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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Pain In Top Left Side Of The Chest?

Hi I have had 4 chest infections since Christmas. The one at Christmas was really bad, I just felt so ill. Went to the doctor after an x-ray and they thought I may have had TB. This morning I have a pain at the top of my chest on the left side, could this be pleurisy. My father had this so I know some of the symptoms. Should I go to the hospital? I have never smoked and the doctor reassured me it isn t cancer. Apparently I have thickening and scar tissue on one of my lungs. I am going for a CT scan on the 15th.
Mon, 10 Nov 2014
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Pulmonologist,  's  Response
Thanks for your question on HCM.
Yes, this can be pleurisy. Lower lobe pleurisy causes irritation of diaphragm. And the pain produced by this can be feel in shoulder area due to same nerve supply by phrenic nerve. This is known as referred pain.
Since you have x ray abnormalities, pleurisy is the cause for your pain.
Better to start painkillers and get done CT THORAX to rule out causes of pleurisy. You may have pleural effusion.
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How To Treat Pain In Top Left Side Of The Chest?

Thanks for your question on HCM. Yes, this can be pleurisy. Lower lobe pleurisy causes irritation of diaphragm. And the pain produced by this can be feel in shoulder area due to same nerve supply by phrenic nerve. This is known as referred pain. Since you have x ray abnormalities, pleurisy is the cause for your pain. Better to start painkillers and get done CT THORAX to rule out causes of pleurisy. You may have pleural effusion.