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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Lingular Pneumonia, Violent Coughing Leading To Pain In Left Lower Rib Area, No Relief With Medicines, Black Out During Cough. Normal?

I was diagnosed with lingular pneumonia a month ago. After a week or so of violent coughing I developed a pain in the left lower rib area. Because of the point tenderness I was convinced it was a cracked rib. X-rays confirmed pneumonia was resolving and pleura thickened in lingular area. My family md gave me hydrocodone and Motrin. That was four days ago and pain increased and went from intermittent to constant. I used to be able to find a couple of sleep positions that didn t hurt. Now there is no relief no matter what I try, to include recliner. I am scared to drive cuz a cough or sneeze might make me black out from pain. Should I see a pulmonologist or does this sound common?
Mon, 3 Sep 2012
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Internal Medicine Specialist,  's  Response
Hi,
You have a infection of lung left ,as a complication thin layer which covers lungs Pleura also gets inflamed and this is pain sensitive structure so it is painful during coughing,Sneezing and even yawaning can bring pain. But duration is long as 1 month time every Pneumonia should heal completely by this time. You should go for check up again may be a repeat X ray to see if Pnumonia resolved completely and there is no other patology. Is it pleura or rib which is causing so much pain.
If required go for a ultrsound/CT Scan study to know the cause of your pain . I think you should see a expert.Hope you will be OK soon.
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Diagnosed With Lingular Pneumonia, Violent Coughing Leading To Pain In Left Lower Rib Area, No Relief With Medicines, Black Out During Cough. Normal?

Hi, You have a infection of lung left ,as a complication thin layer which covers lungs Pleura also gets inflamed and this is pain sensitive structure so it is painful during coughing,Sneezing and even yawaning can bring pain. But duration is long as 1 month time every Pneumonia should heal completely by this time. You should go for check up again may be a repeat X ray to see if Pnumonia resolved completely and there is no other patology. Is it pleura or rib which is causing so much pain. If required go for a ultrsound/CT Scan study to know the cause of your pain . I think you should see a expert.Hope you will be OK soon.