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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Acute Pain In Rib Area While Breathing

HI, I m 22 yrs old. I m having an acute pain while breathing near my lower ribs since 3days. Pain increases at end and start of breath. I had fever on the first 2days about 101 F. I consulted doctor and said that it is Rt basal pl. effuisae. since past 2 days I am recieving blood clot in my cough. It is not much in amount. Today morning the pain has seen to be shifted to my shoulder near neck facing upwards.

Kindly suggest the practitioner to refer either a Pulmologist or an orthopedic.
Tue, 5 Aug 2014
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Pain Medicine & Palliative Care Specialist 's  Response
Hi,
The pain you have could be due to inflammation of the pleura which may be secondary to infection. However, the blood in your sputum and the shoulder pain is concerning. This may be a pulmonary embolus or a pneumothorax. It would be impossible to make a certain diagnosis without further investigation.
I suggest you go to the ED for assessment. You may need a scan of your lungs.
Regards,
Dr K A Pottinger
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Suggest Treatment For Acute Pain In Rib Area While Breathing

Hi, The pain you have could be due to inflammation of the pleura which may be secondary to infection. However, the blood in your sputum and the shoulder pain is concerning. This may be a pulmonary embolus or a pneumothorax. It would be impossible to make a certain diagnosis without further investigation. I suggest you go to the ED for assessment. You may need a scan of your lungs. Regards, Dr K A Pottinger