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Asthma/asthma right lung pain

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Question
I have asthma. Recently my right lung and under armout has a constant pain. No wheezing, no cough with fluid. Had a chest xray and mammogram.  Both were fine. Pain is constant in both areas, worse when I lay on my right side. Any suggestions as what it might be. My doctor has no ideas.

Answer
Hi Kathleen,
  I need some background and history to help rule out ailments which may present with similar symptoms.so...
    age
    weight
    height
    occupation
    physical activity level
    list of medications, both daily and intermittent use, including birth control
    other noted medical conditions for which you may be treated
    any recent mishaps or accidents, and if not, any mishap that may have had some spinal involvement
    do you presently, or have you had a smoking history, or second hand smoking exposure
  Without the above, I would be assessing potential blood clot, especially if you are on either birth control, or if older, menopausal hormone therapy, while also being a smoker. Second on my list would be pleurisy, an inflammation of the lining of the lung which can have symptoms similar to a rib fracture, pneumonia, pericarditis (inflammation of heart lining) as well as pulmonary blood clot. My final, offhand thought would lead me to have a neuro evaluation checking for a pinched spinal nerve (reflecting your positional issues).
   Hope this helps in the mean time!

Sincerely,

Marc

Asthma

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Marc Rubin, RPh Asthma Educator

Expertise

I have worked directly with patients as well as caregivers for over 30 years. Have made presentations throughout Illinois educating school nurses as well as the teaching and coaching staff of public schools about asthma, and how they should respond to these students needs. Presented a public education program on asthma through the US Department of Public Health. Specialize in helping guide asthmatic patients to take control of their disease in order to live a near-normal, fully active life.

Experience

Practicing pharmacist for 40 years, specializing in asthma and COPD for 12 years. Developed nationwide education to nurses, teachers and athletic coaches regarding asthma and exercise induced bronchospasm. In addition, and closer to home. my daughter has asthma, and my son has exercise induced bronchospasm. In addition, I serve on the boards and committees of a number of asthma organizations: Sports, Exercise and Fitness Committee of AAAAI, Population Health Committee and Sports Medicine Committee of ACAAI, Sports Medicine Committee of the World Allergy Association. Board of Directors of the Chicago Asthma Consortium, Board of Directors of the Christopher D. Redding Youth Asthma Foundation, as well as the advisory board of a medical education company, Emmi Solutions. Directly involved in the creation of public education programs for asthma, COPD and diabetes.

Organizations
American Academy of Allergy, Asthma and Immunology / Sports Medicine Committee, American College of Allergy, Asthma and Immunology / Population Health Committee and Sports Medicine, American College of Chest Physicians, American Thoracic Society. World Allergy Association, Chicago Asthma Consortium / Professional Development Committee, Christopher D. Redding Youth Asthma Foundation, and Respiratory Health Association of Metropolitan Chicago: Development Committee for AE-C prep class, and presenter.

Publications
AAAAI PowerPoint on the new guidelines for EIB (Exercise Induced Bronchospasm), AAAAI Powerpoint on Asthma in School Setting for Teachers and Coaches, Annals of Allergy, Asthma and Immunology: Transition guide for teens with food allergies or asthma going out of the home to live independantly.

Education/Credentials
BScPharm, RPh, (NAECB Certified asthma educator in 2002), NIPCO Certified Respiratory Care Pharmacist

Past/Present Clients
Emmi Solutions, Chicago Next Level Health, Chicago

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