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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In Chest Area, Hard To Breathe. Reason?

Hey I m 21 years of age I don t smoke at all never have never will but however I am experiencing pains in the chest area when I inhale its hard to breathe and I m hot and cold but more hot then cold I m just tired my energy is drained my throat however doesn t hurt no weird coughs r anything like that just wanna know what s going on please help
Mon, 8 Apr 2013
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Pulmonologist 's  Response
Hi yellabread
Thanks for coming to HCM
pain in the chest which typically increases with deep inhalation, coughing, sneezing etc is called pleuritic chest pain. The pathology behind this when ever two inflamed pleural layers rub each other by coming closer by above mentioned maneuvers it causes pain ....the parietal pleura b eing a pain sensitve structure.

The reason is acute peuritis. usually the pain subsides by antibiotis or by development of pleural effusion which separates the two inflamed pleural layers....

my advice will be go for a chest xray PA view to rule out lung consolidation, pneumothorax, pleural effusion etc ......

If the pain is on left side and radiating to left shoulder go for ECG to rule out anginal pain though less common in this age group.

meet your doctor....

best wishes
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General & Family Physician Dr. Polash Sannigrahi's  Response
Hello dear,

Chest pain can be caused by various reasons, including minor problem such as indigestion or stress, to serious medical emergencies such as a heart attack.

Causes of chest pain include:
1. Angina
2. Strained chest muscles due to overuse
3. Chest muscle injury
4. Short-term, sudden anxiety with rapid breathing
5. Respiratory tract infection
6. Peptic ulcer disease
7. Pain from the digestive tract, such as esophageal reflux

So, it will be better to consult a Doctor & get a physical examination done to rule out other causes. So that proper management steps could be taken.

Wishing you a Good Health. Let me know if I need to clarify further.

Thanks & take care.
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Pain In Chest Area, Hard To Breathe. Reason?

Hi yellabread Thanks for coming to HCM pain in the chest which typically increases with deep inhalation, coughing, sneezing etc is called pleuritic chest pain. The pathology behind this when ever two inflamed pleural layers rub each other by coming closer by above mentioned maneuvers it causes pain ....the parietal pleura b eing a pain sensitve structure. The reason is acute peuritis. usually the pain subsides by antibiotis or by development of pleural effusion which separates the two inflamed pleural layers.... my advice will be go for a chest xray PA view to rule out lung consolidation, pneumothorax, pleural effusion etc ...... If the pain is on left side and radiating to left shoulder go for ECG to rule out anginal pain though less common in this age group. meet your doctor.... best wishes