Why does my left atrium hurt a little when I sleep at night, and what should I do?

Jun 04, 2023 Source: Cainiu Health
Dr. Tian Hongbo
Introduction
Left atrial pain during sleep at night may be caused by conditions such as gastroesophageal reflux disease, myocarditis, or pericarditis, and can be improved with medication. Besides these causes, it may also result from hypertension, coronary atherosclerotic heart disease, or myocardial infarction. When experiencing physical discomfort, it is recommended to seek timely medical evaluation for appropriate examination and treatment.

Left atrial pain during sleep at night may be caused by conditions such as reflux esophagitis, myocarditis, or pericarditis. Symptoms can be improved with medication. Specific analyses are as follows:

1. Reflux Esophagitis

Reflux esophagitis results from damage to the esophageal mucosa. When stomach acid and gastric fluid flow back into the esophagus, they cause localized radiating pain. Under a doctor's guidance, patients may take medications such as omeprazole enteric-coated capsules or rabeprazole sodium enteric-coated capsules for treatment.

2. Myocarditis

In myocarditis, inflammation stimulates nearby pain receptors, leading to sensations of pain, which may manifest as pressure, distension, or dull aching. Under medical supervision, patients may be treated with medications such as enalapril maleate tablets or amiodarone hydrochloride tablets.

3. Pericarditis

Pericardial inflammation stimulates pain receptors within and around the pericardium, resulting in pain. Patients may, under a doctor’s guidance, use medications such as enteric-coated aspirin tablets or rifampicin tablets for treatment.

Besides the above causes, left atrial pain could also result from hypertension, coronary atherosclerotic heart disease, or myocardial infarction. If physical discomfort occurs, it is recommended to seek timely medical evaluation and appropriate treatment.

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