I have cronic pain last 8 years...

2026-07-11 13:45:17
. I have had bilateral lower costal margin (lower rib margin) pain, flank pain  for about 8 years           . Pain pattern Pain starts within 1 second of sitting. Standing reduces the pain by about 90% within 10 seconds. Walking causes only 2–5% pain. Before getting out of bed in the morning, I have no pain. Lying down causes about 20% pain.                           The pain is spread across both lower rib margins, not one small point. The sensation is mainly pressure/tightness, not burning or stabbing. The pain is NOT affected by Deep breathing Coughing Sneezing Meals Leaning forward Hard vs. soft chair Pressing on the painful area Tests reported as normal CBC ESR CRPVitamin DVitamin B12 Urine tests Chest X-ray Abdominal ultrasound Thoracic (dorsal) spine MRI Upper GI endoscopy Musculoskeletal ultrasound of the anterior abdominal wall Chest wall MRI has been performed, and the report is expected today. Treatments tried..."I have just received my chest MRI report today."
34 Views
Bl pleural effusion systemic causes may be

Answered2026-07-17 13:06:24

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Didn't find the answer you are looking for?

Talk to experienced doctor online and get your health questions answered in just 5 minutes.

+200
Consult with a doctor
Online now
As it is a case of bilateral pleural effusion, systemic causes have to be ruled out. TB or other lung pathology is highly unlikely. It's mostly due to other systemic pathology and complications of that.

Answered2026-07-12 14:45:34

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Need all the reports and ct film

Answered2026-07-23 07:38:49

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

May be due to post infection. Pl consult pulmonologist with reports..

Answered2026-07-17 05:13:19

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Consult a pulmonologist

Answered2026-07-15 14:39:00

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

it's a sequale of infection that's leading to effusion and pneumonitis, ultimately causing your pain..need proper workup to be done

Answered2026-07-12 08:21:05

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Reports suggests an sequele of infection in lungs as there is reactive pleural effusion and pleural thickening.need more detailed history (like occupation,fever,past history of illness)to know the course of illness and further work up
Next Steps
Usg guided pleural aspiration can be tried to get more clues and in ruling out some dd s like tb Mantoux test Sputum AFB/CBNAAT GRAM STAIN FUNGAL ELEMENT PYOGENIC C/S
Health Tips
Consult a nearby pulmonologist for detailed examination and further work up

Answered2026-07-12 08:15:26

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

The chest pain which u have mentioned might be due to pleural effusion. But we need to evaluate the reason of this effusion. As MRI mentioned it as bilateral pleural effusion. Systemic causes have to be ruled out too. Need to do Ultrasound of chest to look for depth of pleural effusion and if it is significant we need to do pleural tapping and need to send for analysis.
Next Steps
kindly do USG chest ECG ECHO RFT LFT

Answered2026-07-12 08:02:37

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.