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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In Lung, Back, Shoulder, Hurts To Breathe. Cause Of The Pain?

I have pain in my left side of lung and back when I lay down or lay on my left side. Its sharp pain, hurts to breathe and goes over into my shoulder . I have been like this for 2 weeks now. The symptoms have improved some, at first I could not even lay down to sleep . I had to sit up to sleep. Also alot of movement or activity and I start to hurt in the same area pretty bad. What would this be and what would cause such pain?
Tue, 5 Nov 2013
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Ayurveda Specialist,  's  Response
**
going by your case history:
1. pain while lying,on breathing, going to shoulder, improved after sitting, points towards Respiratory symptoms i.e. pleural pain or pleural pathology [ a step wise approach will help in diagnosing the condition] like
i. If there is associated fever and dyspnea: pleuritis or pleural effusion [which can be confirmed by reduced air entry and chest X-ray]
ii. since pain is in left side thus, ultrasonography of liver [for amoebic liver abscess and cholecystitis can be excluded]
iii. if there is intercostal tenderness with diminished breath sounds, suspect empyema.

2. consult with your physician/ chest specialist for possibilities [CBC [complete blood count], Sputum Examination, X-ray chest, Thoracocentesis to differentiate transudate from exudate [if fluid is there] and treatment options, since heart [Congestive cardiac failure] can mimic the condition.

PS.
. In general take adequate Rest, nutrition and essential vitamins along with treatment recommended/given by your doctor after careful examination.
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Pain In Lung, Back, Shoulder, Hurts To Breathe. Cause Of The Pain?

** going by your case history: 1. pain while lying,on breathing, going to shoulder, improved after sitting, points towards Respiratory symptoms i.e. pleural pain or pleural pathology [ a step wise approach will help in diagnosing the condition] like i. If there is associated fever and dyspnea: pleuritis or pleural effusion [which can be confirmed by reduced air entry and chest X-ray] ii. since pain is in left side thus, ultrasonography of liver [for amoebic liver abscess and cholecystitis can be excluded] iii. if there is intercostal tenderness with diminished breath sounds, suspect empyema. 2. consult with your physician/ chest specialist for possibilities [CBC [complete blood count], Sputum Examination, X-ray chest, Thoracocentesis to differentiate transudate from exudate [if fluid is there] and treatment options, since heart [Congestive cardiac failure] can mimic the condition. PS. . In general take adequate Rest, nutrition and essential vitamins along with treatment recommended/given by your doctor after careful examination.