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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Pain In Neck, Chest And Lower Back

Hello. I am a 28 year old female who was just released from the hospital on 5/2/15 after being diagnosed with multiple Pulmonary Emboli in my right lung. The doctors said these were caused due to my start of cigarette smoking in 8/14 & switching to a different, higher estrogen, birth control, the Nuva Ring, in 1/15. I was also diagnosed with hypothyroidism while I was there & treated for a flare up of my asthma, which I ve had since 2nd grade; but, it has been exacerbated by the PE s the last week or so. So, I was started on Wafarin 5mg once daily until I have my next lab test done at the anticoagulation clinic on 5/4/15 & then will change the dose based on those results. I was also started on Enoxaparin 80 MG/0.8 ML, per syringe, subcutaneous injections every 12 hours. Additionally, they started me on Ranitidine (to protect my stomach from the Wafarin) at 150 MG twice daily, Levothyroxine (for the hypothyroidism) at 50 MG once daily 30 minutes before breakfast on an empty stomach, & Prednisone (for my lungs) 20 MG at a tapered dose of 3 tablets daily for 3 days, then 2 tablets daily for 3 days, then 1 daily for 3 days, then stop. And lastly they prescribed me Tramadol 50 MG every 6 hours as needed for the intense pain caused by the PE s in my chest & back. It, however, unfortunately, makes me extremely nauseous and incredibly ill, almost to the point where I m just as worse as the pain makes me feel. My question is, I have a prescription for medicinal marijuana for anxiety & chronic pain due to scoliosis & neck & back injuries I suffered from a motor vehicle accident. Is it harmful to me because of my PE s, if I were to smoke the medicinal marijuana to alleviate the pain I m experiencing in my chest & back due to the PE s, especially because the prescription label reads To be used up to every 3-6 hours as needed for anxiety symptoms and/or to alleviate chronic to severe pain in neck, chest, upper back & lower back ? I know I can t smoke cigarettes anymore & I had quit due to the smoke in my lungs but did not know if marijuana smoke worked the same way? I also know I can t take any NSAIDS anymore with the two blood thinners I m on, which rules out the prescription strength Aleve I used to rely on before I got my prescription for the medicinal marijuana. I also know I can no longer drink, so I m running out of options & this crossed my mind, but, did NOT want to do anything that could harm me or put me at risk. Thank you for your help in advance. :)
posted on Wed, 6 May 2015
Twitter Wed, 11 Jun 2025 Answered on
Twitter Wed, 2 Jul 2025 Last reviewed on
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General & Family Physician 's  Response
Hi,

Please send me your reports of thyroid, CBC, blood sugar and blood pressure status along with ECG, EEG and echocardiograph. According to your current scenario, you need to cut down smoking. You can use nicotine chew gums as suggested. I will send that after your reports study. Send me your INR levels and you must learn breathing exercise as all have one cause of stress or the other which can be dealt with, with this only.

I hope this helps. Take care. Let me know if I can assist you further.

Regards,
Dr. Sunny Madar, General & Family Physician
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Suggest Treatment For Severe Pain In Neck, Chest And Lower Back

Hi, Please send me your reports of thyroid, CBC, blood sugar and blood pressure status along with ECG, EEG and echocardiograph. According to your current scenario, you need to cut down smoking. You can use nicotine chew gums as suggested. I will send that after your reports study. Send me your INR levels and you must learn breathing exercise as all have one cause of stress or the other which can be dealt with, with this only. I hope this helps. Take care. Let me know if I can assist you further. Regards, Dr. Sunny Madar, General & Family Physician