
What Causes Sharp Pain In Upper Left Back Along With Shortness Of Breath?



I have had sharp back pains in my upper left back that come about twice an hour and recently over the past few days have been short for breath without any obvious cause. I'm just wanting to make sure there is nothing more serious going on??
Need some help from you sir, pls do take some time out to respond
Detailed Answer:
Hello sir and welcome.
Thank you for writing to us.
I have gone through your query with diligence and would like you to know that I am here to help. I would like to request you to take some time out and respond to a list of symptoms, with a response 'Yes' if it is present, and 'No' if it not. Here is the list:
1. Abdominal bloating at times
2. Lots of gas being passed
3. Burning sensation in chest region or heartburn
4. Bitter taste in mouth at times due to regurgitation of food or drink into the mouth
5. Over weight or obese
6. Long gaps between meals
7. Feeling of something in your throat
8. Vomiting
9. Nausea
10. Diarrhea
11. Constipation
12. Cough (if yes please mention whether it is dry or wet)
13. Smoker (if yes, how many per day)
14. Alcohol (if yes, how often)
15. Stress level on a scale of 0 to 5; 0 being absolutely nil and 5 being always extremely stressed
16. Pain especially when hungry
17. Pain especially a while after eating
18. Pain relieved by eating something
19. Pain relieved only by medications
20. Any allergies?
21. Height
22. Weight
I look forward to hearing from you. Please respond to my queries as numbered, so I can better understand and help you figure out what could be causing this.
Best wishes.


Thank you, please see my responses below:
1) Occasionally, maybe feeling once or twice per week.
2) No
3) Yes over the past week, nothing a gaviscon does not solve.
4) No
5) Yes, BMI of 30 so just into the obese section.
6) Normally no, with 4 hour gap between lunch and dinner. However, this past week, been having an 8 hour gap between meals.
7) No
8) No
9) No
10) No
11) No
12) No
13) No
14) Weekdays no, but no more than 4 beers over the weekend.
15) Normally about 1.5, but past week been about a 3.5 as working longer days by about 3 hours a day.
Sounds to me like a gastric cause, putting pressure on the posterior walls
Detailed Answer:
Hello once again sir.
Thank you so much for your response.
Please do also take some time out to answer the remaining questions (16 to 22).
For now, based on your presentation and the above response it does seem to be like your presentation is more likely to be associated with a gastric condition (e.g. gastritis, peptic ulcer disease, etc.), that is applying pressure on the posterior walls of the stomach, resulting in the back pain and occasional breathlessness.
I would thus recommend the following:
+Use of gaviscon on a daily basis even without the presence of symptoms (twice a day for the next 2 weeks)
+Drink plenty of water
+Avoid smoking, alcohol, carbonated drinks, spicy food, fatty food, oily food, and fried food
+Avoid stress
+Eat something every 2 hours
+Have 5-6 smaller meals instead of 2-3 larger ones
+Do not overeat
+Do not go about any strenuous forms of exercise
+Take antacids (E.g. ranitidine, omeprazole, pantoprazole, etc.) during the aggravation of your symptoms
+Visit a doctor when you can for a blood examination and an upper GI endoscopy (should be a fruitful investigation)
I hope you find my response helpful. Please feel free to write back to me for any further clarifications, I am always here to help.
Best wishes.


A few immediate instructions to follow
Detailed Answer:
Hi sir.
+Drink plenty of water
+avoid tea and coffee
+Eat bland and non-acidic food
+Eat small meals regularly
+Most importantly have an antacid like ranitidine, omeprazole, pantoprazole, etc; 15 minutes before each meal you have
+Continue to have gaviscon (to be had 3 times a day)
+Avoid fried, fatty, oily food
+Avoid acidic fruits
+Avoid food that is difficult to digest
Please keep in touch and let me know how you feel.
Best wishes.


I wouldn't agree with that completely
Detailed Answer:
Hello once again.
Did you mean muscular cirrhosis (hyperplasia) of the lungs?
Treatment depends on the cause for the muscular hyperplasia; conditions like chronic bronchoectasia, etc. Usually we check for and rule out:
+Infections: Require antibiotic coverage
+Inflammation: Anti-inflammatory medications or steroids
+Pain: Pain management therapy
I would not say pain management is the solution, we will have to find the cause and treat that.
Please check with your doctor for a more elaborate discussion and management.
My best wishes.

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