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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Constant Neck Pain, Pain Near Shoulder While Coughing, Tingling In Right Arm, Family History Of Cancer. Suggestions?

Constant neck pain , pain in right upper chest near shoulder whenever I cough, tingling in right arm off and on. Am 51 years old, Mom died from gall bladder cancer , Dad from lung cancer , oldest brother from liver cancer , have an older brother who has prostate cancer , another older brother who smokes heavily but has no signs of cancer... My symptoms have been going on for about a year, the coughing with pain a month or 2. I have a high stress job, come home usually quite fatigued...have been taking Trazadone to help sleep, high blood pressure medication and paxil for anxiety for a year now.....any suggestions, or ???
Mon, 14 Oct 2013
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Pulmonologist 's  Response
You can get your routine check up done regularly with a spiral CT scan of the chest as it has a very high sensitivity to pick up cancers at an early stage.
Your family history of cancer is too strong to deny any regular checks.
The pain right now can be very well beacuse of a cervical spondylysis where in a nerve gets trapped and hence these symptoms but a cancer of the upper chest on the right side can also cause the same problem by trapping a nerve in the tumor
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Constant Neck Pain, Pain Near Shoulder While Coughing, Tingling In Right Arm, Family History Of Cancer. Suggestions?

You can get your routine check up done regularly with a spiral CT scan of the chest as it has a very high sensitivity to pick up cancers at an early stage. Your family history of cancer is too strong to deny any regular checks. The pain right now can be very well beacuse of a cervical spondylysis where in a nerve gets trapped and hence these symptoms but a cancer of the upper chest on the right side can also cause the same problem by trapping a nerve in the tumor