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    What causes difficulty in breathing along with muscle aches and nausea?

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Posted on Mon, 17 Jul 2017 in Medicines and Side Effects
Question: I experience painful breathing along with muscle aches and nausea periodically Like clockwork Lasts three to four days then disappears? Have been tested for asthma and lupus My mother suffered from pleurisy

These 3 day events of painful breathing come on about every 6 weeks
I moved 6 months ago to rural Pa They began then
I had a shoulder replacement surgery in XXXXXXX DC last May 2016
I had one episode after flying from DC to London last August
doctor
Answered by Dr. Saddiq Ulabidin 4 hours later
Brief Answer:
Need Xray chest, and if needed CT chest

Detailed Answer:
Hi! Welcome to HealthcareMagic! Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all, it is sad to know what you had beenexperiencing lately.

Based on the history you have shared, it needs to be evaluated on chest Xray as the symptoms like plerutic chest pain or pain with breathing needs evaluation and to start with chest Xray to rule out any infective etiology, or pneumothorax or even any bony abnormality need to be ruled out. Other causes like muscular pains can arise due to use of steroid inhalers and calcium and vitamin D defficiencies alongwith B12 etc can lead to such symptoms too so with prolong use of steroid inhalers etc the replacement for these should be continued.

If you had been tested positive for lupus then other lung complications for lupus can also be ruled out on Xray chest but still if needed other causes missed on Xray should be worked on CT chest and PFTs if needed.

A baseline EKG and Echo for right heart pressures should also be done alongwith D dimers to rule out any chances of embolus in pulmonary vessels. Meanhwile analgesics like acetaminophen for pain and asthma contour should be continued.

Wishing you a speedy recovery. Hope this has answered your query, if you have any more questions, feel free to ask.
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Saddiq Ulabidin

General & Family Physician

Practicing since :2011

Answered : 3288 Questions

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