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Suggest Treatment For Chronic Cough, Shoulder Pain And Swelling In The Armpit Area

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Posted on Tue, 16 Aug 2016
Question: enlarged slightly swollen tissue in front of the arm pit on side of breast. also shoulder pain and stiffness for two months, persistent cough
doctor
Answered by Dr. Mukund Savaskar (50 minutes later)
Brief Answer:
Chronic cough with Shoulder pain/stiffness and swelling in front of armpit

Detailed Answer:
Chronic cough with Shoulder pain/stiffness and swelling in front of armpit/ Under Evaluation

Hi Dear !! Thanks for your query to HCM.
I reviewed facts of your query in context to your health issues.
As the details are very scanty,I would need more information soon-as follows-
since how long swelling in front of armpit is there?
what size of swelling? describe exact location or update picture of it?
Whether shoulder pain and stiffness came first / or after armpit swelling?
Any restriction in shoulder movements/ give details whether in forward/updward/outwards/backward/Circular movement?
How long is cough with you? is it with sputum? Is it more in morning with sputum?what is colour of sputum-yellow/green/ brownish yellow?
Any fever / weight loss since cough?
What about appetite?
Any breathlessness / Wheeze /Spasm and pain with it?
Any chest pain/Cardiac discomfort/leg oedema?give its details.
Any medicines taken in past? list them?
update any old reports if any?

My Primary Opinion-
In My opinion, in the given situation you have following health issues as follows-
a-shoulder pain/Stiffness could be from-Frozen Shoulder.Cause of it and accompanied causes need to be investigated after getting more information as asked above.
b-Persistent Cough-Could be from-Chronic bronchitis, causes of which could be asthmatic/bacterial/fungal/ TB/ or from lung tumour.These causes would need further investigations to plan its exact treatment.

Other cause need to be ruled out before starting any treatment by Consults with physician who do needful physical checks and would work out treatment for you.
If need be Second Opinion from Orthopaedic Surgeon to fix causes and plan treatment of it,would be needed.

Do's Suggested-.
Check with family doctor and Orthopaedist if needed.
HOt fomentation
Massage with Diclofenac gel(OTC)
Anti-inflammatory-Tab Ibuprofen-to start with 400 mg
Muscle relaxants with script from doctor-like Cyclobenzaprine-5 mg to start with 2 times a day
Plenty of fluids to hydrate sufficiently
Check with sputum AFT and Chest X-ray.Also get Shoulder X-ray,if need be,with Consults from Specialist Physician.
There after Add Antibiotics with bronchodilators with script from doctor.

Next appointment-
After 2 weeks to review treatment for existing stomach problem .

If you update more information/ details upon these suggestions,I would give further suggestions on medicines to correct your health issues.

If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229

Dear,if you don't have any further query in this regard, Do close this query with YOUR pleasing and feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.

If you want to update more details and ask more update queries ,
You are most Welcome herewith !!

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
Dr.
Dr. Mukund Savaskar

General Surgeon

Practicing since :1978

Answered : 3606 Questions

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Suggest Treatment For Chronic Cough, Shoulder Pain And Swelling In The Armpit Area

Brief Answer: Chronic cough with Shoulder pain/stiffness and swelling in front of armpit Detailed Answer: Chronic cough with Shoulder pain/stiffness and swelling in front of armpit/ Under Evaluation Hi Dear !! Thanks for your query to HCM. I reviewed facts of your query in context to your health issues. As the details are very scanty,I would need more information soon-as follows- since how long swelling in front of armpit is there? what size of swelling? describe exact location or update picture of it? Whether shoulder pain and stiffness came first / or after armpit swelling? Any restriction in shoulder movements/ give details whether in forward/updward/outwards/backward/Circular movement? How long is cough with you? is it with sputum? Is it more in morning with sputum?what is colour of sputum-yellow/green/ brownish yellow? Any fever / weight loss since cough? What about appetite? Any breathlessness / Wheeze /Spasm and pain with it? Any chest pain/Cardiac discomfort/leg oedema?give its details. Any medicines taken in past? list them? update any old reports if any? My Primary Opinion- In My opinion, in the given situation you have following health issues as follows- a-shoulder pain/Stiffness could be from-Frozen Shoulder.Cause of it and accompanied causes need to be investigated after getting more information as asked above. b-Persistent Cough-Could be from-Chronic bronchitis, causes of which could be asthmatic/bacterial/fungal/ TB/ or from lung tumour.These causes would need further investigations to plan its exact treatment. Other cause need to be ruled out before starting any treatment by Consults with physician who do needful physical checks and would work out treatment for you. If need be Second Opinion from Orthopaedic Surgeon to fix causes and plan treatment of it,would be needed. Do's Suggested-. Check with family doctor and Orthopaedist if needed. HOt fomentation Massage with Diclofenac gel(OTC) Anti-inflammatory-Tab Ibuprofen-to start with 400 mg Muscle relaxants with script from doctor-like Cyclobenzaprine-5 mg to start with 2 times a day Plenty of fluids to hydrate sufficiently Check with sputum AFT and Chest X-ray.Also get Shoulder X-ray,if need be,with Consults from Specialist Physician. There after Add Antibiotics with bronchodilators with script from doctor. Next appointment- After 2 weeks to review treatment for existing stomach problem . If you update more information/ details upon these suggestions,I would give further suggestions on medicines to correct your health issues. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Dear,if you don't have any further query in this regard, Do close this query with YOUR pleasing and feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. XXXXXXX Surgical Specialist M.S.Genl-CVTS