7 Pains You Shouldn't Ignore

From the WebMD Archives

At age 33, Kelly Gregory of Hendersonville, TN, started having “sharp and tight” pains in her chest. She exercised regularly, didn’t smoke, and was in good health, so she wasn’t alarmed.

“My general practitioner diagnosed it as anxiety attacks, prescribed meds, and that was it,” she says. But Gregory had a hunch that she wasn't having anxiety.

A month later, she had a heart attack. She had five of them during the next 4 months before her heart doctors were able to figure out the problem: She had a genetic mutation that causes clotting. The chest pains were emergency flares, letting Gregory know something was wrong.

It can be tricky to know when your pain is normal and when you should worry. Sometimes, your body might be telling you to get help.

Chest, Shoulder, Arm, or Jaw Pain

Pain, pressure, or a squeezing feeling in your chest is a classic sign of a heart attack. It means your heart isn’t getting enough oxygen from your blood. It usually hurts worse when you’re active.

“Sometimes people will describe it as an elephant sitting on their chest,” says Pam R. Taub, MD, a cardiologist in San Diego. “It's a heaviness, and a very severe pain, and it’s often associated with shortness of breath.”

Heart attack pain often spreads to other parts of the body, like your:

  • Shoulders
  • Arms
  • Neck
  • Jaw
  • Back

Women’s symptoms are often different from men’s, Taub says. They might have fatigue or shortness of breath.

“Many women will blow off things like sweating, thinking it's a hot flash,” she says. “But women have much more of these nonclassic symptoms that could be attributed to something else.”

Chest pain plus nausea, sweating, or indigestion that doesn’t get better when you’re sitting up are signs you should see a doctor right away.

“Get to the nearest ER as soon as you can,” Taub says. “The ER is there for exactly these types of situations. We have great interventions for heart attacks. They’re time sensitive, though, so don't ever hesitate to go get things checked out.”

Continued

A Bad Headache

Your head feels like it’s splitting open, and nothing in your medicine cabinet is helping. What could it mean?

“Most people worry that it's a brain tumor,” says Gretchen E. Tietjen, MD. She’s chairwoman of neurology at the University of Toledo Medical Center in Ohio.

But chances are, it’s not. “A lot of the brain doesn't have nerve endings,” Tietjen says. “So most headaches are going to be caused by something else.”

It’s not common, but bad pain in the brain can be a symptom of a stroke or blood clot. Watch for:

  • Other symptoms like stiff neck, fever, confusion, weakness, or numbness
  • Pain like you’ve never felt before
  • Throwing up
  • Fainting

Other clues your headache’s not normal:

  • It gets worse when you stand up.
  • The pain gets worse over time, and meds aren’t helping.
  • You have a family history of certain conditions.

Tietjen says your doctor will also want to know if your headache came out of nowhere.

“If all of a sudden, bam! you’re hit with severe pain, it might be what’s known as a ‘thunderclap headache,’ ” Tietjen says. “You could be having an aneurysm, and you should go to the emergency room right away.”

Lower Back Pain

Believe it or not, this could be a symptom of heart disease. Your doctor can decide if that’s the case.

“We’d want to know your risk factors,” Taub says. “Do you have diabetes, hypertension, high cholesterol, obesity? And on top of that, are you having these symptoms with activity or with exertion? All of these are risk factors for heart disease.”

Often, back pain comes from normal wear and tear on your muscles. But in serious cases, it can also be a sign of:

You can also have back pain just before something called an aortic dissection. That’s when the main blood vessel to the middle and lower parts of your body bursts. It’s a very serious problem. See a doctor right away for your back pain if blood vessel problems run in your family.

Continued

Belly Pain

If you still have your appendix, pay attention to pains in your middle. If it bursts, you’ll have to get to an emergency room right away. It can cause a serious, life-threatening infection.

Your appendix might be causing your pain if:

  • It hurts in the lower right side of your abdomen
  • Pain is worse after a doctor pushes on your stomach
  • You have nausea or are throwing up

Belly pain can also be a sign of:

Calf Pain

Is your leg swollen, red, and painful? It could be a blood clot lodged in a vein. Deep vein thrombosis, or DVT, can drift from your leg to your lungs. It can be fatal.

If you don’t move much -- you sit for travel a lot, for example -- you’re more likely to get DVTs. If you’re over 60, pregnant, obese, or have cancer or varicose veins, you’re at higher risk, too.

Hand and Foot Pain

Diabetes puts you at risk for disorders that can damage the nerves in your body. It can happen anywhere, but it’s common in hands, arms, feet, and legs. The longer you’ve had diabetes, the higher your risk of nerve damage.

“Pain due to peripheral neuropathy is often described as ‘pins and needles’ or ‘shooting,’ ” says Deborah Wexler, MD, MPH, associate professor of medicine at Harvard Medical School.

The pain often happens at night, Wexler says. You may also lose feeling in your hands and feet. If you’re diabetic, you might not feel pain in your limbs because of numbness. You could even have an infection and not know it.

If it spreads or becomes severe, a doctor may have to amputate the affected limb.

Pain You Can’t Put a Finger On

Aches and pains that won’t go away could be a symptom of depression or anxiety.

It may be hard to pin down exactly what hurts, but the pain is real. Mood disorders can cause pain in your:

  • Joints
  • Arms and legs
  • Back
  • Head

Christine Penguino of Atlanta has dealt with anxiety since she was a teenager. It always seemed to show up with a side of tummy troubles and headaches.

It wasn’t until she was in her mid-20s that her doctor solved the puzzle. He adjusted her meds in an attempt to stop her belly aches. “They make a significant difference in both my mental and physical symptoms,” Penguino says.

WebMD Feature Reviewed by William Blahd, MD on December 16, 2015

Sources

SOURCES:

Kelly Gregory, Hendersonville, TN.

Pam R. Taub, MD, associate professor of medicine, University of California San Diego.

National Heart, Lung, and Blood Institute: “What Are the Signs and Symptoms of Coronary Heart Disease?”

Gretchen E. Tietjen, MD, chairwoman of neurology and director, Headache Treatment and Research Program, University of Toledo Medical Center, Toledo, OH.

New York State Department of Health: “Types of Strokes.”

National Institute of Neurological Disorders and Stroke: “Low Back Pain Fact Sheet.”

American Family Physician: “Acute Appendicitis: Review and Update.”

American Academy of Family Physicians: “Abdominal Pain, Short Term,” “Deep Vein Thrombosis.”

National Institute of Diabetes and Digestive and Kidney Diseases: “Diabetic Neuropathies: The Nerve Damage of Diabetes.”

Deborah Wexler, MD, MPH, associate professor of medicine, Harvard Medical School; co-clinical director, Massachusetts General Hospital Diabetes Center; associate program director for clinical research, internal medicine residency program, Mass General, Boston.

Mental Health America: “Depression.”

Trivedi, M. The Primary Care Companion to the Journal of Clinical Psychiatry, published online 2004.

Christine Penguino, Atlanta.

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