gets I mean if if chest pain gets better when you exercise
Then it's probably nothing to worry about almost no serious chest pain is going to get better when you exercise
and so if you go for walking that makes it better or you
Just get on the rowing machine or whatever and it go it goes away
that's not anything to worry about the next is if you have a
Pinpoint pain in the chest almost never is this a problem if you say if you can say oh it hurts right here
Right here or right here. That's almost never a pain to be worried about now
You may still need to see your doctor if it continues and really bothers you but it's probably not your heart
Which is what we're always worried about
if you have a pain that is a shooting pain or like an electrical shock or it's like oh
I just had a it was just for a second and it went from here to here or here to here or here to here
Doesn't matter from where to where but if it's a shooting quick pain like that
That's virtually never a problem or anything to worry about
Okay, and there so those are the ones if you had and we all had those from time to time
I just had one just in it's nothing to worry about. Don't worry about that unless it
Continues and gets worse than of course. See your doctor. Now. Let's talk about the types of chest pain
You should worry about these can these can be a big deal. These can be life endures. And so you have to take these seriously
Yes, even you women who are busy trying to do chores for you or whatever
You got to take these things. Seriously. These are not something you can ignore safely. So if you have chest pain
With shortness of breath and so any chest pain you're like, yeah
I'm also out of breath or you know, usually I can take this flight of stairs, and it's no big deal
But now I have this discomfort this pressure and I'm more short of breath now
I mean immediate you got to go see the doctor that could be bad that could be your heart or some heart lung combination
Don't wait. So your doctor
Next is if you have chest pain
That you also have swear in your ankles in your feet in your legs
It's like I yeah, I don't know my chest has been even vaguely uncomfortable and I have all this swelling in my feet now
Immediately go to the doctor right now
That's that's hard until proven. Otherwise
And so chest pain was shortness of breath or chest pain with new swelling and your feet and ankles and legs
All bets are off go to the emergency department and get checked out. Okay
now what if it's just
the chest pain typically that we worry about is if you have a a
Squeezing pain or pressure like an elephant sitting on my chest or it feels like somebody's got me in a bear hug
And I can't get a deep breath and I really feel pressure and tightness in my chest
That's the classic engine chest pain that doctors worry about
don't hesitate go see the doctor right then if you have that tightness or that pressure, and that's kind of the
Universal sign of this like, I don't know it just like something to go to the emergency room
You need to see a doctor for that and it may turn out not to be your heart
But for that kind of pain, you're a dummy if you don't go to the emergency department, okay?
And now let me tell you this you may not know this about me
But but for the first few years of my practice, I was an emergency room physician
I took care of all comers at the local emergency room. And so I was the guy and so never feel like you're going to
Inconvenience the emergency department staff the doctor there or you're gonna embarrass
Yourself if you are of appropriate age and you haven't been here 12 times and you're you're 12 years old
We're not gonna be upset with you if you come to the emergency department
With chest pain. No, I don't work in the emergency department anymore, but I can tell you from my experience
Never did we get upset with somebody?
Who came to the emergency department with chest pain of any kind because we know that's very scary and we know that has to be
ruled out that it's not something serious, so don't
Worry about what the nurse is gonna say or the doctor is gonna think none of that crap
Matters, if you're having chest pain that worries you go to the emergency department
Okay. Now the next one is if the if the chest pain gets worse with exercising when I say exercise. I don't mean
You know running on the treadmill at full speed
I
mean that
If you're having chest pain that usually you carry your little bag of groceries up one flight of steps and you don't have any problem
Now that causes chest pain that's a problem. That's a red flag
You need to see your doctor ASAP
If you if you're like, you know just walk across the street now and I have this pressure
You need chest pain that gets worse with walking with taking a flight of steps with exercise. That is
angina or stable angina until proven otherwise and you know the way to prove otherwise is to go see
The emergency physician or your regular doctor ASAP and get that checked out
If you had and so we already talked about the aching and the crampy deep kind of pain
Chest pain that can kill you almost never is a sharp shooting pain or just a sharp
Short-term pain it's a deep
Visceral ache and so that's the kind of pain that you should really be worried about now with the two exceptions
One is if you're a diabetic
all bets are off because
One of the things that diabetes does is it causes neuropathy and now diabetics know what neuropathy and their feet feels like it's that numb
tingly ant crawling up your sock
Discomfort but you can also have neuropathy and these nerves as well
And so you might very well not have any of the classic Fred Sanford Oh Elizabeth
I'm coming to join you you might not have any of that at all and I'll tell you one example
Years ago working in the emergency department
I had a little lady come in who's a severe and controlled diabetic and she came in because she couldn't stop throwing up she had
Severe nausea and vomiting. That was her only
symptom and she wound up having a massive heart attack and we didn't save her and
so she had waited hours before she came in but if she had known that as a diabetic if you have any
Discomfort from your nose to your navel all the way out to your fingers
Anything in from the nose to the navel if you have discomfort
You're a diabetic
Especially an uncontrolled diabetic or a newly diagnosed diabetic a diabetic who's not eating the ketogenic way of eating
You got to go to the emergency department to make sure that's okay
And so just remember my little lady that came in with nausea and vomiting and now is no longer with us
because of the severe heart attacks
She was having the other
Group or class of people who really all bets are off if you have discomfort between the nose and the navel is women
Women don't have that classic middle of the chest
Substernal chest pain women can have shoulder pain they can have upper belly pain
they could have any of these kinds of pains and
It'd be a heart attack and that doesn't mean every pain you have is a heart attack
It just means that you can have weird pains and I'll tell you a story from the emergency department
I had a sweet little lady come in when late one night
She couldn't sleep because her shoulder was killing her and she was very stoic the lady. She was not a complainer at all
She'd never been to the emergency department before and so
She had no injury to his shoulder
but she so convinced me that she had a rotator cuff problem in her shoulder that actually
injected her shoulder to try to give her some relief so she could go home and get some sleep and after 20 minutes she said
No, it's no better. It's still killing me at that point
I as a young ER physician said, you know, maybe we should get a chest x-ray on this lady
She was having a heart attack. And so
Thankfully we didn't dally too long and we were able to get her to the cardiologist and she's still with us today
But as a young ER doc I missed it
She totally convinced me that it was her shoulder
And actually when I first suggested it an EKG, she said oh, I don't need that. It's not my heart. It's my shoulder
But it was her heart and so ladies out there if you have any discomfort
Between your nose and your navel that bothers you
You need an EKG. You need to go see your doctor
You need to go to the emergency department if it's severe enough to make sure you don't have a heart problem
So that's really chest pain in a nutshell
I hope this has helped but let me end this video again by saying if your having any discomfort in your chest
That's getting worse that you're not sure what's going on
You need to go see your doctor
Okay
I personally suffered from from reflux for years and I can tell you personally it is very very severe and
Remember how I talked about we're not wired the same in our chest as we are in our fingers
It can it can hurt here and it'd be several different things
But if it's hurting here, then it's severe you need to see your doctor because you need something diagnosed. Okay?
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On Facebook that helps me help lots of other people. Alright, this is dr. Barry. I'll see you next time