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Respiratory Disorders (Expert Forum)
Normal to have shoulder pain?
Answered by
MN
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Normal to have shoulder pain?
by Iggy8285, Dec 27, 2007 10:10AM
I have been having shoulder pain on the right side which worsens as the day goes on. When I lie down on my back to go to bed, it hurts more and I get short of breath for about 20 seconds, once I've been lying down for 10 minutes or so the pain is much less and I can get to sleep.
I've been on 500mg of amoxycillin and Amoxiclav (Augmentin 625mg) together for 2 weeks tommorow after being discharged from Hospital after having bi-latteral pleural effusions and a pericardial effusion.
I just wanted to know if it was normal to still have pains, I also get pain in my lower ribs area on the right hand side sometimes too. I've been taking ibuprofen 400mg three times a day and occasionally paracetemol, I was on Diclofenac sodium but found the side-effects too much for my system.
I've been on 500mg of amoxycillin and Amoxiclav (Augmentin 625mg) together for 2 weeks tommorow after being discharged from Hospital after having bi-latteral pleural effusions and a pericardial effusion.
I just wanted to know if it was normal to still have pains, I also get pain in my lower ribs area on the right hand side sometimes too. I've been taking ibuprofen 400mg three times a day and occasionally paracetemol, I was on Diclofenac sodium but found the side-effects too much for my system.
Doctor's Answer
by National Jewish Health, Jan 02, 2008 05:26PM
, Jan 02, 2008 05:26PM
The shoulder pain may be from inflammation in or around the shoulder joint or, more likely in your situation, referred pain from the disease within your chest. While this is a nuisance and a sign, it is not the primary problem. It is the same with the lower rib area pain.
The most important question is, what is the cause of the pleural and pericardial fluid? That is the question that must be answered with certainty, in a timely fashion, if the appropriate and most effective treatment is to be instituted. Pleural and pericardial fluid can be a sign of infection, including tuberculosis (TB), tumor or non-infectious auto-immune disease. The diagnosis is made by examination of the pleural or pericardial fluid. This fluid can be obtained by a specialist: a pulmonologist, cardiologist or a radiologist and is often performed under CT guidance. Once obtained the fluid must be carefully examined for common bacteria, fungi, TB, and for malignant cells. It, along with blood, should also be sent to the laboratory for a variety of tests for auto-immune disease. If infection is suspected, you should be seen by an infectious disease specialist.
If a diagnosis has already been made and Augmentin® (amoxicillin and clavulanate) is the proper therapy, the answer is yes, you could still have pain, even if the disease is responding to treatment. If a specific diagnosis has not been made, you should ask your doctor to arrange for consultation with a specialist, without delay.
The most important question is, what is the cause of the pleural and pericardial fluid? That is the question that must be answered with certainty, in a timely fashion, if the appropriate and most effective treatment is to be instituted. Pleural and pericardial fluid can be a sign of infection, including tuberculosis (TB), tumor or non-infectious auto-immune disease. The diagnosis is made by examination of the pleural or pericardial fluid. This fluid can be obtained by a specialist: a pulmonologist, cardiologist or a radiologist and is often performed under CT guidance. Once obtained the fluid must be carefully examined for common bacteria, fungi, TB, and for malignant cells. It, along with blood, should also be sent to the laboratory for a variety of tests for auto-immune disease. If infection is suspected, you should be seen by an infectious disease specialist.
If a diagnosis has already been made and Augmentin® (amoxicillin and clavulanate) is the proper therapy, the answer is yes, you could still have pain, even if the disease is responding to treatment. If a specific diagnosis has not been made, you should ask your doctor to arrange for consultation with a specialist, without delay.
