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Dr. Saha
Dr. Saha, Doctor (MD)
Category: Health
Satisfied Customers: 17765
Experience:  35 years of experience
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My Dad, 88 year old, has been having cold-like symptoms (cough

Resolved Question:

My Dad, 88 year old, has been having cold-like symptoms (cough and chest congestion) and has been feeling progressively worse. He is now complaining of mid back pain that wraps around to his bilateral lower rib area (along the T7-8 dermatome pathway.) It is difficult for him to sit. The pain seems to grip him and make him shiver. Could a cough cause a spontaneous compression fracture of the T7-8? How common are spontaneous compression fractures in 88 year old males? Could it be something else? He is not running a fever. His pulse is 86 and BP is 128/74.
Should we take him to the ER?
Submitted: 6 years ago.
Category: Health
Expert:  Dr. Saha replied 6 years ago.
Hello,

Sorry for the sufferings of your dad.

I will put my opinion regarding the issue.

In presence of cough, the pain in the back can be due pleurisy or inflammation of the lung covering.

Pleurisy and pneumonia can have pain in that area.

Antibiotic will be needed.

Compression fracture can occur without any precipitating factor.

Shingles pain may be a possibility before the rash appears, but it usually comes in one side.

You should take him to ER to get an x-ray to find out the cause and start of treatment.

I hope this information helps.

Happy to assist, if you need any further clarification.

Best wishes.
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