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What Causes Radiating Pain From Breast To Groin Area While Laughing Or Coughing?

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Posted on Mon, 27 Jul 2015
Question: For two days if I laugh or cough a pain travels from under my left breast to my groin. It goes away and doesn't always happen but it's happened a few times. I'm scared it's a abdominal aortic aneurysm. I'm an obese female, 29 years old. I hear that it mostly happens to men. It's not constant but the pain is sharp and then leaves. What else could it be?
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Answered by Dr. Dr. Muhammad Sareer Khalil (31 minutes later)
Brief Answer:
Ultrasound abdomen , EKG

Detailed Answer:
Hello and Welcome

I appreciate your concern

You are right , the population at risk for AAA are men who especially older than 65 years and those with peripheral atherosclerotic vascular disease. AAAs are usually asymptomatic unless there is expansion or rupture which can cause sudden, severe, and constant abdominal and lower back pain. Syncope or blackout can also occur. AAAs can be detected clinically and are palpable upon physical examination with presence of a pulsatile abdominal mass. In your case , An EKG and ultrasound can be advised primarily based on clinical findings to look for any serious cause. A chest x ray can be done to rule out any pleura or lung involvement on the left side. If these investigations are clear then the likely cause is GERD/ dyspepsia and it should be adequately treated with PPIs, sucralfate and metoclopramide to see for improvement.

Wishing you best of health

Thanks

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2906 Questions

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What Causes Radiating Pain From Breast To Groin Area While Laughing Or Coughing?

Brief Answer: Ultrasound abdomen , EKG Detailed Answer: Hello and Welcome I appreciate your concern You are right , the population at risk for AAA are men who especially older than 65 years and those with peripheral atherosclerotic vascular disease. AAAs are usually asymptomatic unless there is expansion or rupture which can cause sudden, severe, and constant abdominal and lower back pain. Syncope or blackout can also occur. AAAs can be detected clinically and are palpable upon physical examination with presence of a pulsatile abdominal mass. In your case , An EKG and ultrasound can be advised primarily based on clinical findings to look for any serious cause. A chest x ray can be done to rule out any pleura or lung involvement on the left side. If these investigations are clear then the likely cause is GERD/ dyspepsia and it should be adequately treated with PPIs, sucralfate and metoclopramide to see for improvement. Wishing you best of health Thanks Please consult your doctor before deciding on any further course of action. For future follow up / correspondence you may ask me directly at the link given below http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107 Dr. M.S. Khalil