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What Causes Pain While Breathing In And Breathlessness?

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Posted on Fri, 14 Aug 2015
Twitter Fri, 14 Aug 2015 Answered on
Twitter Fri, 4 Sep 2015 Last reviewed on
Question : Hi my husband went to hospital last year with pain when breathing in and shortness of breath. At first he was diagnosed with LRTI and given oral antibiotics, he was then taken of them and sent home as another doctor said it was musculoskeletal pain. He was readmitted with the development of severe chest pain on breathing and over the next 24 hours declined rapidly and ended up in intensive care. He was put into a coma and on a ventilator and they said he had severe pneumonia, they drained 900ml of fluid from a pleural effusion and he slowly recovered but it took 3 months for the pain to reside. He has now been told he has a raised right hemi-diagphram and suffers from shortness of breath and has trouble clearing mucus. Is this due to the pneumonia? He had no problems up to this point.

From what I have read there must be a cause for a raised hemidiaphragm either within the diaphragm, below or above. He had a CT to check for below and nothing untoward was found but all they have said is that the diaphragm is moving 2-3 intercostal spaces on deep inspiration/expiration, but they have given no cause for why it is raised,on discharge from hospital over a period of six weeks his breathing did get deeper but then stayed the same. he did have pleural fluid left in his lung after the chest drain as it was taken out because it became blocked with a gungy substance, his right lung was a complete white out and he had a medistinal shift. He did not have any breathing difficulties prior to this and his breathing has never returned to normal since.
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Answered by Dr. Drkaushal85 (2 hours later)
Brief Answer:
possibility of right sided fibrotic lung is more.

Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your husband's situation and problem.
By your history and description, possibility of right sided fibrotic lung is more due to previous severe pneumonia and pleural effusion.
Lung fibrosis causes shrinkage of right Thoracic cavity.
So pressure in right side of thorax becomes low.
This actually cause pressure difference between Thoracic cavity and abdominal cavity . So abdominal contents push diaphragm up.
This is the reason for higher diaphragm after severe pneumonia.
And in normal person, right diaphragm is somewhat higher normally as compared to left side. This is because, liver is pushing right diaphragm higher and heart pushes left diaphragm lower, in normal individual.
Hope I have solved your query.
I will be happy to help you further.
Wishing good health to your husband. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 14992 Questions

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What Causes Pain While Breathing In And Breathlessness?

Brief Answer: possibility of right sided fibrotic lung is more. Detailed Answer: Thanks for your question on Health Care Magic. I can understand your husband's situation and problem. By your history and description, possibility of right sided fibrotic lung is more due to previous severe pneumonia and pleural effusion. Lung fibrosis causes shrinkage of right Thoracic cavity. So pressure in right side of thorax becomes low. This actually cause pressure difference between Thoracic cavity and abdominal cavity . So abdominal contents push diaphragm up. This is the reason for higher diaphragm after severe pneumonia. And in normal person, right diaphragm is somewhat higher normally as compared to left side. This is because, liver is pushing right diaphragm higher and heart pushes left diaphragm lower, in normal individual. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks.