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Thursday, April 27, 2017

Feeling Down

For the month of Feb, I managed to log at least 30 km per week for 3 weeks (44 km in one of the weeks) and with ~23 km in the last week.  Again, I managed to repeat that in March with at least 30 km/week for 3 weeks (with 42 km max) and 25 km in the 4th week.  Unfortunately, April is really a pull back.  For the last 2 weeks, I really didn't feel like running and even suspecting myself of having heart problem.  I took a real rest for the next 3 weeks with only one run per week with ~10 km run.  Only after resting for 3 weeks, I started to check out the so-called heart problem to understand that the pain in my chest is not really related to heart.  After checking, it is likely that I had a strain in chest muscles.

Finally, I started to feel like running again... and looking forward for my first Full Marathon in the coming weekend.

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Extraction from Dr. Thomas Graboys articles.
Understanding Chest Pain
Characteristics
Cardiac Chest Pain
Other Chest Pain
Time of day when pain often occurs
Morning
End of the day
How it usually feelsPressure, heaviness, constriction, burning, or squeezing. Feels “deep” rather than superficial. Often very hard to describe. Diffuse. May be in the chest. May also radiate to throat, jaw, or even arms and back. Can’t really be “pointed to”/Feels like real pain, often sharp. Usually more local. May actually be at one point. Usually easy to point to location of pain.
What brings it on?Pain is usually preceded by exertion, especially upper arm movements like carrying a briefcase, shoveling snow, or carrying bundles. Exertion during exposure to temperature extremes is common provocation. Sometimes follows a heavy meal, especially with exertion. May wake you from sleep.Usually occurs “out of the blue”. “Heart burn” may come after eating, especially fried foods.
Duration of painUsually lasts as long as exertion, but rapidly declines when you stop or reduce exertion.May come and go very quickly, fleeting, just a few seconds. Or it may last several hours
What relieves it
Stopping exertion. With angina (“aching” from the heart), lying down makes it worse. Sitting and “leaning into” the discomfort helps. SEEK MEDICAL ADVICE – TREATMENT IS MANDATORY!
Exertion or exercise may actually stop this pain. Also: Breathing exercises. Simple analgesics: aspirin, ibuprofen (e.g. Advil), or acetaminophen (e.g. Tylenol). Application of local heat (wet or dry). Antacids (e.g. Tums, Rolaids). Simple reassurance that pain is not from the heart can be very effective.