Aa
Please help
Since the past couple of days, I am having trouble lying down to sleep... I keep having a dull ache at the top right portion of my back... and find it hard to breath out (as in when I get to about 70% capacity of my chest expanding it hurts) so im having to take more frequent shallower breaths. When I also lye down flat on my back, after many minutes of struggling to do so with breathing difficulties... I get the sensation/pain of stitch in my right shoulder....
I have not been able to sleep for the past few days because of this, unless I sleep sitting down, where I dont get these pains... and for the past 2 mornings, I have coughed up what I thought was phlem, but blood... only half a spoonful or so, and then I dont cough up any more... only that small amount each morning...
Ive never had this problem before, I am a healthy 28 year old male, I got to the gym 5x aweek, I can only think that I have pulled some sort of muscle while working out... but I wasnt aware of any such sensation while in the gym.... its just seemed to have appeared..... is this most likely muscle pull or something more searious?
Oh I forgot to add, I can also feel abit of pain under my right chest (directly below my nipple) and im abit sore in the abdomen area now, but I think thats more due to the fact that its taking up the strain supporting my upper body due to my sore back... dont know?
Has anyone experience anything like this before and can help me out with some advice?
I have not been able to sleep for the past few days because of this, unless I sleep sitting down, where I dont get these pains... and for the past 2 mornings, I have coughed up what I thought was phlem, but blood... only half a spoonful or so, and then I dont cough up any more... only that small amount each morning...
Ive never had this problem before, I am a healthy 28 year old male, I got to the gym 5x aweek, I can only think that I have pulled some sort of muscle while working out... but I wasnt aware of any such sensation while in the gym.... its just seemed to have appeared..... is this most likely muscle pull or something more searious?
Oh I forgot to add, I can also feel abit of pain under my right chest (directly below my nipple) and im abit sore in the abdomen area now, but I think thats more due to the fact that its taking up the strain supporting my upper body due to my sore back... dont know?
Has anyone experience anything like this before and can help me out with some advice?
MEDICAL PROFESSIONAL
Hi
Welcome to the MedHelp forum!
Smoking, alcohol use, gastritis, acidity, tumors of stomach and food pipe, bleeding gastric ulcer, cancer of stomach, erosion of lining of food pipe, bleeding veins at esophageal (food pipe) sphincters etc all cause vomiting of blood. This can be fresh red if coming from a place above the stomach. It can be brown or coffee colored if coming from the stomach. Tumors/cancers of the oral cavity or mouth, pyorrhea or pus in gums and Vitamin C deficiency can cause bleeding from mouth, which if ingested can result in vomiting.
The other possibility is that you are coughing up blood. This can be due to bronchitis or pneumonia, lung cancers (especially in smokers), tuberculosis, bronchiectasis, pulmonary embolism, or fungal and other infections.
Discuss these possibilities with your doctor. A comprehensive investigation is required keeping all the points in mind.
The symptoms could be exacerbation of the GERD or gastric reflux. It could also be hiatal hernia. Treatment is a combination of drugs to reduce the acid and lifestyle changes. You will need to take a combination of medications (under medical supervision) like a proton pump inhibitor such as omeprazole, lansoprazole or pantoprazole empty stomach in the morning and an antacid gel after meals for complete relief. Possibility of H pylori infection too should be looked into by a carbon urea breath test and a combination antibiotic tried. Many a times a persisting H pylori infection can be the cause behind acidity not responding to treatment.
Life style changes that will help include: Avoid heavy meals and eat frequent small meals. Avoid too much of caffeine, tea, smoking, fried food and drinks both alcoholic and non alcoholic fuzzy ones. Avoid heavy exercises within 4 hours of a heavy meal. Raise the head end of the bed by pillows to 30 degrees. Avoid lying down for least 2 hours after food. Maybe these tips will help you.
