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Breast pain, intensifies when blowing nose or coughing. What could it be?

I suddenly had shooting pains around my right breast through to my upper right shoulder/back the other night. It instensifies when I blow my nose or cough . It is hard to find a comfortable position to sleep in. I saw my GP and she felt around says my organs seem fine. What else could it be? I ve had these pains for 2 days now.
Asked On : Sat, 3 Nov 2012
Answers:  1 Views:  333
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General & Family Physician 's  Response
Hello. I'm sorry you're uncomfortable. The type of pain you've described here is suggestive of pleurisy, which is caused by inflammation of the membranes surrounding your lungs and lining your chest cavity. Pleurisy can stem from a variety of causes, including viral infections, bacterial pneumonia, chest wall injuries or pulmonary emboli (blood clots in the lung).
Other possible causes of such pain include gallbladder disease (the pain due to an inflamed gallbladder frequently "refers" to the right chest), intercostal neuralgia (irritation of one or more of the nerves between your ribs), rib pathology (tumor, fracture, etc.) or costochondritis (inflammation in the joints between your ribs and sternum).
Since your doctor examined you, I presume she didn't find any evidence of gallbladder disease. However, further investigation -- including gallbladder ultrasound, chest x-ray and possibly chest CT -- may be needed to diagnose your problem. I suggest you return to your physician to discuss the next step in your evaluation.
I hope that helps, and I hope you feel better soon!
Answered: Sun, 4 Nov 2012
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