Heart disease affects millions of people worldwide and remains one of the leading causes of serious health problems.
The heart plays a central role in maintaining normal body function. With each beat, it pushes blood through the circulatory system, so organs and tissues receive the oxygen and nutrients required to operate properly. This continuous circulation supports movement, organ performance, and stable energy levels throughout the body.
Many cardiovascular conditions develop slowly over time and may not produce obvious symptoms in the early stages. Changes in heart health can remain unnoticed until circulation becomes less efficient, physical endurance declines, or energy levels begin to drop.
Table of Contents
Structure of the Heart
The heart is one of the most active organs in the human body. Every movement, thought, and bodily process depends on the steady movement of blood through the circulatory system. This constant activity places unique demands on the organ responsible for maintaining that flow.
What the Heart Is
The heart is a muscular organ that functions as the body’s central pump. It is made primarily of specialised muscle tissue known as cardiac muscle, which allows the heart to contract in a steady rhythm throughout life.
It beats continuously from before birth until the end of life, often pumping more than 100,000 times per day and circulating thousands of litres of blood daily.
The heart sits slightly left of centre in the chest, between the lungs and behind the breastbone. In most adults it is about the size of a clenched fist. An adult heart usually weighs between 250 and 350 grams, with some variation from person to person. Men often have slightly larger hearts than women, largely because of differences in overall body size.
Although relatively small, the heart is remarkably durable. It begins beating before birth and continues working without interruption throughout a person’s lifetime. Over time, natural aging can lead to gradual changes in heart tissue, such as mild thickening of the muscle or reduced flexibility in the chambers. These changes can influence how efficiently the heart fills and pumps blood, although many people maintain healthy heart function for decades.
Anatomy of the Heart
Several structural components allow the heart to move blood efficiently through the body. These include muscular walls that generate pumping force, chambers that hold and move blood, valves that regulate flow direction, and major blood vessels that connect the heart to the rest of the circulatory system.
Heart Walls and Cardiac Muscle
The heart wall contains specialised muscle tissue responsible for generating the force that pushes blood through the body. The thick muscular layer known as the myocardium contracts during each heartbeat, producing the pressure needed to circulate blood.
This muscle tissue works continuously throughout life, contracting and relaxing in a coordinated rhythm that allows the heart to pump blood efficiently.
Chambers of the Heart
Inside the heart are four chambers that move blood through the organ during each heartbeat.
- The right atrium receives oxygen-poor blood returning from the body.
- The right ventricle pumps this blood to the lungs so oxygen can be absorbed.
- The left atrium receives oxygen-rich blood returning from the lungs.
- The left ventricle pumps oxygenated blood into the aorta so it can circulate throughout the body.
The left ventricle has the thickest muscle wall because it must generate enough pressure to move blood through the entire circulatory system.
Heart Valves
Valves inside the heart regulate the direction of blood flow. These valves open and close with each heartbeat to keep blood moving forward through the chambers.
- The tricuspid valve controls blood flow between the right atrium and right ventricle.
- The pulmonary valve directs blood from the right ventricle toward the lungs.
- The mitral valve allows oxygen-rich blood to move from the left atrium to the left ventricle.
- The aortic valve regulates blood flow from the left ventricle into the aorta.
These valves prevent blood from flowing backward and help maintain efficient circulation.
Major Blood Vessels Connected to the Heart
Several large blood vessels connect the heart to the rest of the circulatory system.
- The aorta carries oxygen-rich blood from the left ventricle to the body.
- The pulmonary arteries transport oxygen-poor blood from the heart to the lungs.
- The pulmonary veins return oxygen-rich blood from the lungs to the heart.
- The vena cava carries oxygen-poor blood from the body back to the right atrium.
Together these vessels allow blood to circulate between the heart, lungs, and body tissues.
