Chest and upper back pain with bronchiectasis and pseudomonas

Posted by joann @joanng, Sep 2, 2020

My visit with my pulmonologist today was extremely frustrating. He informed me that my pain in my chest and upper back must be related to something else because lungs can not cause pain. He told me bronchiectasis only causes chest tightness and a cough. My pain is not in my head but It is difficult to accept it’s caused by another problem and not my lung disease and infection. Any input from personal experience would be appreciated. I’m very frustrated to think I have another ailment causing the pain.

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@gbippy

Sue, I’m now being referred to a bone and joint rebab specialist. Sense March 2022, I was on LevoFLOXacin for seven days my legs and my feet feel like some one has glued papers to them. That medication can cause nerve damage. They are telling me now they think I have neuropathy. What else can go wrong? Has anyone else had this before? Cipro is in the same drug family.

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@gbippy - This happened to me the last time I was on Ciprofloxacin. It was my "go to" medicine for infections last year and I was using it frequently. I had an exacerbation right after Thanksgiving so was on 875mgs 2xday for 14 days. That didn't kick it out so I went in the hospital and was on a stronger IV dose. I had foot and ankle pain and shooting pains that I thought could be neuropathy although I don't have much understanding of that disease. I finished up my meds mid-January and it took about 6 weeks before my feet returned to normal with no achiness or pain. I was very careful not to work out or do yoga or anything else that might compromise the tendons or ligaments because that is what these meds attack with their side effects. I hope that yours will go away soon as well. @lindam272

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Here is a website that I was made aware of through the Cystic Fibrosis Foundation. https://pulmonary-performance.com/ Lots of good information here on exercises to help breathing, etc.

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I have had the same pain and I control this bronchiectasis or MAC type pain with Tylenol and or Advil. I max out on the tylenol or advil. When the advil started causing GERD type symptoms I backed off on the advil and went back to tylenol and added some PRN prilosec for the GERD. At some point I need to go back on the antibiotics for MAC but am trying to avoid going back on them by using the hill rom vest and nebulizer. What do you find that is helping your lung discomfort? Minette

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@becleartoday

I believe that it was Dr Aksamit who in his recent Q and A described this pain as pleural pain. The inflammation in our lungs impacts the pleural tissues that surround them and this can cause pain. Also, the rib cage can be impacted which can cause pain. I do not currently have this type of pain but I know many do.

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Hello - I found your comment very helpful. Can you tell me how to find Dr. Aksamit's frecent q and a? Is that on the Mayo website? I will do a google search as well. Thanks, Donna

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Good morning! The recording is not yet available. When it is, I’ll post it.
Best,
Linda Esposito

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@lindam272

@gbippy - This happened to me the last time I was on Ciprofloxacin. It was my "go to" medicine for infections last year and I was using it frequently. I had an exacerbation right after Thanksgiving so was on 875mgs 2xday for 14 days. That didn't kick it out so I went in the hospital and was on a stronger IV dose. I had foot and ankle pain and shooting pains that I thought could be neuropathy although I don't have much understanding of that disease. I finished up my meds mid-January and it took about 6 weeks before my feet returned to normal with no achiness or pain. I was very careful not to work out or do yoga or anything else that might compromise the tendons or ligaments because that is what these meds attack with their side effects. I hope that yours will go away soon as well. @lindam272

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Hi Linda, I am on Macroid for a UTI and get horrible shooting pain thru my legs and feet and especially toes. I also take two big meds for my Mac infection of 5 years. Best to you, Barb May

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@mtyler

I have had the same pain and I control this bronchiectasis or MAC type pain with Tylenol and or Advil. I max out on the tylenol or advil. When the advil started causing GERD type symptoms I backed off on the advil and went back to tylenol and added some PRN prilosec for the GERD. At some point I need to go back on the antibiotics for MAC but am trying to avoid going back on them by using the hill rom vest and nebulizer. What do you find that is helping your lung discomfort? Minette

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Hello Minette - Have you been checked lately for the status of your MAC infection? Normally, pain is minimal and/or intermittent with MAC and bronchiectasis. Increased pain may be an indication of increased infection, and neither Tylenol nor ibuprofen will treat it. If you ignore MAC too long, it can do truly devastating damage to your lungs.
When was the last time you had a complete workup - sputum culture with active colony count, and lung CT?
When you nebulize, are you using 7% saline? Some of us have had very good luck with that keeping our MAC infection at bay.
Sue

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@sueinmn

Hello Minette - Have you been checked lately for the status of your MAC infection? Normally, pain is minimal and/or intermittent with MAC and bronchiectasis. Increased pain may be an indication of increased infection, and neither Tylenol nor ibuprofen will treat it. If you ignore MAC too long, it can do truly devastating damage to your lungs.
When was the last time you had a complete workup - sputum culture with active colony count, and lung CT?
When you nebulize, are you using 7% saline? Some of us have had very good luck with that keeping our MAC infection at bay.
Sue

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Sue, I have lately been coughing up white stringie globs do you have any idea what that may be? I sent the sputum in for culture. As usual it takes a while before we get it back. Growing cultures takes 3-12 weeks sometimes. Gloria

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Pleurisy can be the pain u are getting. I do get back pain and I believe it is from the drugs I take. Some drs are not very smart just because they have a paper doesn't mean much.They give out awards now just because u participate Look at covid. You take 3 shots and still get the so called disease.

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@gbippy

Sue, I have lately been coughing up white stringie globs do you have any idea what that may be? I sent the sputum in for culture. As usual it takes a while before we get it back. Growing cultures takes 3-12 weeks sometimes. Gloria

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I can't say what the mucus might be - it could be infection related, a sign of an allergy, or a side effect of your medication. So glad they did a culture to give you an answer.
Sue

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