[20F] Experiencing sharp, intermittent pain in right lung area

Patient Description

A 20-year-old female has been experiencing a sharp pain in the right lung area for about a month. The pain, rated as a 7 out of 10 in severity, occurs approximately three times a day and is exacerbated by deep breathing. The pain is localized to the lower rib cage around the bottom of the lungs and is mainly superficial, with occasional deeper sensations. There is no associated shortness of breath, coughing up blood, fever, or unexplained weight loss. The patient has a history of fainting since the age of one but no known allergies or adverse reactions to medications. Current medications include Zyrtec (10 mg nightly) for allergies and birth control. No other symptoms or significant medical history were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, the sharp pain in your right lung area could be due to a number of conditions:

  • Pleurisy: This is inflammation of the lining of the lungs and chest (the pleura) that leads to chest pain (usually sharp) when you take a breath or cough.

    • Treatment typically involves addressing the underlying cause, such as a viral infection. Over-the-counter anti-inflammatory drugs can help relieve the pain.
  • Costochondritis: This is inflammation of the cartilage in the rib cage. It usually occurs in the cartilage where the upper ribs attach to the breastbone (sternum), but it can also occur in the cartilage where the lower ribs attach to the spine.

    • Treatment typically involves rest and anti-inflammatory medications. Physical therapy may also be helpful.
  • Musculoskeletal strain: Overuse or injury to the chest wall, muscles, or ligaments can cause chest pain.

    • Treatment typically involves rest, heat or cold therapy, and over-the-counter pain relievers.
  • Lung conditions: Certain lung conditions such as pneumonia or a pulmonary embolism can cause chest pain, but these are usually accompanied by other symptoms such as shortness of breath, cough, or fever, which you have not reported.

Please note that this is not an exhaustive list and other conditions could also explain your symptoms.

What you can do

Given the duration and severity of your pain, it's important to seek medical attention. A healthcare provider can perform a physical examination and may order tests such as a chest X-ray or blood tests to help determine the cause of your pain. In the meantime, you can try the following to help manage your pain:

  1. Over-the-counter pain relievers: Non-prescription medications such as ibuprofen (Advil, Motrin IB) or naproxen (Aleve) can help reduce pain and inflammation.
  2. Rest: Avoid activities that make your pain worse.
  3. Heat or cold: Applying a hot or cold pack to the painful area may help relieve pain.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Severe chest pain
  • Chest pain that spreads to your jaw, left arm, or back
  • Shortness of breath or difficulty breathing
  • Sweating, nausea, or lightheadedness
  • Coughing up blood

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare provider for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What is pleurisy and how is it treated?

Pleurisy is inflammation of the pleura, the lining of the lungs and chest, causing sharp chest pain during breathing or coughing. Treatment involves addressing the underlying cause, such as a viral infection, and using over-the-counter anti-inflammatory drugs to relieve pain.


What are the symptoms and treatment options for costochondritis?

Costochondritis is inflammation of the cartilage where the ribs attach to the breastbone or spine, causing chest pain. Treatment includes rest, anti-inflammatory medications, and possibly physical therapy to alleviate symptoms.


How can musculoskeletal strain cause chest pain?

Musculoskeletal strain can cause chest pain due to overuse or injury to the chest wall, muscles, or ligaments. Treatment typically involves rest, applying heat or cold therapy, and using over-the-counter pain relievers to manage pain.


When should I seek immediate medical attention for chest pain?

Immediate medical attention for chest pain is necessary if you experience severe pain, pain spreading to the jaw, left arm, or back, shortness of breath, sweating, nausea, lightheadedness, or coughing up blood.


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