How the Heart Works
The heart’s structure allows it to maintain a steady flow of blood throughout the body. Each beat follows a coordinated pattern that moves blood through the chambers, into the lungs for oxygen, and then out to the rest of the body. This repeating sequence allows the circulatory system to function continuously.
| Process | What Happens | Key Structures Involved |
| Cardiac Cycle | The heart moves through two repeating phases. During systole the ventricles contract and push blood out of the heart. During diastole the heart relaxes and the chambers fill with blood. | Heart muscle, atria, ventricles |
| Electrical Conduction | Electrical signals generated in the sinoatrial node initiate each heartbeat and travel through the heart to coordinate the contraction of the atria and ventricles. | SA node, AV node, conduction pathways |
| Blood Flow Through the Heart | Blood returning from the body enters the right atrium, moves into the right ventricle, travels to the lungs for oxygen, then returns to the left side of the heart before being pumped into the body. | Atria, ventricles, major vessels |
| Heart Valves | Valves open and close with pressure changes during each heartbeat, allowing blood to move forward while preventing backward flow. | Tricuspid valve, pulmonary valve, mitral valve, aortic valve |
| Pulmonary Circulation | The right side of the heart pumps oxygen-poor blood to the lungs where carbon dioxide is released and oxygen is absorbed. | Right ventricle, pulmonary arteries, lungs |
| Systemic Circulation | The left side of the heart pumps oxygen-rich blood through the aorta to deliver oxygen and nutrients to tissues throughout the body. | Left ventricle, aorta, arteries |
| Coronary Circulation | The heart muscle receives its own oxygen supply through coronary arteries that branch from the aorta and deliver blood directly to cardiac tissue. | Coronary arteries, cardiac muscle |
Heart Health and Its Impact on the Body
The heart supports the circulation that keeps every organ and tissue functioning. By moving blood through the body, it delivers oxygen and nutrients to cells while carrying away waste produced during normal metabolism. When the heart works efficiently, the body is better able to maintain energy, physical performance, and stable organ function over time.
Benefits of a Healthy Heart
When the heart functions well, it supports many essential processes throughout the body. Consistent circulation helps maintain physical endurance, organ performance, and the balance of systems that regulate daily bodily functions.
- Efficient circulation delivers oxygen and nutrients to organs and tissues so they can perform their normal functions.
- Stable blood flow supports brain activity and helps maintain concentration, memory, and mental clarity.
- Strong cardiovascular function improves physical endurance and allows the body to sustain activity for longer periods.
- Healthy circulation helps transport hormones and other chemical signals that regulate body processes.
- Effective blood flow also carries metabolic waste products, including carbon dioxide, away from tissues.
- Maintaining heart health reduces long-term strain on the cardiovascular system and lowers the risk of many chronic conditions.
Warning Signs of Poor Heart Health
Even though a healthy heart supports many aspects of wellbeing, changes in cardiovascular function can affect how the body feels and performs. While symptoms vary depending on the underlying condition, certain warning signs appear more frequently when the cardiovascular system is under strain.
- Chest pain or pressure may occur when blood flow to the heart muscle is reduced. People often describe this discomfort as pressure, tightness, squeezing, or heaviness in the centre or left side of the chest. In some cases the sensation can spread to the arms, shoulders, neck, jaw, or back.
- Shortness of breath can develop when the heart is not pumping blood efficiently. This may occur during physical activity or while resting and may indicate that oxygen delivery throughout the body has been reduced.
- Unusual fatigue may appear when the body is not receiving enough oxygen-rich blood. Persistent tiredness that does not improve with rest can sometimes signal reduced heart function.
- An irregular heartbeat or palpitations may cause a sensation of the heart racing, pounding, or fluttering in the chest. These sensations can occur when the heart’s normal rhythm becomes disrupted.
- Swelling in the legs, ankles, or feet can occur when circulation slows and fluid begins to accumulate in the lower parts of the body.
- Dizziness or light-headedness may develop when blood flow to the brain becomes temporarily reduced, which can cause feelings of faintness or imbalance.
Heart Conditions
When the heart or circulatory system is not functioning properly, a range of medical conditions may develop. These conditions are commonly grouped under the term heart disease.
Heart disease refers to a group of disorders that affect the structure or function of the heart. These conditions may involve blocked arteries, irregular heart rhythms, weakened heart muscle, or abnormalities in the valves or chambers of the heart.
