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Breathlessness and muscular spasms in back and stomach. History of asthma. Pressure in the ribs. Any lung problem?

Hey there,

I've been having breathlessness associated with muscular pain and spasms in my back and stomach for a few months now. I do have asthma and have ruled out heart problems (EKG and echo) along with normal blood tests and a lung function test. Nonetheless, I keep getting momentary "anxiety attacks" but don't really feel stressed. I've been to the ER twice from what I thought were heart attacks (numbness, tingling, cant breath, head pressure, etc.) and I'm not sure what else could be going on.

I've noticed a bit of an indent beneath my right rib cage and when I exhale i notice that this area seems to be thick with pressure. Could this be a rib that is out of place? Or is this more likely lung-related. My asthma has been under control for most of my life after 10 yrs old due to singulair and advair. So I'm not prone to get asthma attacks. I was also doing a lot of weight lifting in the preceding months before the symptoms started.
Asked On : Wed, 10 Apr 2013
Answers:  2 Views:  71
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Allergist and Immunologist 's  Response

The pains from th echest is most likely rib pain or costochondritis, as EKG and ECHO have excluded a cardiac (heart) problem. A Chest X Ray may reveal evidence of rib fracture if you have suffered in the past and also due to the weight lifting that you have been doing, in case you had an injury that you do not remember.

Anxiety attacks can happen when there is chest pain, so at that time, breathe slowly take long deep inhalations slowly. There are medications for anxiety attacks, so consult your doctor for a prescription.
Use the emergency blue inhaler (Ventorlin or Salbair) 2-6 puffs and see if there is any difference when you get an 'attack'.

Best Wishes.
Answered: Wed, 10 Apr 2013
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Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

A 'rib out of place' is unlikely to manifest for the first time now...
Injury or sprain to the muscles, from weight lifting, is most likely - chest and abdominal wall muscles are there...
An ultra-sound scan can see the liver and gall bladder beneath (Right Upper Quadrant)

Take care
Wishing speedy recovery
God bless
Good luck
Answered: Wed, 10 Apr 2013
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