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Q. Why am I getting pain in the back while breathing?

Answered by
Dr. Shinas Hussain A P
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Mar 12, 2017

Hi doctor,

I am getting a pain, which starts on the right lower back. It hurts when I breathe and also when I stand, sit and sleep. I know that is not kidney stones. But, I do not know what it is. I am a 45 year old female. My weight is 190. I am not on any regular medication.

#

Hello,

Welcome to icliniq.com.

I have gone through your query, and I can understand your concerns.

  • Pain over the back while breathing need to be evaluated thoroughly. In most of the cases, it is caused some minor condition like sprained rib or some contusion of rib caused by minor trauma or fall.
  • Also, we have to rule out some other heart and lung conditions like pericarditis and pleural effusion. I suggest you consult a general physician and do the following.
  1. A chest x-ray to look for rib fracture and pleural effusion. Also, an ECG may be needed.
  2. Basic blood and urine test.
  • A short course of antibiotics may be needed. Other investigations may be necessary depending upon the initial evaluation like echo test to rule out pericarditis. As of now, you can take analgesics like Acetaminophen or ibuprofen for pain.
The Probable causes:

Minor trauma or lung infection.

Investigations to be done:

X-ray chest, ECG and echo test.

Differential diagnosis:

1. Pericarditis.
2. Rib fracture.

Probable diagnosis:

Sprained rib.

Regarding follow up:

For further information consult a family physician online.---> https://www.icliniq.com/ask-a-doctor-online/family-physician

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