Q. I have abdominal pain that radiates to the chest and blood in spit. Please help.

Answered by
Dr. Sanya Dhingra
and medically reviewed by Dr. Lochana
This is a premium question & answer published on Nov 02, 2020
Back pain, that I am now starting METHOCARBAMOL for. Upper abdominal pain that radiates to chest, and blood in spit.
25 year old male

Hello . Greetings from icliniq. I understand your concern. I would request you to kindly shard the reports of your chest x ray and EKG . Also i would want to know if you have any breathing difficulties or cough ? Blood in cough or sputum is not a good sign . Also i do not see a reason for use of steroids . Do you have problems with acid reflux or constipation? Kindly follow up with these details and your reports . I am also advising some tests . Kindly get these done .

Investigations to be done:

1. CBC with ESR
2. X ray - middle and lower back (AP and Lateral view)
3. USG whole abdomen

Treatment plan:

1. Locally apply pain relief gel like diclofenac on the back before sleep
2. Avoid lifting any heavy weights or bending exercise
3. Use a water based heat bag / pad and apply locally on back (2-3 times in a day)
4. Sleep without a pillow
5. Consider changing your mattress
6. Tablet tranexamic acid 500 mg (8 hourly in a day for 1 day)

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