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    What causes constant pressure in the upper back region and breathing difficulty?

Posted on Thu, 6 Jul 2017 in Medicines and Side Effects
Question: I am a male, age 66, live in California. In December of 2015, I was diagnosed with A Fib and Congestive Heart Failure. I am on the following prescriptions: Lasix 40 mg, Digoxin 125 mg, Spironalactone 12.5 mg, Simvastatin, 20 mg, Metoprolol, 50 mg, Xarelto 20 mg.
For the past couple days, I have a constant pressure on both sides of my lower, mid back area, below the ribs, hindering my breathing.
Any suggestions?
Answered by Dr. Ivo Ditah 25 minutes later
Brief Answer:
Has there been any change in your weight? Limb swelling?

Detailed Answer:

I will like to know a little before recommending a course of action:
1. Any weight changes?
2. Any swelling of the lower limbs?
3. Any breathing difficulties?
4. Any difficulties breathing?
5. Are there any fevers?

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Ivo Ditah 21 minutes later
1. I have lost approximately 20 pounds since the Dec. 2015 diagnosis, due to
exercise and diet.
2. My left ankle is currently swollen
3 & 4. Yes
5. No

Did you receive my above reply with the answers to your questions #1-5?
Answered by Dr. Ivo Ditah 11 minutes later
Brief Answer:
Sounds more of a muscular pain!

Detailed Answer:

Thanks for the responses to the above questions. I can now confidently weigh in.

Your pain seems more of muscular than related to an infectious process or fluid building up in the lungs. Difficulties breathing results from fear of breathing deep as this causes muscle pain. On this note, I recommend that you take a pain medication, tylenol at doses of 1000mg every 8hours for pain control. Report the progress to me. Some physical therapy and back exercises would help.

Should you develop a fever or a cough, immediately notify me for further action.

I hope this helps. I wish you well. Feel free to follow up with me if need be.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Ivo Ditah 6 minutes later
Thank You,
Would massage be beneficial in your opinion?
Answered by Dr. Ivo Ditah 3 minutes later
Brief Answer:
Massage would be helpful as well!

Detailed Answer:

Any means to relax the muscles including massage would be helpful. Try these out and let me know how your muscle pain is coming along.

I wish you well and look forward hearing from you!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Answered by
Dr. Ivo Ditah

Internal Medicine Specialist

Practicing since :2002

Answered : 3922 Questions


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