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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pain In Chest While Breathing

I am 26 years old and weigh about 120. I have had a cough for 4 weeks now. It is starting to go away now, but a week and a half ago I started feeling some pain just below my left breast when I breathed deeply or coughed. At first I thought it was just heartburn, but it never went away. The next day I was having a coughing fit and I felt and heard a pop in my rib cage and had excruciating pain (lower than the prior pain) that felt like something was out of place. It took several hours before it felt like it was back in place, but for the next 2-3 days I was in a lot of pain. I went to a walk in clinic and the NP gave me a z-pack (which didn't seem to help much with my cough) and told me I could take 4 ibuprofen every 8 hours which helped drastically. However, Monday and Tuesday I tried to work out - doing exercises that did not hurt the injured area - and Wednesday we were unpacking boxes from our move. I guess I irritated it b/c It has been hurting a lot again and the ibuprofen only does so much. It is a constant pain that increases with deep breaths, certain movements, stretching, and lifting with my left arm. I also started noticing that something near one of my lower ribs moves when I push on it or stretch in certain ways. I"m not sure if it is a rib or cartilage, but that is what is worrying me. Plus, I am in a lot of pain and wondering how long it will take to heal. I don't have the greatest insurance, so I'd rather not get x-rays and MRI's, especially if there is no treatment other than ibuprofen. Thank you for your help.
Thu, 8 Jun 2017
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General Surgeon 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

There is a definite presence of underlying pathology which may be a pneumonic patch (can be present with recovering cough), bronchitis, costochondritis, rib fracture, pleural effusion, and others.

I can understand your position without insurance, but minimum requirement is that of chest x-ray to get the diagnosis, without which how are you going to be cured by any doctor?

Suggestions till you take x-ray:
• Prefer more of semi-reclining position when resting to give comfort to the chest area
• Local analgesic spray will decrease the requirement of ibuprofen
• Avoid direct pressure or indirect pulling by strenuous work
• Deep breathing exercises help
• I do not recommend continuing Ibuprofen in this manner without getting a diagnosis

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel
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Suggest Treatment For Pain In Chest While Breathing

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. There is a definite presence of underlying pathology which may be a pneumonic patch (can be present with recovering cough), bronchitis, costochondritis, rib fracture, pleural effusion, and others. I can understand your position without insurance, but minimum requirement is that of chest x-ray to get the diagnosis, without which how are you going to be cured by any doctor? Suggestions till you take x-ray: • Prefer more of semi-reclining position when resting to give comfort to the chest area • Local analgesic spray will decrease the requirement of ibuprofen • Avoid direct pressure or indirect pulling by strenuous work • Deep breathing exercises help • I do not recommend continuing Ibuprofen in this manner without getting a diagnosis Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel