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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In My Rib After Treating Infection?

Hi. I had a throat infection a month back and was treated with antibiotics. Along with the infection i also had a small pain spot near my right upper rib. The infection went away but the pain spot did not. I went to the doctor again and he told me i probably had a secondary infection in my bronchial system and prescribed me some anti allergy drugs . The problem didnt go away and there was a dry cough also developing so he got an x ray and pulmonary function test also done. The xray was ok except for small bronchila spots and the pulmonary test showed some congestion and reduced lung strength. At this time i was also having feeling of tightness in chest and some back pain specially on the right side upper portion and a feeling of unwellness. The doctor advised some non antibiotic medication including a inhaled capsule steroid powder. This was 10 days back. Today the feeling of tightness is gone and the cough is limited and almost gone but as dry as ever. I had a mucus only one day and that also with great effort. but that slight pain on the right side at time returns although not there the whole time. No discomfort while sleeping. The doctor had told me that it is something called naso bronchial allergy but shoudnt this have gone away completely by now? Pls advise what are your thoughts on this and what i need to do now
posted on Thu, 13 Mar 2014
Twitter Tue, 27 Dec 2016 Answered on
Twitter Wed, 28 Dec 2016 Last reviewed on
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General & Family Physician 's  Response
Hello Dear. You are probably having hypersensitivity pneumonitis. I will tell you in briefl about the condition and what precautions you need to take.

Hypersensitivity pneumonitis is inflammation of the lungs due to breathing in a foreign substance, usually certain types of dust, fungus, or molds.

Causes:

Hypersensitivity pneumonitis usually occurs in people who work in places where there are high levels of organic dusts, fungus, or molds.

Long-term exposure can lead to lung inflammation and acute lung disease. Over time, the acute condition turns into long-lasting (chronic) lung disease.

Hypersensitivity pneumonitis may also be caused by fungi or bacteria in humidifiers, heating systems, and air conditioners found in homes and offices. Exposure to certain chemicals, such as isocyanates or acid anhydrides, can also lead to hypersensitivity pneumonitis.

Examples of hypersensitivity pneumonitis include:

Bird fancier's lung: This is the most common type of hypersensitivity pneumonitis. It is caused by repeated or intense exposure to proteins found in the feathers or droppings of many species of birds.

Farmer's lung: This type of hypersensitivity pneumonitis is caused by exposure to dust from moldy hay, straw, and grain.

Symptoms:

Symptoms of acute hypersensitivity pneumonitis often occur 4 to 6 hours after you have left the area where the offending substance is found. This makes it difficult to find a connection between your activity and the disease. Symptoms might resolve before you go back to the area where you encountered the substance.

Symptoms may include:

1. Chills
2. Cough
3. Fever
4. Malaise (feeling ill)
5. Shortness of breath

Symptoms of chronic hypersensitivity pneumonitis may include:

1. Breathlessness, especially with activity
2. Cough, often dry
3. Loss of appetite
4. Unintentional weight loss

Exams and Tests:

Your dostor may hear abnormal lung sounds called crackles (rales) when listening to your chest with a stethoscope.

Lung changes due to chronic hypersensitivity pneumonitis may be seen on a chest x-ray. Other tests may include:

1. Aspergillus precipitin test
2. Bronchoscopy with washings, biopsy, and bronchoalveolar lavage
3. Complete blood count (CBC)
4. High-resolution CT scan of the chest
5. Hypersensitivity pneumonitis antibody panels
6. Krebs von den Lungen-6 assay (KL-6)
7. Pulmonary function tests
8. Surgical lung biopsy

Treatment:

First, the offending substance must be identified. Treatment involves avoiding this substance in the future. Some people may need to change jobs if they cannot avoid the substance at work.

If you have a chronic form of this disease, your doctor may recommend that you take glucocorticoids (anti-inflammatory medicines). Sometimes treatments used for asthma can help people with hypersensitivity pneumonitis.

Outlook (Prognosis):

Most symptoms go away when you avoid or limit your exposure to the material that caused the problem.

Possible Complications:

The chronic form of this disease may lead to pulmonary fibrosis. This is a scarring of the lung tissue that often is not reversible. Eventually, end-stage lung disease and respiratory failure can occur.

When to Contact a Medical Professional:

Call your health care provider if you develop symptoms of hypersensitivity pneumonitis.

Prevention:

The chronic form can be prevented by avoiding the material that causes the lung inflammation.

Hope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you.
All the best
With warm regards
Dr Sanjay Kini

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What Causes Pain In My Rib After Treating Infection?

Hello Dear. You are probably having hypersensitivity pneumonitis. I will tell you in briefl about the condition and what precautions you need to take. Hypersensitivity pneumonitis is inflammation of the lungs due to breathing in a foreign substance, usually certain types of dust, fungus, or molds. Causes: Hypersensitivity pneumonitis usually occurs in people who work in places where there are high levels of organic dusts, fungus, or molds. Long-term exposure can lead to lung inflammation and acute lung disease. Over time, the acute condition turns into long-lasting (chronic) lung disease. Hypersensitivity pneumonitis may also be caused by fungi or bacteria in humidifiers, heating systems, and air conditioners found in homes and offices. Exposure to certain chemicals, such as isocyanates or acid anhydrides, can also lead to hypersensitivity pneumonitis. Examples of hypersensitivity pneumonitis include: Bird fancier s lung: This is the most common type of hypersensitivity pneumonitis. It is caused by repeated or intense exposure to proteins found in the feathers or droppings of many species of birds. Farmer s lung: This type of hypersensitivity pneumonitis is caused by exposure to dust from moldy hay, straw, and grain. Symptoms: Symptoms of acute hypersensitivity pneumonitis often occur 4 to 6 hours after you have left the area where the offending substance is found. This makes it difficult to find a connection between your activity and the disease. Symptoms might resolve before you go back to the area where you encountered the substance. Symptoms may include: 1. Chills 2. Cough 3. Fever 4. Malaise (feeling ill) 5. Shortness of breath Symptoms of chronic hypersensitivity pneumonitis may include: 1. Breathlessness, especially with activity 2. Cough, often dry 3. Loss of appetite 4. Unintentional weight loss Exams and Tests: Your dostor may hear abnormal lung sounds called crackles (rales) when listening to your chest with a stethoscope. Lung changes due to chronic hypersensitivity pneumonitis may be seen on a chest x-ray. Other tests may include: 1. Aspergillus precipitin test 2. Bronchoscopy with washings, biopsy, and bronchoalveolar lavage 3. Complete blood count (CBC) 4. High-resolution CT scan of the chest 5. Hypersensitivity pneumonitis antibody panels 6. Krebs von den Lungen-6 assay (KL-6) 7. Pulmonary function tests 8. Surgical lung biopsy Treatment: First, the offending substance must be identified. Treatment involves avoiding this substance in the future. Some people may need to change jobs if they cannot avoid the substance at work. If you have a chronic form of this disease, your doctor may recommend that you take glucocorticoids (anti-inflammatory medicines). Sometimes treatments used for asthma can help people with hypersensitivity pneumonitis. Outlook (Prognosis): Most symptoms go away when you avoid or limit your exposure to the material that caused the problem. Possible Complications: The chronic form of this disease may lead to pulmonary fibrosis. This is a scarring of the lung tissue that often is not reversible. Eventually, end-stage lung disease and respiratory failure can occur. When to Contact a Medical Professional: Call your health care provider if you develop symptoms of hypersensitivity pneumonitis. Prevention: The chronic form can be prevented by avoiding the material that causes the lung inflammation. Hope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you. All the best With warm regards Dr Sanjay Kini