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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pre-trachea Lymph Nodes. Pain Behind Breast Bone, Difficulty Swallowing. History Of Pnuemonia And Pleural Effusion. Advice

hi i am a 42 year old female i have recently been in hospital diagnosed with pnuemonia & pleural effusion. while there a ct scan showed multiple pre-trachea lymph nodes??. my problem is, its 4 weeks since ive been home im not feeling much better, but i seem to have a feeling/pain behind my breast bone almost constant ive mentioned this once when i attended a&e normal xray showed nothing. This last few weeks ive noticed when i eat or swallow i feel like something is almost blocking as i feel a pain around & below my breast bone this is becoming more noticable lately. I have been taking it easy as i can at home, i dont feel myself i have had some lightheaded spells headaches a cough that doesnt rip your stomach out, so its not overly noticicabe. ive been asdked to come back in 3 weeks for full bloods again.. my white blood cells have been high when tested anytime in the last month, also my heart rate has been high. i had some stomach pains a few days ago, while rubbing my tummy for comfort i felt a lump on the left side of tummy which is slightly sore bruised feeling to touch. i just wonder if its worth mentioning to my GP thankyou
Thu, 27 Jun 2013
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General & Family Physician 's  Response
Hello,
Thanks for the query to H.C.M. Forum.
Pleural effusion and pneumonia ,which side?
Since , how many days ,you are having these symptoms.
Usually the treatment ( full course) of pneumonia is just 2-4 weeks depending upon the causative organism.
Mention the name of bacteria which were responsible for pneumonia ?
X ray of chest shows, both pneumonia and pleural effusion so please upload the report over this site.
As far as there is pain behind breast ( bone) is due to gastritis and esophagitis.
Many drugs which are used in treatment of pleural effusion causes esophagitis.
Blood report particularly E S R is very important parameter in diagnosis of bot above mentioned conditions.
Hope I have answered your question.
If further any question I will help.
Good luck.
Dr. HET
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Pre-trachea Lymph Nodes. Pain Behind Breast Bone, Difficulty Swallowing. History Of Pnuemonia And Pleural Effusion. Advice

Hello, Thanks for the query to H.C.M. Forum. Pleural effusion and pneumonia ,which side? Since , how many days ,you are having these symptoms. Usually the treatment ( full course) of pneumonia is just 2-4 weeks depending upon the causative organism. Mention the name of bacteria which were responsible for pneumonia ? X ray of chest shows, both pneumonia and pleural effusion so please upload the report over this site. As far as there is pain behind breast ( bone) is due to gastritis and esophagitis. Many drugs which are used in treatment of pleural effusion causes esophagitis. Blood report particularly E S R is very important parameter in diagnosis of bot above mentioned conditions. Hope I have answered your question. If further any question I will help. Good luck. Dr. HET