Types of Heart Disease
Several medical conditions can affect the heart and interfere with its ability to function normally. Some develop gradually over time due to factors such as lifestyle, aging, or underlying health problems, while others may be present from birth. These conditions can affect the heart muscle, its electrical system, the valves that regulate blood flow, or the arteries that supply the heart.
| Condition | Description |
| Coronary artery disease | A condition in which the coronary arteries that supply blood to the heart muscle become narrowed or blocked, usually due to a buildup of fatty deposits known as atherosclerosis. Reduced blood flow can lead to chest pain and may increase the risk of heart attacks. |
| Heart failure | A condition in which the heart becomes too weak or stiff to pump blood effectively. This can reduce the amount of oxygen-rich blood reaching the body and may cause symptoms such as fatigue, shortness of breath, or fluid buildup. |
| Arrhythmias | Disorders that affect the heart’s normal rhythm or rate. Problems with the electrical signals that control the heartbeat can cause the heart to beat too fast, too slow, or irregularly. |
| Valve disease | A condition in which one or more of the heart’s valves do not open or close properly. This can disrupt the normal flow of blood through the heart and may cause the heart to work harder to maintain circulation. |
| Cardiomyopathy | Diseases that affect the heart muscle itself. The heart may become enlarged, thickened, or stiff, which can weaken its ability to pump blood effectively. |
| Congenital heart disease | Structural abnormalities of the heart that are present at birth. These defects may involve the walls, valves, or blood vessels of the heart and can affect normal circulation. |
| Pericardial disease | Conditions that affect the pericardium, the protective sac surrounding the heart. Inflammation of this tissue, known as pericarditis, or fluid buildup around the heart can interfere with normal heart function. |
Heart Disease in Men vs Women
Heart disease affects both men and women, although the patterns of risk and the way symptoms appear can sometimes differ. These differences can influence how early heart disease is recognised and diagnosed.
| Aspect | Men | Women |
| Typical age of onset | Coronary artery disease often appears earlier in men. Plaque buildup in the coronary arteries may begin in early adulthood and can lead to heart attacks at younger ages. | Heart disease tends to develop later in women, with risk increasing after menopause. Changes in hormone levels can influence cholesterol balance and blood vessel health. |
| Typical heart attack symptoms | Symptoms frequently follow the classic pattern of intense chest pain or pressure in the centre or left side of the chest. Pain may spread to the arm, shoulder, or neck. | Symptoms can appear less typical. Women may experience fatigue, nausea, shortness of breath, dizziness, or discomfort in the back, shoulders, or jaw rather than severe chest pain. |
| Recognition and diagnosis | Classic symptom patterns can lead to quicker recognition of heart attacks in many clinical situations. | Atypical symptoms may make recognition more difficult and can sometimes delay diagnosis or treatment. |
| Contributing risk factors | High blood pressure, elevated cholesterol, smoking, and lifestyle factors such as diet and chronic stress often contribute to cardiovascular risk in men. | High blood pressure, diabetes, metabolic changes, and hormonal shifts can play a significant role in cardiovascular risk among women. |
| Overall risk pattern | Men often face a higher risk of heart disease earlier in adulthood. | Women often experience similar or greater lifetime risk, particularly later in life. |
Key Strategies to Improve Heart Health
Heart health develops over time through patterns of daily living. The way people eat, move, rest, and care for their overall wellbeing can influence how the cardiovascular system functions across the lifespan. These habits shape how the heart and blood vessels respond to physical demands and how resilient the body remains as it ages.
Diet and Nutrition
Diet influences many factors that affect cardiovascular health, including blood pressure, cholesterol levels, body weight, and blood sugar regulation. Over time, consistent eating patterns can either support or place additional strain on the heart and blood vessels.
- Fruits and vegetables provide fibre, potassium, and antioxidants that help support healthy blood vessels and assist the body in regulating blood pressure.
- Whole grains such as oats, brown rice, and whole wheat contain soluble fibre that helps lower low density lipoprotein cholesterol, which is the type of cholesterol that can accumulate in artery walls.
- Lean protein sources such as fish, legumes, and poultry provide amino acids the body uses to repair and maintain tissues without introducing large amounts of saturated fat that can contribute to arterial plaque buildup.
- Unsaturated fats found in foods such as olive oil, nuts, seeds, and fatty fish can help improve cholesterol balance by supporting higher levels of high-density lipoprotein cholesterol, which helps remove excess cholesterol from the bloodstream.
- Limiting highly processed foods, added sugars, and excess sodium helps reduce the risk of high blood pressure, inflammation, and metabolic changes that can increase strain on the heart and circulatory system over time.
Regular Physical Activity
Physical activity places controlled demands on the cardiovascular system. When the body moves, the heart pumps faster to deliver oxygen to working muscles. Over time, regular activity helps the heart and blood vessels adapt so circulation becomes more efficient.
