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Doctors Lounge - Chest Answers
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| rwright36515
- Wed Jul 13, 2005 11:48 pm |
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About 9 days ago I noticed pain under my rib cage starting under my arm, back and across my right chest. It is almost like a sore pain...not a sharp or stabbing pain. When I cough, or turn a certain way it really hurts and feels like a hot searing pain. Heat does not relieve it, nor do arthritic ointments. Cold water...like in a pool actually make it throb worse. I have had x-rays which show nothing. A pulmonary function test.....passed with 80%. When I touch the ribs...they do not hurt.....but if I press in on the ribs.. it does hurt. What can this be and what can I take to relieve the pain. I don't feel sick internally. It just hurts.
Thanks
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| Dr. Safaa Mahmoud
- Fri Jul 07, 2006 4:58 am |
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 Dear rwright36515,
Overexertion of the chest wall muscles or their inflammation are common causes for chest pain. This usually occurs after attacks of asthma, shortness of breath, chest infections and cough, when the respiratory and chest wall muscles are overworked and in spasm or strain. Pain due to rib or chest wall bone disease is also another cause of chest pain. They all are associated with tenderness over the affected areas. In all of these conditions the chest pain is usually aggravated by taking deep breath, cough or while doing certain movements like bending to one side of the chest. They usually improve with physiotherapy, muscle exercise, pain killers, muscle relaxants. Avoiding exposure to cold humid environment is very important to improve the symptoms. The symptoms you described are more likely to be caused by a myoskeletal problem that mandate complete history taking and thorough physical examination. So I advise you to take an appointment with your doctor for proper management.
Best regards,
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