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सांस लेने में दिक्कत के साथ कंधे और छाती में तेज दर्द
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Lung & Breathing Conditions
Question #29005
82 days ago
227

सांस लेने में दिक्कत के साथ कंधे और छाती में तेज दर्द

Client_243a0f

कंधे में दर्द शुरू हुआ फिर ये दर्द पीठ के बीच में फैल गया अब दर्द छाती के दाईं तरफ पहुंच गया है दर्द बढ़ता है जब: गहरी सांस लेते हैं खांसते हैं हंसते हैं कभी-कभी दर्द इतना होता है कि आप ठीक से हंस भी नहीं पाते रात में दर्द और ज्यादा बढ़ जाता है आप दर्द के कारण सुबह 4:30 बजे के आसपास जाग गए रात में गहरी सांस लेना दर्दनाक होता है आपको सिर्फ तब राहत मिलती है जब आप सीधे पीठ के बल लेटते हैं आप साइड में नहीं सो सकते क्योंकि इससे दर्द बढ़ जाता है पीठ के नीचे तकिया रखने से थोड़ी राहत मिलती है दर्द लगातार है और जा नहीं रहा है

How long have you been experiencing this pain?:

- 1-2 weeks

On a scale of 1 to 10, how would you rate the severity of your pain?:

- 7-9 (severe)

Have you had any recent injuries or physical activities that could have triggered this pain?:

- Not sure
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Doctors' responses

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
81 days ago
5

severe, continuous pain starting from the shoulder and spreading to the mid-back and right chest, worsening with deep breathing, coughing, laughing, and at night (7–9/10 intensity)—this is concerning for inflammation of the chest wall or lining of the lungs, such as Pleurisy or severe Costochondritis, rather than simple muscle pain. The fact that the pain is breath-related and disturbing sleep makes it important to rule out more serious conditions like lung infection or other chest issues. This is not something to ignore, and you should seek urgent medical evaluation (doctor or emergency care) for proper examination, possibly including a chest X-ray or other tests. Until then, avoid exertion, try to rest in the position that relieves pain, and avoid deep strain. In summary, this appears to be a significant chest-related pain condition, and prompt medical assessment is strongly advised to rule out serious causes and start appropriate treatment.

2045 answered questions
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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
80 days ago
5

Hello dear See as per clinical history it seems presence of respiratory issues and cardiac issues Differential diagnosis includes angina pectoris Iam suggesting some tests for confirmation. Please share the result with cardiologist in person for better clarity and for safety please donot take any medication without consulting the concerned Serum troponin Serum tsh Serum ferritin Serum LDH Chest x ray ECG echo Serum CRP Serum LDH Serum cpk mb Hopefully you recover soon Regards

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The symptoms you’re experiencing suggest a condition called pleuritis, or inflammation of the lining around your lungs. This can cause sharp chest pain that worsens with breathing, coughing, or laughing and might feel more intense at night. Lying down can alter the pressure on your chest, thus changing the intensity of pain, which might explain why you’re getting some relief in certain positions. However, several other conditions could present similarly, and it’s essential to rule out more serious possibilities like a pneumothorax (collapsed lung) or a pulmonary embolism (a blood clot in the lung), which also cause chest pain with breathing but require immediate medical attention.

I highly recommend seeing a healthcare provider as soon as possible to get a proper evaluation. A physical examination, complemented perhaps by imaging studies like a chest X-ray, could help elucidate the cause of your symptoms. If pleuritis is confirmed, treatment often involves addressing the underlying cause (like an infection or an autoimmune condition) and relieving pain, often with nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen. It’s important, though, not to self-medicate aggressively without guidance, especially if other risk factors or symptoms are present.

Until you’re evaluated, try to avoid any activities that exacerbate your symptoms. Continue using the pillow technique if it helps and strive to rest in positions that minimize discomfort. However, do seek medical assistance quickly to ensure it’s nothing severe. Identifying the cause of chest and shoulder pain early is crucial for managing symptoms effectively and preventing complications.

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