[30F] With sharp back pain post-pneumonia

Patient Description

A 30-year-old female presents with sharp pain under the shoulder blade, which started suddenly after a cough this morning. The pain is exacerbated by coughing or deep breathing and is somewhat relieved by lying down. The patient reports a mild cough and recently recovered from pneumonia two weeks ago. She denies any shortness of breath, fever, or changes in her cough since the onset of the pain. There is no history of recent travel or exposure to respiratory illnesses. The patient has no pre-existing medical conditions, allergies, or current medications.

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Arora's Assessment

What might be happening

Based on the information you have provided, a possible explanation for your symptoms is:

  • Pleuritic Pain: This type of pain occurs when the lining of the lungs (pleura) becomes inflamed, often due to a recent respiratory infection like pneumonia. The sharp pain you feel when coughing or taking deep breaths is characteristic of pleuritic pain. The popping sound you hear could be related to pleural friction or residual effects from your recent pneumonia.
    • Treatment typically involves managing the pain with over-the-counter pain relievers like ibuprofen or acetaminophen. If the pain persists or worsens, a healthcare provider may recommend further evaluation or imaging tests to rule out other conditions.

What you can do

  1. Pain Management: Consider taking over-the-counter pain relievers such as ibuprofen or acetaminophen to help manage the pain. Always follow the recommended dosage instructions.
  2. Rest and Hydration: Ensure you get plenty of rest and stay hydrated to support your recovery from pneumonia.
  3. Monitor Symptoms: Keep track of your symptoms using the MDandMe app. Journaling your symptoms can help you notice any changes and provide valuable information to your healthcare provider.
  4. Breathing Exercises: Gentle breathing exercises may help improve lung function and reduce discomfort. Try taking slow, deep breaths and exhaling slowly.

What you should look out for

Seek medical attention if you experience any of the following:

  • Increased shortness of breath or difficulty breathing
  • High fever or chills
  • Worsening or persistent pain despite taking pain relievers
  • New or worsening cough, especially if it becomes productive with colored or bloody mucus

Remember, while this information can be helpful, it is important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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1 mo ago

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People Also Ask


What is pleuritic pain and how is it related to pneumonia?

Pleuritic pain is a sharp, stabbing pain in the chest that occurs when the pleura, the lining of the lungs, becomes inflamed. It is often associated with respiratory infections like pneumonia, which can cause inflammation in the pleura.


How can I manage pleuritic pain at home?

To manage pleuritic pain at home, you can take over-the-counter pain relievers such as ibuprofen or acetaminophen. It's also important to rest, stay hydrated, and avoid activities that exacerbate the pain, like deep breathing or coughing.


When should I seek medical attention for pleuritic pain?

You should seek medical attention if you experience increased shortness of breath, high fever, chills, worsening or persistent pain despite taking pain relievers, or a new or worsening cough, especially if it becomes productive with colored or bloody mucus.


Are there any exercises that can help with pleuritic pain?

Gentle breathing exercises can help with pleuritic pain. Try taking slow, deep breaths and exhaling slowly to improve lung function and reduce discomfort. However, if the pain worsens with these exercises, it's best to stop and consult a healthcare provider.


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