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Anthony Bray, MD
Anthony Bray, MD, Doctor
Category: Health
Satisfied Customers: 10337
Experience:  14 years as clinician in the field of Family Practice
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I have had a cold all week. lots of nose blowing. yesterday

Customer Question

hi,
JA: Hi. How can we be of help?
Customer: I have had a cold all week. lots of nose blowing. yesterday i started experiencing acute pain.... left abdomenal
JA: How long have you been dealing with this? Are you having any breathing problems?
Customer: no shortness of breath but hurts to breath deeply....sneeze
JA: Anything else in your medical history you think the doctor should know?
Customer: not that i can readily recall
Submitted: 1 month ago.
Category: Health
Expert:  Anthony Bray, MD replied 1 month ago.

Hello!

Are you coughing much?

Cough productive?

Where does it hurt to take deep breath?

Any fever ? Wheezing? Short of breath ??

Pain in left abdomen is this upper left or lower left ? Any diarrhea?

What is your age ?

Any medical problems?

Do you take any medications ?

Let me know on these details and I will be happy to get back with you!

Take Care for now ..

I will review your answers to the above details and get back ...

Dr. Bray

Customer: replied 1 month ago.
not much coughing. none today. a couple of time yesterday
Customer: replied 1 month ago.
no cough to day. in previous days, cough was related to sinus drainage
Expert:  Anthony Bray, MD replied 1 month ago.

Pain with sneeze may be due to inflammation associated with the respiratory illness -- pleuritis is inflammation between the lung and chest wall ...it can cause pain with deep breath / cough / sneeze

Expert:  Anthony Bray, MD replied 1 month ago.

Where in left abdomen do you hurt ?

Near the ribs / or to the side( flank) or lower abdomen ??

Any nausea or diarrhea or fever ??

Expert:  Anthony Bray, MD replied 1 month ago.

Pleuritic type pain may benefit from an anti-inflammatory such as Aleve 1 or 2 tablets twice a day with meals ...

Customer: replied 1 month ago.
its pretty high...left epic gastricno fever....no vomiting
Customer: replied 1 month ago.
I was worried that it was my spleen; but other than the heaving nose-blowing, I have been sedentary the last two days
Expert:  Anthony Bray, MD replied 1 month ago.

Yes if under left ribs it could be spleen ...mono is common to cause upper respiratory illness and enlarged spleen

You may consider having your doc to check tomorrow ...

CBC / EBV titers (= test for mono) / doctor to examine you may be the best I think to your case ...

It sounds moderate in severity as best I might judge from this online discussion ....

Customer: replied 1 month ago.
no loose stools. I have passed gas on several occasions since the pain. no relief.It is aggravated with movement or a good sneeze; as if I have previously taken a shot to the ribs (which, again, I have not).and I meant epi-gastric
Customer: replied 1 month ago.
thank you.
Expert:  Anthony Bray, MD replied 1 month ago.

Ok if epigastric then hold off on Aleve

Tylenol is fine

Try My pants to see if that helps epigastric pain...

If helps then I advise more of bland diet for next week at least

Possible benefit from acid lowering medication...( Zantac/ Pepcid/ Proposed / Prevacid / Nexium )

Epigastric discomfort is more suggestive of stomach lining irritation as most likely culprit ...gastritis is a likely underlying condition based on best estimate from your history ...

Follow up advised if pain worsens / increased nausea or vomiting develop / fails to improve within a few days

Let me know if you have further questions or concerns

I will be happy to get back with you

Best Regards!

Dr. Bray

Customer: replied 1 month ago.
Thanks. And scratch epigastric. Its left hypochondriac.
Expert:  Anthony Bray, MD replied 1 month ago.

Well make up your mind!! Lol :)

If left lower costal margin then it could relate to spleen enlargment

With cold symptoms here in same time6 frame I would consider checking for mono ...at least then you know ...

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