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11 Possible Causes for Chest Pain Worse when Lying Down, Chest X-Ray Abnormal, Hiccup

  • Pericarditis

    Chest X-rays may be normal, but if there is a significant pericardial effusion, the heart shape may be abnormal. It is sometimes described as globular or flask shaped.[emedicinehealth.com] It can be made worse when lying down, coughing, or swallowing and may be relieved by sitting forward. Low-grade fever. Increased heart rate.[webmd.com] In cases where symptoms are present, they may include: chest pain light-headedness cough shortness of breath hiccups Possible causes of chronic effusive pericarditis include[hse.ie]

  • Diaphragmatic Hernia

    A chest X-ray is done to look at the abnormalities of the lungs, diaphragm and intestine.[choc.org] A chest X-ray is done to look at the abnormalities of the lungs, diaphragm, and intestine.[childrensnational.org]

  • Acute Pericarditis

    Chest X-ray showed normal findings, and mild elevation of C-reactive protein was observed in the blood chemistry data.[ncbi.nlm.nih.gov] It is usually worse when coughing, eating and lying down. Sitting up or leaning forward will usually help relieve the pain.[your.md] Phrenic nerve irritation can cause hiccups. With a small effusion, the physical examination is unremarkable.[clevelandclinicmeded.com]

  • Esophageal Achalasia

    He or she analyzes the X-ray image to see if the esophagus is abnormally dilated.[nyulangone.org] Other symptoms may include: Discomfort or pain in the chest, especially after meals Coughing, especially when lying down Heartburn Weight loss Vomiting In some people, vomiting[swedish.org] […] swallowing liquids or solids feeling food is stuck in the chest regurgitation of undigested swallowed foods and liquids chest pain/heartburn sensation of a lump in the throat hiccups[childrenshospital.org]

  • Dressler Syndrome

    Chest x-ray: This can help identify any evidence of fluid accumulation around the heart area.[epainassist.com] Symptoms include: chest pain that’s worse when lying down chest pain that worsens with deep breathing or coughing (pleuritic pain) fever difficult or labored breathing fatigue[healthline.com] […] fever Heart palpitations Hepatitis B, Head lice Heartburn Hepatitis C Herniated disk HIV & AIDS Hypercalcemia, Hiatal hernia Hives and angioedema Hyperglycemia in diabetes, Hiccups[sites.google.com]

  • Postcardiac Injury Syndrome

    Postcardiac injury syndrome is characterized by pleuritic chest pain, low-grade fever, an abnormal chest x-ray, and the presence of exudative pericardial and/or pleural effusions[ncbi.nlm.nih.gov] Symptoms include: chest pain that’s worse when lying down chest pain that worsens with deep breathing or coughing (pleuritic pain) fever difficult or labored breathing fatigue[healthline.com] A large amount of effusion may lead to compression of adjoining structures and produce symptoms of dysphagia, hoarseness, and hiccups.[brown.edu]

  • Pancreatitis

    Chest x rays may reveal abnormalities due to air trapping from shallow breathing, or due to lung complications from the circulating pancreatic enzyme irritants.[medical-dictionary.thefreedictionary.com] Symptoms Acute disease: moderate to severe abdominal pain that may spread to the chest, back, and sides (and is often worse when lying down); nausea and vomiting; abdominal[healthcentral.com] […] body and involves the back in a band-like pattern indigestion nausea or vomiting abdominal tenderness unintentional weight loss bloating with a distended (swollen) abdomen hiccups[healthline.com]

  • Constrictive Pericarditis

    Pericardial calcification was defined as calcification seen either with fluoroscopy or on chest x-ray.[content.onlinejacc.org] It can be made worse when lying down, coughing , or swallowing and may be relieved by sitting forward. Low-grade fever. Increased heart rate .[webmd.com] Phrenic nerve irritation can cause hiccups. With a small effusion, the physical examination is unremarkable.[clevelandclinicmeded.com]

  • Radiation Pericarditis

    Electrocardiogram is abnormal but nonspecific atrial fibrillation is common. Chest x-ray may show evidence of pericardial calcification.[brown.edu] pain. [1] The pain may also be felt in the shoulders, neck, or back. [1] It is typically better sitting up and worse when lying down or breathing deeply. [1] Other symptoms[en.wikipedia.org] Dissection is suspected in patients with severe, nonpleuritic precordial discomfort, abnormal mediastinal widening on the chest x-ray film, loss of one or more arterial pulses[tele.med.ru]

  • Idiopathic Recurrent Pericarditis

    These tests may include: Blood test to determine underlying disorder Blood culture to determine the causative organism, if bacterial or fungal infection is suspected X-ray[dovemed.com] pain. [1] The pain may also be felt in the shoulders, neck, or back. [1] It is typically better sitting up and worse when lying down or breathing deeply. [1] Other symptoms[en.wikipedia.org] Dyspnoea, dysphagia, hoarseness (recurrent laryngeal nerve), hiccups (phrenic nerve), or nausea (diaphragm) can occur. Heart sounds are distant.[gilp.org]

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