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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pressure And Sharp Pain Under Shoulder Blade?

Went to Dr. 5 days ago with sharp pain in back under shoulder blade when I inhaled deeply. Was told possible pleurisy or shingles(pre-rash). The only diagnostic test they did was listen to my chest.She prescribed Tramadol for the pain. I now also feel pressure around the front of my chest especially as the day goes on. Is that typical for P leurisy?
Wed, 4 Feb 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
I can understand your problem and situation.
Pleurisy is inflammation of pleura. And pain on coughing is characteristic of pleurisy. Following are possible, common causes for pleurisy.
1. Pneumonia
2. Tuberculosis
3. Pleural effusion.
4. Pulmonary contusions etc.
So chest x ray is must to rule out these above mentioned causes.
Since your pain is worsened (it is now in front also), it is better to get done chest x ray.
As listening to chest is not 100% correct all the time.
So consult doctor and get done chest x ray.
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What Causes Chest Pressure And Sharp Pain Under Shoulder Blade?

Thanks for your question on HCM. I can understand your problem and situation. Pleurisy is inflammation of pleura. And pain on coughing is characteristic of pleurisy. Following are possible, common causes for pleurisy. 1. Pneumonia 2. Tuberculosis 3. Pleural effusion. 4. Pulmonary contusions etc. So chest x ray is must to rule out these above mentioned causes. Since your pain is worsened (it is now in front also), it is better to get done chest x ray. As listening to chest is not 100% correct all the time. So consult doctor and get done chest x ray.