What Causes Painful Right Shoulder And Scapula With Blood Sputum?

Posted on Sun, 18 May 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sun, 18 May 2014 Answered on

Sat, 7 Jun 2014 Last reviewed on

Question : im having pain in the right shoulder and scapular area with greenish, blood tinged sputum.i've been experiencing it for several months already. i have no fever and not even weight lost. I'm not smoker also. but i'm asthmatic. kindly tell to me what your impression on my symptoms and what advices can you give.thanks

Answered by Dr. Arnab Maji (49 minutes later)

Brief Answer:
ABPA, GERD, Pneumonia, musculoskeletal pain

Detailed Answer:
Hello,
Thanks for your query.
You are asthmatic. In an asthmatic presence of pain indicates the presence of gastro-esophageal reflux disease (GERD), pneumonia, musculoskeletal pain because of excessive cough, rib fracture. Blood tinged sputum in an asthmatic reminds us the presence of a distinct entity called allergic bronchopulmonary aspergillosis (ABPA). For this you need to have an high resolution contrast enhanced computed tomography scan (HRCT) of thorax, total serum IgE estimation, aspergillus specific serum IgE estimation, skin precipitin test. serum specific IgG assay, absolute eosinophil count. I think you need to consult a pulmonologist soon to get yourself thoroughly examined and go for necessary investigations to find out the cause of hemoptysis and pain.
If you want to know further you can write back to me.
If you are happy with my answer you can write a review for me.
Thank you.
Regards,
Dr Arnab Maji
MBBS, MD
Pulmonologist

Above answer was peer-reviewed by : Dr. Raju A.T