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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Bronchitis. Have Sharp, Burning Pain On Lower Ribs. Had Antibiotic Treatments. Need Your Advise.

Had bronchitis for over a month have sharp, burning pain on the right side lower ribs. It hurts to breathe and nothing seems to relieve the pain. Had two different antibiotic treatments for the bronchitis and tussicaps to help with the pain but now it seems worse than ever. I still have a slight cough but the rib pain is the worst. Should I go back to my dr?
Tue, 9 Apr 2013
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General & Family Physician 's  Response
Hi and thanks for the query,
It would be interesting to do a control X ray for two main reasons. Firs the treatment might be inefficient, diagnose common causes of poor response to usual antibiotics like pulmonary tuberculosis, indirect signs of asthma and exclude any localized pneumonia, abscess or pleural effusion. A repeat clinical evaluation coupled with this X ray and a complete blood count, a sputum examination to exclude TB should be quite sufficient to make a definitive diagnosis.
I suggest you book an appointment with your primary care physician or pulmonologist if need be for a proper clinical evaluation.
Thanks and best regards.
Luchuo, MD.
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Internal Medicine Specialist Dr. omz's  Response
hi

bronchitis is very common.....but with bronchitis pleurisy also develops means covering utside liings get irritated and then u feel pain ...common cause of bronchitis with pleuritic pain are

bacterial infectio

viral infection

pulmonary embolism

pneumothorax

malignancy

since you have acute episode malignancy is out...anitibiotics bact and viral are out....now test for other 2 cause embolism and less chances pneumothorax...cause most cases bronchitis and pain is presenting complaint with embolism hidden under bronchitis....cxray and d- dimers and so on

take care
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Bronchitis. Have Sharp, Burning Pain On Lower Ribs. Had Antibiotic Treatments. Need Your Advise.

Hi and thanks for the query, It would be interesting to do a control X ray for two main reasons. Firs the treatment might be inefficient, diagnose common causes of poor response to usual antibiotics like pulmonary tuberculosis, indirect signs of asthma and exclude any localized pneumonia, abscess or pleural effusion. A repeat clinical evaluation coupled with this X ray and a complete blood count, a sputum examination to exclude TB should be quite sufficient to make a definitive diagnosis. I suggest you book an appointment with your primary care physician or pulmonologist if need be for a proper clinical evaluation. Thanks and best regards. Luchuo, MD.