normalit for posmanagementncern in HCM.
I think whether the pain is related to COPD depends on the site of back pain. An upper back pain with /without fever,
chest pain, altered sensorium, dyspnoea etc in a known COPD patient, may be due to lower
respiratory tract infection or pneumonia with exacerbated COPD.
But, they may also be due to
mechanical back pain due to faulty posture, spinal abnormality etc.
On the other hand,
low back pain may be due to all the above causes except any chest related cause and also may be due to urogenital or colonic infection or patholog
pathology.
Your
respiratory distress on the other hand is due to COPD. But, cardiac causes need exclusion.
Therefore, you should consult your local physicIan for further management.
For any further information please write back.
Regards,
Dr. Kaushik