- Aerobic activities such as walking, cycling, swimming, and jogging train the heart muscle to pump blood more efficiently with each beat.
- Regular movement helps blood vessels remain flexible, which allows blood to move through the arteries more easily and can support healthy blood pressure levels.
- Activities that elevate the heart rate improve circulation, allowing oxygen and nutrients to reach muscles, organs, and tissues more efficiently.
- Strength training exercises such as weightlifting or resistance band exercises support muscle development and metabolic health, which can influence blood sugar regulation and overall cardiovascular risk.
- Consistent physical activity helps regulate body weight and cholesterol levels, both of which affect long term cardiovascular health.
Lifestyle Habits and Daily Routine
Daily habits influence cardiovascular health over time. Patterns related to sleep, stress, and substance use affect how the heart and blood vessels function and how much strain is placed on the cardiovascular system.
- Adequate sleep allows the body to regulate hormones that influence blood pressure, metabolism, and cardiovascular function. Most adults benefit from seven to nine hours of sleep each night.
- Stress management helps prevent prolonged increases in heart rate and blood pressure. Activities such as walking, breathing exercises, meditation, or time outdoors can help regulate the body’s stress response.
- Avoidance of tobacco protects the heart and blood vessels. Smoking damages the lining of arteries, reduces oxygen in the blood, and increases the risk of coronary artery disease.
- Moderate alcohol consumption helps reduce strain on the heart. Excessive alcohol intake can raise blood pressure and contribute to heart rhythm problems.
- Maintenance of a healthy body weight reduces the workload placed on the heart and supports healthy blood pressure, cholesterol levels, and metabolic function.
Routine Health Checkups
Regular medical evaluations help detect early changes in cardiovascular health. Many heart related conditions develop gradually and may not cause noticeable symptoms in the early stages. Routine checkups allow healthcare providers to monitor key indicators that influence heart function.
- Blood pressure measurements help identify hypertension, a condition that places additional strain on the heart and blood vessels over time.
- Cholesterol testing evaluates the balance of different types of cholesterol in the blood, including low density lipoprotein and high-density lipoprotein levels that influence plaque buildup in arteries.
- Blood sugar tests help detect elevated glucose levels that may indicate diabetes or prediabetes, both of which can damage blood vessels and increase cardiovascular risk.
- Body weight and body composition assessments provide information about factors such as body fat distribution, which can influence blood pressure, metabolic health, and overall cardiovascular risk.
- Medical consultations also allow healthcare providers to review family history, lifestyle habits, and other factors that may influence long term heart health.
Take the First Step Toward Better Heart Health

Heart health develops through consistent habits practiced over time. Regular movement, balanced nutrition, adequate rest, and routine health awareness all influence how well the cardiovascular system functions. When these habits become part of daily life, they help support circulation, strengthen the heart muscle, and reduce strain on the cardiovascular system.
For many people, building these routines is easier with structure and guidance. A supportive training environment can help individuals stay consistent, understand how exercise affects the body, and develop habits that support long term health.
At Austin Fitness, we work with people at different stages of their fitness and health journey. Our programs focus on building strength, improving endurance, and helping clients develop sustainable exercise routines that support cardiovascular health.
Long term heart health does not depend on dramatic changes. It develops through steady, consistent effort and a commitment to daily habits that support the body over time. Ready to start building those habits? Contact us at Austin Fitness and let’s get you moving.
Frequently Asked Questions
How do I know if my heart is healthy?
A healthy heart usually supports normal circulation without causing noticeable symptoms during daily activities. Signs that heart function is generally stable include the ability to perform physical activity without unusual shortness of breath, chest discomfort, or excessive fatigue. Blood pressure within a healthy range, balanced cholesterol levels, and stable blood sugar levels also indicate lower cardiovascular risk. Medical checkups that include blood pressure measurements, cholesterol tests, and heart rate evaluation provide clearer insight into heart health. Regular exercise tolerance and absence of persistent symptoms such as swelling, chest pain, or irregular heartbeat are also positive indicators.
What are the early signs of heart problems?
