Eyebrow pain chest pain

Sometimes I feel pain in my eyebrows and chest, and I don’t know what causes it. Problems with any organ in the human body will affect normal life, and if there is pain, it is necessary to check and treat it, because many malignant diseases are caused by people's initial lack of attention. Eyebrow and chest pain may not seem to have a direct relationship, but if a disease occurs in any part of the body, complications may occur. It is recommended to have all of them checked.

Inflammation of one or more sinuses is called sinusitis. The affected sinuses include the maxillary sinus, ethmoid sinus, frontal sinus and sphenoid sinus. This is a disease with a high incidence rate in the population and affects the quality of life of patients.

Causes

Sinusitis can be divided into 2 types: acute and chronic sinusitis. The course of acute sinusitis was 12 weeks.

The disease is divided into mild and moderate/severe according to the visual analog scale (VAS) score (10 cm) of severity: mild = VAS 0-4 cm; moderate/severe = VAS 5-10 cm.

1. Acute sinusitis

Acute sinusitis is mostly caused by upper respiratory tract infection, and bacterial and viral infections may occur simultaneously. Common bacterial flora include various pyogenic cocci such as Streptococcus pneumoniae, hemolytic Streptococcus and Staphylococcus, followed by Haemophilus influenzae and Moraxella catarrhalis, the latter of which is common in children. Other pathogens include streptococci, anaerobic bacteria and Staphylococcus aureus. Those caused by dental diseases are mostly anaerobic infections, and the pus often has a foul odor. Fungi and allergies may also be causative factors.

Acute sinusitis infections often come from: sinus infection, nasal infection, adjacent tissue infection, blood infection, trauma infection, as well as systemic factors and toxic factors.

2. Chronic sinusitis

(1) The transformation from acute sinusitis to chronic sinusitis is often due to improper treatment of acute sinusitis, or failure to treat it thoroughly, resulting in repeated attacks and prolonged illness. This is the primary cause of this disease.

(2) Obstructive causes Obstructive diseases in the nasal cavity, such as nasal polyps, hypertrophic turbinate, nasal stones, deviated nasal septum, nasal tumors, nasal packing, etc., which hinder the ventilation and drainage of the nasal cavity and sinuses, are the main causes of this disease.

(3) The pathogens are highly virulent. Certain highly virulent pathogens, such as beta-hemolytic streptococci in scarlet fever, can easily turn acute sinusitis into a chronic disease.

(4) Odontogenic infection: Because the roots of the upper molars are adjacent to the floor of the maxillary sinus, if the dental disease is not cured, it can easily lead to odontogenic chronic maxillary sinusitis.

(5) Trauma and foreign bodies, such as traumatic fractures, retained foreign bodies, or blood clot infection, lead to chronic sinusitis.

(6) Sinus anatomical factors: The special or abnormal anatomical structure of each sinus is not conducive to ventilation and drainage, which is also an intrinsic factor that cannot be ignored.

(7) Systemic factors include various chronic diseases, malnutrition, and excessive fatigue that lead to low body resistance. At the same time, there are various allergic factors and causes induced by bronchiectasis. [1]

Clinical manifestations

1. Acute sinusitis

(1) Susceptible groups: All groups are susceptible to the disease, but it is more common in the young and the elderly and the weak.

(2) Disease symptoms

1) Systemic symptoms often worsen on the affected side during the course of acute rhinitis, followed by chills and fever, general discomfort, lack of energy, loss of appetite, etc. The systemic symptoms of acute odontogenic maxillary sinusitis are more severe. Children may have high fever, and in severe cases, they may experience systemic symptoms such as convulsions, vomiting, and diarrhea.

2) Local symptoms ① Nasal obstruction: Due to congestion and swelling of the nasal mucosa and accumulation of secretions, persistent nasal obstruction may occur on the affected side. ② There is a lot of mucopurulent or purulent secretions in the nose on the affected side of the nose, and there may be a little blood in the mucus at the beginning. The purulent mucus of patients with odontogenic maxillary sinusitis has a foul odor. ③ Local pain and headache. In addition to nasal pain caused by inflammation, acute sinusitis is often accompanied by severe headache. This is caused by swelling of the sinus mucosa and compression of secretions or negative pressure after the secretions are emptied, which stimulates the trigeminal nerve endings. Acute sinusitis pain has its regularity in time and location. The anterior group of sinuses are close to the surface of the head, and the headaches they cause are mostly in the forehead, inner canthus and cheeks. The posterior group of sinuses are deep in the head, and the headaches they cause are mostly in the top of the head and occipital area. Acute maxillary sinusitis: often forehead, cheek or upper teeth grinding pain, mild in the morning, severe in the afternoon. Acute frontal sinusitis causes severe forehead pain in the morning, which gradually worsens, eases in the afternoon, and disappears completely by the evening. The headache caused by ethmoid sinusitis is usually mild and limited to the inner canthus or root of the nose, but may also radiate to the top of the head. Sphenoid sinusitis presents with pain deep in the eyeball that may radiate to the top of the head, and may also cause occipital headaches that are mild in the morning and severe in the afternoon. However, some people's pain symptoms are atypical, and it is impossible to determine the affected sinuses based solely on the characteristics of the headache. ④ Decreased sense of smell.

2. Chronic sinusitis

(1) Susceptible groups: All groups are susceptible to the disease, but it is more common in the young and the elderly and the weak.

(2) Disease symptoms

1) Local symptoms ① Purulent nasal discharge is mostly purulent or mucopurulent, yellow or yellow-green in color, with variable amounts, and can flow back into the pharynx. Those with a foul odor on one side are often seen in odontogenic maxillary sinusitis or fungal infection. ②Nasal congestion varies in severity and is mostly caused by congestion and swelling of the nasal mucosa and increased secretions. ③Olfaction disorder: Nasal congestion and inflammatory reaction can lead to olfactory disorder. ④ Headache: Chronic sinusitis generally does not cause obvious local pain or headache. If you have a headache, it is often a dull pain or a feeling of heaviness in the head that is worse during the day and less severe at night. The former group of sinusitis often presents with swelling or dull pain in the forehead and root of the nose, while the latter group of sinusitis often presents with headaches at the top of the head and the back of the head. When suffering from odontogenic maxillary sinusitis, it is often accompanied by pain in the upper teeth on the same side. ⑤Other symptoms of chronic pharyngitis, such as excessive sputum, foreign body sensation, or dry and sore throat, are often accompanied by purulent mucus flowing into the pharynx and long-term mouth breathing. If the Eustachian tube is affected, symptoms such as tinnitus and deafness may also occur.

2) Other symptoms include a feeling of pressure in the eyes, which may also cause visual impairment, but this is rare. A feeling of heaviness or pressure in the head, or just dull or muffled pain.

3) Systemic symptoms are mild or not obvious, and generally include dizziness, fatigue, depression, malaise, poor appetite, insomnia, memory loss, inattention, and reduced work efficiency. In very rare cases, if the lesion has already developed, there may be persistent low-grade fever.