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Show I I ] TAIN PAIN OVER HEART IIEART DUE DUETO DUETO I TO NUMEROUS CAUSESNot CAUSES CAUSESI I Not infrequently InCrequently a very worned worried wornedmdlvldual worriedindividual worriedindividual mdlvldual individual consults his doctor em emplaanmg ( ' cornplaining 1m ' , plammg plaanmg ot of a "a a na "an an " n or an acl ael adi or orof orof , of some type of o ( dts dis disif discomfort : if ' comfort in the ielt left leftt4t leftlower , t4t ' lower anterior part partof partof partof of the chcsl chcst chest He IS IScertam iscertain iscertain certam certain that this Is isdue isdue I Idue due to heart dis disi disease disease disease i ease and that hIs hIsdays hisdays hisdays days are numbered numberedHowcver numberedHowever numberedHowever Howcver However there are aremany aremany 4 4many many causes Cor for CorDr forDr forUr Dr Nathan Spain S pain in th s part o1Davis of o1 ofDavisIIl , Davis DavisIIl III Hl the chest only a afew afew , fcw few ot of which are due to heart dls dis dlsU disease disease diseaseThere U ease ' easeThere There are so many causes causcs be because because because cause several organs in add addit It on to tothe tothe tothe the heart skin skm and muscles are sup suppi supph suppi pi ph ed with nerves from the same samesegments samesegments segments of the spinal cord Pam Pain Painover Painover over the heart ( precordial pam pain painmay ) I may be due to a spasm of the mus muscle muscle 1 cle at the inlet or outlet of the thestomach thestomach stomach to high acid ty ot of thel the thestomach thestomach thestomach stomach juices ( heart burn ) or to toan toan an irritable Irntable boweL Pain due to dls dis dlseases diseases diseases eases of the pancreas and spleen spleenmay spleenmay may also be referred to this regionDeatfi regionDeath region regionCeatti Ceatti Deatfi Death Rate from Increasing Diseases in theUnited the theUnited theUnited United States per 100000 100 000 PopulatIont PopulationEeSE Population f > . . I IOti I- I Oti EeSE ) \t t \ . . - " , / - . 4N 4NI.0aBaA . ( - , , . _ .0 0 . ; _ / . - . . I.0aBaA I0aBaA I.0aBaACANCta , - . Q.t8Q.s Qt8Q.s Qt8Qs . . CANCta " . .tEll tEll . . . . . . r.r rr . . . . . NErsap . . . - . , . - - . so 1 p ppaETES : "MTEo MTEo paETES paETESAPPEND "MTEoI " ! -I I - IA"NO A"NO ANO APPEND . " C < S SIN IN 02 a 9 97 91 1 W2l 1921 191i . 1917931 1927 1917 \ Wit \931 931 1931 93191 W \91 91 1W \ } 1930Irritat "M M 1939 1930 "MIrntat " Irntat Irritat on ot of the lining Immg of the chest chestcavity chestcavity chestcavity cavity and e a ether ther surface of the thed thed thed d aphragm may cause itOne it itOne One of the most common causes causesof causesof causesot of pain pam over the heart is mflamma inflamma inflammation mflammatlOn mflammation tlOn tion of the nerves between the nbs ribs nbsor ribsor ribsor or their thetr irntat Irritat on by bony over overgrowths overgrowths overgrowths growths in m the sp nal column Pams Pains PamsIn Painsm Painsm In m the muscles between the ribs due dueto dueto dueto to their being strained by Ilftmg lifting Ilftmgretch liftingretch liftingretch retch ng or coughing coughmg or to their be bemg bemg being mg injured ln3ured are the most frequent of ofall ofall ofall all Broken ribs may also cause pain painover painover painover over the heartSj heart heartSi S Si Sj ) hilitic hllItic disease ol of the heart and andaorla andaorta andaorta aorla aorta not infrequently mtrequently causes a anarrowmg anarrowing anarrowing narrowmg narrowing of the openings openmgs of the thecoronary thecoronary thecoronary coronary arteries artenes and a dlmmlshed diminished dlmmlshedblood diminishedblood diminishedblood blood supply to the heart It frequently frequently fre frequently quently is the cause ot of chest paIn paInAs painAs painAs As it at may also cause a leaky aortIc aortIcvalve aorticvalve aorticvalve valve It it , , too may cause senous serious seriousd senousd d sorders ot of rhythm Fortunately Fortunatelydue Fortunatelydue due to the improved methods for forthe forthe torthe the treatment of syphilis and to the thevigorous thevigorous thevigorous vigorous campaign being waged wagedagamst wagedagainst