Early heart problems may produce subtle symptoms that develop gradually. Some people experience shortness of breath during normal activities, reduced physical endurance, or fatigue that does not improve with rest. Others notice irregular heartbeats, mild chest discomfort, or swelling in the legs and ankles. Dizziness, light-headedness, or sudden changes in exercise tolerance may also indicate that the heart is under strain. These symptoms can have many causes, but persistent or worsening changes should be evaluated by a healthcare professional.
What are the first signs of a weak heart?
A weakened heart may struggle to pump blood efficiently throughout the body. Early signs can include shortness of breath during activity or while lying down, persistent fatigue, swelling in the legs or ankles, and a feeling of reduced physical stamina. Some individuals notice rapid or irregular heartbeats as the heart attempts to compensate for reduced pumping strength. Fluid retention can also occur, which may lead to swelling in the lower body or sudden weight gain. These symptoms are often associated with heart failure and should be evaluated by a medical professional.
What does heart pain feel like?
Pain related to the heart is often described as pressure, squeezing, heaviness, or tightness in the center or left side of the chest. The sensation may spread to the arm, shoulder, neck, jaw, or back. Some individuals describe the feeling as a heavy weight pressing on the chest rather than sharp pain. Heart related discomfort may appear during physical activity, emotional stress, or even while resting. The sensation may last several minutes or come and go. Because chest pain can have multiple causes, persistent or severe chest discomfort should always be evaluated promptly.
What does heart related chest pain feel like?
Heart-related chest pain typically develops when blood flow to the heart muscle becomes restricted. This can occur during conditions such as coronary artery disease or a heart attack. The discomfort is often described as pressure, tightness, or squeezing rather than a sharp pain. It may occur in the center of the chest and can spread to the shoulders, arms, neck, or jaw. In some people, especially women, symptoms may include nausea, fatigue, or shortness of breath instead of severe chest pain.
When should chest pain be taken seriously?
Chest pain should be taken seriously when it is intense, persistent, or accompanied by symptoms such as shortness of breath, dizziness, sweating, nausea, or pain spreading to the arms, neck, jaw, or back. Chest discomfort that develops suddenly during activity or emotional stress may also indicate a serious problem. If chest pain lasts longer than a few minutes or repeatedly returns, immediate medical attention is recommended because it may indicate a heart attack or another cardiovascular emergency.
What are the warning signs of a heart attack?
Common warning signs of a heart attack include chest pressure or pain, discomfort that spreads to the arms, shoulders, neck, jaw, or back, shortness of breath, nausea, cold sweating, dizziness, or unusual fatigue. The symptoms may develop suddenly or gradually. Some people experience mild discomfort that worsens over time, while others develop intense chest pressure. Women may experience symptoms such as nausea, fatigue, or back pain without severe chest pain. Immediate medical attention is critical when these symptoms appear.
What causes heart disease?
Heart disease develops when the heart or blood vessels become damaged over time. One of the most common causes is atherosclerosis, a condition in which fatty deposits called plaques accumulate inside the arteries. These plaques narrow the arteries and reduce blood flow to the heart muscle. Other causes include high blood pressure, long term inflammation, metabolic disorders such as diabetes, and structural abnormalities of the heart. Lifestyle factors such as smoking, poor diet, and physical inactivity can accelerate the development of cardiovascular disease.
What increases the risk of heart disease?
Several factors increase the likelihood of developing heart disease. High blood pressure, elevated cholesterol levels, smoking, diabetes, obesity, and physical inactivity are among the most significant contributors. Diets high in processed foods, excess sodium, and unhealthy fats can also increase cardiovascular risk. Chronic stress and insufficient sleep may influence blood pressure and metabolic health. Age and family history also play a role, as individuals with close relatives who developed heart disease may face higher risk.
Can heart disease be prevented?
Many forms of heart disease can be prevented or delayed through lifestyle habits that support cardiovascular health. Regular physical activity, balanced nutrition, maintaining a healthy body weight, and avoiding tobacco products significantly reduce cardiovascular risk. Routine medical evaluations allow early detection of high blood pressure, elevated cholesterol, or metabolic conditions that may affect the heart. Although genetic factors cannot be changed, healthy lifestyle choices can greatly reduce the likelihood of developing heart disease.
Can heart disease be reversed?
