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Experiencing chest pain whilst breathing. On nitrofurantoin for UTI. Could it be pneumonia?

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General & Family Physician
Practicing since : 2000
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Hi there,
I'm experiencing chest pain whilst breathing, but no cough or fever. I noticed it this morning and it hasn't gone away. I currently have a UTI and am being treated with nitrofurantoin. I'm 22 year old female, in reasonably good health but am obese.
Could this be pneumonia?
Posted Mon, 17 Dec 2012 in Lung and Chest disorders
Answered by Dr. Divya Kuttikrishnan 3 hours later

Hi there,

Thanks for writing in.

I would like to have some additional details before answering your question.

Where exactly is the pain... the centre of the chest, right side / left side?

How would you describe the pain? (Severe, tearing or ripping, sharp, stabbing, burning, squeezing, tight, pressure-like, crushing, aching, dull, heavy)?

Does the pain go from your chest into your shoulder, arm, neck, jaw, or back?

Any history of breathlessness, palpitations etc?

I will be in a better position to answer your query once I get the above details.

The possibilities are musculoskeletal pain probably due to costochondritis (inflammation at the site where the ribs join the breast bone/sternum). An over the counter pain relief medication might help, if this is the case.

As you said , Pneumonia can present with chest pain. But normally pneumonia would present with high grade fever, cough with sputum, blood stained sputum etc.Other possibilities are pericarditis/pleurisy.

You said you are obese. How about your blood pressure and blood cholesterol levels? Have you got it checked/is it normal?

Any history of heart disease in the family?

Other possibilities are acidity/ gastritis/GERD which normally present with a burning kind of chest pain.

If the chest pain is severe and persisting, please don't wait any longer. Please visit your physician as soon as possible.

Hope you feel better soon.

Dr. Divya Kuttikrishnan
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