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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
CRP
Vitamin D
Vitamin 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."
Im an asthmatic person. Right now my asthma is well controlled. Im currently 36 weeks pregnant. Last check I got diagnosed with gestational hypertension. My gynae prescribed labetatol 100 mg twice a day. Is this tablet will suit me or it will trigger my asthma. Im taking it for past 2 days as of now I'm ok only. Any suggestion for asthma friendly bp medication or should I continue this? .
Hello!
I am planning to get some tests done for lungs. Apart from X-ray, should I go for just PFT or Spirometry as well? This will be a routine checkup. I do get shortness of breath from time to time.
Thanks
Patient reports sudden shortness of breath for the last 4-5 days, requiring forced deep breaths for temporary relief. Senses a thick, heavy buildup of mucus in the airways without an active cough. History of severe respiratory allergy 3 years ago (Serum IgE: 506 IU/mL). Works in a hotel (1 year, asymptomatic), but symptoms started within 20 days of using a liquid mosquito vaporizer overnight in a completely closed, unventilated room. Self-restarted old prescription of Acebrophylline 200mg SR this morning with mild relief, but chest tightness persists. No fever. Seeking expert guidance on treatment.
Two months ago, I had a severe cough and right-sided chest pain during breathing. A chest X-ray revealed a pneumonia patch. I was treated with 3 days of IV fluids and medications. Now, my cough is completely gone, but the right-sided chest pain has remained unchanged for 2 months. More importantly, I have recently developed new, mild breathing difficulty (breathlessness) which was not present during the initial infection. I am unaware of my current oxygen levels, but initially, SpO2 was 96-98%. Please advise on the next diagnostic steps or if a repeat X-ray is needed.