Some forms of heart disease can improve with medical treatment and lifestyle changes. For example, early stages of coronary artery disease may stabilise or improve when individuals adopt healthier eating patterns, increase physical activity, and manage risk factors such as high cholesterol or high blood pressure. Medications may also help control underlying conditions that affect the heart. While severe structural damage cannot always be fully reversed, many people can significantly improve heart function and reduce symptoms through long term lifestyle changes and appropriate medical care.
How can I improve my heart health?
Heart health improves through consistent habits that support the cardiovascular system. Regular physical activity strengthens the heart muscle and improves circulation. Balanced nutrition supports healthy cholesterol levels and blood pressure. Maintaining a healthy body weight, avoiding tobacco, managing stress, and obtaining sufficient sleep all contribute to cardiovascular health. Routine medical checkups help identify risk factors early and allow individuals to take preventive action.
How can I improve my heart health naturally?
Natural strategies for supporting heart health focus on lifestyle habits rather than medications. Regular exercise such as walking, cycling, swimming, or strength training improves circulation and heart function. Diets rich in vegetables, fruits, whole grains, legumes, nuts, and healthy fats help support blood vessel health and cholesterol balance. Stress reduction techniques such as meditation, breathing exercises, or spending time outdoors can also influence cardiovascular health by supporting stable blood pressure and hormone regulation.
What foods support a healthy heart?
Foods that support heart health tend to be rich in fiber, healthy fats, vitamins, and antioxidants. Vegetables, fruits, whole grains, legumes, nuts, and seeds provide nutrients that support blood vessel health and cholesterol balance. Fatty fish such as salmon and mackerel contain omega three fatty acids that support cardiovascular function. Olive oil, avocados, and nuts provide unsaturated fats that help maintain healthy cholesterol levels when they replace saturated fats. Limiting highly processed foods, excessive sodium, and added sugars also supports heart health.
What is a heart healthy diet?
A heart healthy diet focuses on whole foods that support stable blood pressure, healthy cholesterol levels, and balanced metabolism. Common dietary patterns that support heart health include diets rich in vegetables, fruits, whole grains, legumes, lean proteins, and unsaturated fats. Many health professionals recommend dietary approaches similar to the Mediterranean diet or DASH diet, both of which emphasise plant based foods, healthy fats, and limited intake of highly processed foods.
What foods should you avoid if you have calcification?
Arterial calcification is often associated with plaque buildup in the arteries. Foods that may contribute to this process when consumed in large amounts include highly processed foods, excessive saturated fats, trans fats, refined sugars, and high sodium products. Diets high in processed meats, fried foods, and heavily refined carbohydrates may also contribute to metabolic conditions that influence arterial health. A diet rich in vegetables, fiber, healthy fats, and whole foods is generally recommended for individuals with cardiovascular concerns.
Are pistachios good for cardiac patients?
Pistachios can be beneficial for cardiovascular health when consumed in moderate amounts. They contain unsaturated fats, fiber, plant protein, and antioxidants that support healthy cholesterol levels. Studies suggest that nuts such as pistachios may help reduce low density lipoprotein cholesterol and support blood vessel health. However, portion control remains important because nuts are calorie dense, and salted varieties may contribute to excess sodium intake.
What is the best exercise for heart health?
Aerobic exercise is one of the most effective forms of activity for cardiovascular health. Activities such as walking, cycling, swimming, jogging, and rowing elevate the heart rate and strengthen the heart muscle. These exercises also improve circulation and help regulate blood pressure and cholesterol levels. Strength training can complement aerobic exercise by improving muscle mass and metabolic health. A combination of aerobic activity and resistance training often provides the most comprehensive benefits.
How often should I exercise for a healthy heart?
Most health organisations recommend at least 150 minutes of moderate aerobic exercise per week for cardiovascular health. This amount can be divided into sessions throughout the week, such as 30 minutes of activity on most days. Additional strength training sessions two to three times per week can further support metabolic and cardiovascular health. Consistency matters more than intensity, and even moderate activity performed regularly can produce significant benefits.
How do I know if my heart rate is normal?
A normal resting heart rate for most adults typically falls between 60 and 100 beats per minute. Individuals who exercise regularly often have lower resting heart rates because their hearts pump blood more efficiently. Heart rate can vary depending on factors such as physical activity, stress, hydration, and overall fitness. Persistent heart rates outside the typical range, particularly when accompanied by symptoms such as dizziness, fatigue, or chest discomfort, should be evaluated by a healthcare professional.
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