.
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."
My child has an allergy. Only during sleep, my child develops breathing difficulty and shortness of breath, which disturbs sleep. We consulted an allergist last Saturday. The doctor prescribed Levolin (3 puffs at night) and Budecort (1 puff at night) for one month. After starting the inhalers, my child's breathing at night has improved, but there is still breathing difficulty during the afternoon nap. It has been 4 days since we started the treatment. Should we wait and continue the treatment for some more time, or should we take my child back to the doctor?"
I am having difficulty in breathing
My oxygmeter shows less than 90
I am a smoker but stopped now
When I sleep sideways right side I get suffocated
Dec 2025–May 2026: Started with a long-lasting dry cough. All tests were completely normal: Chest X-ray, PFT (breathing test), FeNO (airway swelling test), and IgE (allergy blood test).
June 5, 2026: Due to the ongoing cough and normal tests, the doctor gave a provisional diagnosis of Cough Variant Asthma and prescribed a Foracort 400 rotahaler twice daily.
After June 5: Developed new, severe breathlessness and air hunger. This included a scary episode of sudden breathing struggle while sitting in my living room directly under the AC vent with the front door open.
• Inhaler Response: Mixed. Sometimes Foracort significantly helps open my chest; other times it goes on its own
• My Query: I am seeking a second opinion to confirm if this provisional diagnosis is correct, why my breathlessness started after June 5, and why the inhaler works only sometimes magically n sometimes slowly.
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.
