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33 Possible Causes for Chest Pain Worse when Lying Down, Malaise

  • Acute Pericarditis

    The pain is relieved by leaning forward and is made worse by lying supine. [1,2] Fever, malaise, and myalgia On going inflammation with release of cytokines responsible for[explainmedicine.com] It is usually worse when coughing, eating and lying down. Sitting up or leaning forward will usually help relieve the pain.[your.md] Common associated signs and symptoms include low-grade intermittent fever, dyspnoea, cough, malaise, myalgia and occasionally hiccoughs.[escardio.org]

  • Pericarditis

    […] that may occur with bacterial pericarditis include: pain when you breathe shortness of breath when lying down a fever a dry cough fatigue a general feeling of sickness, or malaise[healthline.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] Typically, one to three weeks after a viral illness, patients begin to experience fever, chest discomfort, cough, shortness of breath, and general malaise.[healthcentral.com]

  • Rheumatoid Arthritis

    A 66-year-old man with seronegative, erosive rheumatoid arthritis for 12 years presented with malaise, elevated alkaline phosphatase and gamma-glutamyl transferase, and leg[ncbi.nlm.nih.gov] Heart: inflammation of the tissue surrounding the heart (pericarditis) can cause chest pain, which tends to be worse when lying down.[onhealth.com] During the early stages of RA, you may feel a variety of symptoms, including: general weakness or a feeling of malaise dry mouth dry, itchy, or inflamed eyes eye discharge[healthline.com]

  • Dressler Syndrome

    ., Ph.D. 1 Citing Article A 57-year-old woman was referred to our clinic because of malaise, dyspnea, and pedal edema four weeks after an extensive myocardial infarction.[nejm.org] 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] Facts : Post myocardial infarction pericarditis Usually occurs weeks after a myocardial infarction History / PE : Malaise, fever Pain worse with deep inspiration, improved[medlibes.com]

  • Pleurisy

    Symptoms Common symptoms are those associated with respiratory illness such as cough, fever and malaise.[breathebayarea.org] 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] […] sounds heard in both phases of respiration; heard low in the axilla or over the lung base posteriorly; may be heard for only a day or so  Evidence of infection; fever, malaise[slideshare.net]

  • Myocardial Abscess

    Additional symptoms include lack of appetite with weight loss, malaise, respiratory symptoms like a cough and dyspnea, general findings like as myalgia, arthralgia, confusion[symptoma.com] The unique presentation of substernal pain that is worse during inspiration or when the patient is lying down and is relieved by leaning forward is helpful in making the diagnosis[atsu.edu] Case presentation A 28-year-old intravenous drug user was admitted in a district general hospital with a 2-week history of fever, malaise and myalgia.[jmedicalcasereports.biomedcentral.com]

  • Superior Vena Cava Syndrome

    Table 2 Kishi Scoring system Neurological signs Awareness disorders or coma 4 Visual disorders, headache, vertigo or memory disorders 3 Mental disorders 2 Malaise 1 Thoracic[springerplus.springeropen.com] Dyspnea may be worse when leaning forward or lying down. Arm swelling is another common symptom of SVC syndrome.[pulmccm.org] In patients with malignancy, dyspnea, cough, chest and shoulder pain, and hoarseness are more commonly noted than in "benign" compression.[pulmccm.org]

  • Postcardiac Injury Syndrome

    The case adds a differential diagnosis to chest pain and malaise following PTCA.[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] The clinical manifestations of PCIS include malaise, pleuritic chest pain, a pericardial friction rub, and high fever.[synapse.koreamed.org]

  • Acute Pleuropericarditis

    She was referred to our hospital because of fever, malaise, and pleuritic left-side and central chest pain that was relieved by sitting up for two weeks.[academic.oup.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] Shepresented with a 2-week history of fever, malaise, and centraland pleuritic left-side chest pain that was relieved by sitting up[duration of therapy to onset of reaction[documents.tips]

  • Toxic Myocarditis

    A month or two later, the symptoms of flu (weakness and malaise) merge with symptoms of heart failure (fatigue during physical activity and shortness of breath).[healthcentral.com] The unique presentation of substernal pain that is worse during inspiration or when the patient is lying down and is relieved by leaning forward is helpful in making the diagnosis[atsu.edu] ( palpitations ) Sudden death (in young adults) Fever (usually associated with an infectious process) Myocarditis in children and infants has more nonspecific symptoms: Malaise[medicinenet.com]

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