wagedagainst agamst against it by Surgeon General Par Parran Parran Parran ran of oC the United States Public PublicHealth PublicHealth PublicHealth Health service this kind kmd ot of heart heartdlsease heartdisease heartdisease dlsease disease is becoming less ot of a men menace menace menace ace aceSpasm Spasm PainsHardening Pains PaulS PainsHardening Hardening Hardenmg of the coronary ar arterles arteries arteries terles teries which wluch m In places results m in a anarrowmg anarrowing anarrowing narrowmg narrowing ot of the vessels limits the theflow theflow theflow flow of blood and may cause some somepre someprecord somaprecord pre precord cord al discomfort dl.comfort dlcomfort . A spasm In Insuch insuch msuch such a vessel due to a cold wind wmd or orto orto ori to exertion anger or excitement excitementmay excitementmay excitementmay may cause very severe pa n whIch whIchusually whichusually whichusually usually subsides quickly when ac actIvlty activity activity tIvlty tivity is stopped Certain Certam drugs drugswhIch drugswhich drugswhich whIch reheve relIeve the spasm of the ar artery artery artery tery and cause it to d late cause causethe causethe causethe the pain pam to cease almost mlracu maracu maraculously mlracuIou miraculously Iou lously sly This type of o ( heart pain pam asquite IS as ISqUIte isquite qUIte common in m older people es especlally especially espeeially peclally pecially during durmg cold weather II It IIoften Itoften Itoften often appears tor Cor for the first time timewhen timewhen timewhen when a pat ent goes out m In the cold coldafter coldafter coldafter after an attack ol of fluThe flu fluThe The most serious senous and most severe severeheart severeheart severeheart heart pain pam and the t1le most last ng IS ISthat isthat isthat that which usually develops when whenone whenone whenone one ot of the arteries artenes of the heart isblocked Ig is Igblocked isblocked blocked by a blood clot This cuts cutsoft cutsoff cutsoff oft off the blood supply and destroys destroysa a part of the tbe heart muscle whch wh ch chalter chafter chafter alter after several weeks is replaced by byscar byscar byscar scar t ssue Most of the people who whodevelop . whodevelop ho hodevelop develop clots or spasms in m the hard hardentd hardenLd hardent-d hardent d entd enLd - coronary arteries recover but butare butare butare are rarely able to carryon carry on as they theydid theydid theydid did beforeIf before beforeIt It If you have a pain pam over your yourheart yourheart yourheart heart , , even it if It is not severe or oralarmmg oralarming oralarming alarmmg alarming see your doctor and find findout findout findout out " "what what " is causing causmg it Then fol tol follow tollow ( ollow low his advice and so remove It its itscause itscause ! cause or prevent its return returnI I ' * ] Is s it et the pain pam you mmdor mindor mind mmd or orI orsomethmg orsomething orsomething I somethmg something somethmgIt somethinget it et stands for ( for9 ore ? - Austin Austm Austen Fox Riggs M lU 61 DI D , I . e . a , aQUESTION QUESTION 80 BOYSend BOX BOY BOXhend " < hend Send end questions quesUons to Dr Nathan S Davis Davls III IIIWinne IIIWinne IIIWinnc Winne ka kn 11 II I1 : Enclose rnclose s a self addressed addressed.tamped addressedstamped addressedfctampcd .tamped tamped stamped . enve opc ope ape ) QMy Q-My Q My Q -My My - My little girl has a rash like likeIczema likeeczema likeeczema Iczema eczema ! on the ms ins de ol of both arms armsat arm arm'sat armsat ' at the elbows Also on the back 01 et 01the etthe olthe the legs at the kntes knees All of the thevar thevar thevar var ous eczema tieatments heatments treatments have havehad havehad havehad had no effect elIect on this tlus rash What Whatwould Whatwould Wha1would would you suggest ' M PA PThat PAThat P PA I WhatI A-That A That A -That That - That a skin specialist speclahst be con consuited consuited consuited suited suitedho mho \\ho ho who \ would make a mole mote def def'nlle deffinite defInitc 'nlle nlle finite ' diagnosis and IInd prescribe ae- ae as aeI aecordmgly ascordtngly - c-cordmely c cordmely - ( cordmgly cordtngly Do not \ wait alt too lone long t ( rtconsult ' I consult the ( he specialist |