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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abdominal Pain While Breathing?

What could cause chronic pain upon inhale in the area of the ULQ of the abdomen in an 18 year old? Pain is sharp upon inhale and continues throughout exhale. On set is random, not consistent with Angina Pectoris symptoms however, on occasion, pain will set in after light exertion (walking most of the day for example). Has been going on for a few years now. Pain scale: At best 5/10 noticeable pain but not sharp. At worst (most often in this state) 8/10 or 9/10. Trouble breathing, difficult to speak when in pain. No bruising on skin or around pain area. Pain felt under ribs. This time around, pain has been significantly worse and concerning.
Mon, 22 Sep 2014
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General Surgeon 's  Response
Hi.
Thanks for an elucidate and correct history.
Your history of pain in left upper quadrant during exhaling, on exertion, on speaking so classical of a condition called Pleurasy. In this condition both the layers of the pleura which cover the lung and rub against each other and cause pain if they are diseased in past due to some infection or so.
The best way is to get an X-ray Chest, preferably CT scan of the lungs.
This will help to get a diagnosis of an underlying cause also like tuberculosis.
The treatment then can be very specific.
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What Causes Abdominal Pain While Breathing?

Hi. Thanks for an elucidate and correct history. Your history of pain in left upper quadrant during exhaling, on exertion, on speaking so classical of a condition called Pleurasy. In this condition both the layers of the pleura which cover the lung and rub against each other and cause pain if they are diseased in past due to some infection or so. The best way is to get an X-ray Chest, preferably CT scan of the lungs. This will help to get a diagnosis of an underlying cause also like tuberculosis. The treatment then can be very specific.