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Shoulder, chest pain, sneezing, coughing causes sharp pain. Blood sugar, chest X-ray normal. Treatment?

i have been suffering from pain in back left shoulder , scapular region and also near just left side of the left chest for the last 20 days. blood sugar and other related check concerning blood has been done and all found view of chest x ray has also been done and found normal.This pain got very worse when a get up from sleep.Also i felt pain during coughing, sneezing and deep inhalation , because of this i am getting very upset.please help me
Asked On : Tue, 18 Sep 2012
Answers:  2 Views:  229
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Internal Medicine Specialist 's  Response
Jan 2013
Thanks for posting your query.
You may have cervical spondylitis or acute viral fever (flu).
Do you have this pain before the start of coughing, sneezing?
If yes, then you may have cervical spondylitis and this area is suppliedby C3, 4 and you should go for cervical spine x ray on priliminary basis.
You should also consult with orthopedic surgeon and should go for CT/ MRI scan cervical spine.
If backache is associated with coughing,sneezing then you should consult with physician and should go for complete blood count, ESR and chest x ray.
You should also take muscle relaxants, antibiotics (to prevent secondary bacterial infection) nd anti-inflammatory on written prescription.
Take care,
Dr. Mayank Bhargava
Answered: Wed, 19 Sep 2012
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General & Family Physician Dr. Kulbir Singh's  Response
Hello and welcome to HCM
You pain needed to be investigated for Cervical Spondylosis and Muscular Pain and pain related to heart. To get clarify some more information is needed.
Your age, any history of Hypertension and Diabetes, your Lipid profile and most importantly EKG and stress test.
It seem that your pain is related to cervical and muscular as it increases with deep inspiration and cough, can be treated with analgesic and anti-inflammatory drugs and local gels, hot fermentation also help. But if you are above 30 that you should go for EKG and stress teat to rule out heart related issue.
Best Wishes
Answered: Wed, 19 Sep 2012
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