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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Asthma, Rib Pain And Coughing. C-x-ray, CT Scan, Blood Test Normal. Advice?

I have asthma, I have had a DVT 8 months ago with no apparent reason (no inactivity, not overweight, not a smoker, no family history, no hormones), I've had rib pain for the past 6 weeks, (6 weeks ago I had a C-xray, Ct Scan and blood work, all negative for a PE). last week I had more blood work (all negative), the past few days my rib pain is getting worse, coughing is getting worse. I'm not sure if I'm getting a cold or if it is more serious.
Mon, 10 Jun 2013
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General & Family Physician,  's  Response
Hi and thanks for the query,

It might be necessary to precise if you had a fever or not. With a past history of asthma, it might be worthwhile getting a review from your treating physician or pulmonologist. What have your latest peak flow values or spirometric follow up detailed been.

A physical examination to examine presence of wheezes or other crackles could be important. This could be necessary to appreciate whether there is an associated infection, with other tests like a complete blood count and C reactive proteins or not. Other conditions like TB and latent pulonary infarction or emboli should not be neglected.

I suggest you get a proper review from your pulmonologist or internist.
Best regards,

Bain LE, MD.
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Asthma, Rib Pain And Coughing. C-x-ray, CT Scan, Blood Test Normal. Advice?

Hi and thanks for the query, It might be necessary to precise if you had a fever or not. With a past history of asthma, it might be worthwhile getting a review from your treating physician or pulmonologist. What have your latest peak flow values or spirometric follow up detailed been. A physical examination to examine presence of wheezes or other crackles could be important. This could be necessary to appreciate whether there is an associated infection, with other tests like a complete blood count and C reactive proteins or not. Other conditions like TB and latent pulonary infarction or emboli should not be neglected. I suggest you get a proper review from your pulmonologist or internist. Best regards, Bain LE, MD.