If these tips do not help, then liver function test, pancreatic enzymes, and HIDA scan for gall bladder should be done. Food intolerance and inflammatory bowel conditions such as IBS, Crohn’s, celiac etc should be considered. Log in what you eat and see if there is a correlation between a certain food type and the symptoms.
You should consult a gastroenterologist (a specialist who looks after the diseases of our digestive system) or a physician for this if these tips reduce your symptoms. You may need upper GI endoscopy for confirmation and to know the degree of damage.
Since I cannot examine you and know other related conditions you may be having, nor is a detailed history possible on net, I have listed the various possibilities that should be looked into. Please consult your PCP for primary examination followed by proper referral.
Take care!
Welcome to the MedHelp forum!
Smoking, alcohol use, gastritis, acidity, tumors of stomach and food pipe, bleeding gastric ulcer, cancer of stomach, erosion of lining of food pipe, bleeding veins at esophageal (food pipe) sphincters etc all cause vomiting of blood. This can be fresh red if coming from a place above the stomach. It can be brown or coffee colored if coming from the stomach. Tumors/cancers of the oral cavity or mouth, pyorrhea or pus in gums and Vitamin C deficiency can cause bleeding from mouth, which if ingested can result in vomiting.
The other possibility is that you are coughing up blood. This can be due to bronchitis or pneumonia, lung cancers (especially in smokers), tuberculosis, bronchiectasis, pulmonary embolism, or fungal and other infections.
Discuss these possibilities with your doctor. A comprehensive investigation is required keeping all the points in mind.
The symptoms could be exacerbation of the GERD or gastric reflux. It could also be hiatal hernia. Treatment is a combination of drugs to reduce the acid and lifestyle changes. You will need to take a combination of medications (under medical supervision) like a proton pump inhibitor such as omeprazole, lansoprazole or pantoprazole empty stomach in the morning and an antacid gel after meals for complete relief. Possibility of H pylori infection too should be looked into by a carbon urea breath test and a combination antibiotic tried. Many a times a persisting H pylori infection can be the cause behind acidity not responding to treatment.
Life style changes that will help include: Avoid heavy meals and eat frequent small meals. Avoid too much of caffeine, tea, smoking, fried food and drinks both alcoholic and non alcoholic fuzzy ones. Avoid heavy exercises within 4 hours of a heavy meal. Raise the head end of the bed by pillows to 30 degrees. Avoid lying down for least 2 hours after food. Maybe these tips will help you.
If these tips do not help, then liver function test, pancreatic enzymes, and HIDA scan for gall bladder should be done. Food intolerance and inflammatory bowel conditions such as IBS, Crohn’s, celiac etc should be considered. Log in what you eat and see if there is a correlation between a certain food type and the symptoms.
You should consult a gastroenterologist (a specialist who looks after the diseases of our digestive system) or a physician for this if these tips reduce your symptoms. You may need upper GI endoscopy for confirmation and to know the degree of damage.
Since I cannot examine you and know other related conditions you may be having, nor is a detailed history possible on net, I have listed the various possibilities that should be looked into. Please consult your PCP for primary examination followed by proper referral.
Take care!
It is still a good idea to see a doctor. It is possible (especially if you were coughing with some force) that the blood is from your throat and not your lungs...but a doctor needs to evaluate you (a chest x-ray at minimum and probably a sputum culture). Coughing up blood can be a sign of something VERY serious and needs to be thoroughly checked out.
Hi christine.... dont know wether this is good or not but havent coughed up any blood this morning, but the pain has moved down to my lower right side of my back when lying down... still very hard to breath when lying on my back
Until you mentioned coughing up small amounts of blood I was thinking you had a pulled muscle in your shoulder that is spasming.
Any time you cough up blood, it is time to see a doctor ASAP! It isn't an emergency per see but it is definitely URGENT.
Any time you cough up blood, it is time to see a doctor ASAP! It isn't an emergency per see but it is definitely URGENT.
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