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Most likely it's muscular pain . However if you have breathing difficulties with the pain , you need to consult a physician in your area.If not take pain reliever like zerodol p twice daily for 3 days and observe

1)Chest x ray to exclude pneumothorax 2)Blood test- D-dimer, CBP, KFT 3)ECG 4)May need CTPA if CXR clear and high D-dimer All the best. WWW.JGSR-HEALTH-EDUCATION.IN

Tab eterocoxib Mr two times a day after food for 7 days. Hot water bag locally. Volini spray locally  two times. Low pillow to use.

Please consult a General Physician in your area for a physical examination and further management. Such aches and pains should not be treated by Tele-consultation.

Pain in the upper back near the shoulder blade that worsens while breathing and is also felt in the chest is most commonly due to musculoskeletal causes, such as: • Muscle strain or spasm around the shoulder blade or upper back • Costochondritis (inflammation of rib joints) • Postural strain from long sitting, computer work, or improper sleeping position Because the pain increases while taking a deep breath, it may also be pleuritic pain, which can occur with: • Chest wall inflammation • Viral infection or pleurisy • Rarely lung conditions like infection or pulmonary embolism If the pain is localized, increases on movement or deep breathing, and improves with rest, it is usually muscle or rib-related rather than a heart problem.

Muscolo skeletal or asthma or pneumonia? Any fever or cough? Any history of jerks? Fall? Heavy weight lifts? Kindly consult with me on 94 two six eight six 78 nine six.

Most likely its muscle strain .get a ecg to ruled out cardiac cause. Take proper muscle relaxants and painkiller to quick relief.

Based on patients symptoms- it seems like a pleuritic pain, And considering the previous diagnostic conditions- pain can be associated with Gas/bloating or any inflammation caused by IBD in your muscles and bones ! U can check on gall stones and any inflammation caused in your lungs! Seek Emergency care , if the pain is associated with SHORTNESS OF breath, any associated dizziness or the chest pain spreading to your arms - and this can be treated as emergency situation! Considering your ongoing medication list- Mesacol can cause chest pain ( as it can rarely present as acute condition) Cizaspax - is used for your stomach motility- so not a treat, but please cross check how you feel after taking the medication

Could be a muscle  spasm or rupture. Avoid any lifting or pushing weights,  bending, undue back stretching. Take tab dolocide m.r one every 8hours for 4 to 5 days after meals.

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

I understand your concern. However, giving specific medical advice without a proper evaluation may not be safe or accurate. A brief consultation will allow me to understand your symptoms, medical history, and any reports you may have, so I can guide you properly. Please feel free to consult me here and I’ll be glad to assist you.

Need a few more details please consult for further evaluation and treatment

Kindly do connect and consult

Pain in the upper back near the shoulder blade that increases while breathing and is also felt in the chest is usually due to pleuritic pain (pain related to breathing). Possible causes: • Muscle strain or costochondritis (most common) • Pleurisy (inflammation of lung covering) • Lung infection / pneumonia • Pulmonary embolism (rare but serious) • Gallbladder disease (sometimes causes right shoulder blade pain) need urgent evaluation • Severe chest pain • Shortness of breath • Fever or cough • Sweating, dizziness, nausea Recommended evaluation: • Physical examination • Chest X-ray • ECG (to rule out heart cause) Temporary advice: • Rest and avoid heavy activity • Paracetamol or mild painkiller if needed • Warm compress if muscular pain suspected If the pain is severe, sudden, or associated with breathlessness, she should visit emergency immediately.

Looks like muscular skeletal pain, but you need to get an ECG done to evaluate any cardiac issues