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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I have chest pain too! Sometimes radiates down my sides to lower back. It stops me in my tracks for a few minutes and comes and goes. However, happening more frequently. Anyone else have this?
I was just diagnosed with MAC and have Bronchiectasis as well. No treatment yet but the symptoms are becoming worse.

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Anyone experience nausea with MAC? Already lost almost 15 lbs and need to eat!

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@nana43

Anyone experience nausea with MAC? Already lost almost 15 lbs and need to eat!

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These are classic symptoms of a MAC infection. I read back through your posts, and saw they are awaiting results from your cultures. This takes 6 weeks or so.
The pain you mention may well be angry muscles from coughing.
Since everything seems to be progressing, your may want to call and see if there is any plan to start meds, increase nebs or other treatment to get you through until they know which antibiotics to prescribe.
Have you told the doctor your symptoms are worse?
Sue

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@sueinmn

These are classic symptoms of a MAC infection. I read back through your posts, and saw they are awaiting results from your cultures. This takes 6 weeks or so.
The pain you mention may well be angry muscles from coughing.
Since everything seems to be progressing, your may want to call and see if there is any plan to start meds, increase nebs or other treatment to get you through until they know which antibiotics to prescribe.
Have you told the doctor your symptoms are worse?
Sue

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Yes but I have genetic resistance to some macrolides,
So have to wait because she said she could do more harm than good if they didn’t get meds right.

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@sueinmn

Hi Joann - I'm glad to hear your cough has decreased, but you are correct - you need to keep doing it to clear your lungs - hard advice when you hurt!

Coughing can cause inflammation and pain outside the lungs that can feel like lung pain. One type is pleurisy, inflammation of the pleura, the tissue around the lungs. This is usually felt in the lung area and can radiate to the back and make it extremely hard to take a full breath. Another is costochondritis - pain/inflammation of the cartilage that attaches your ribs to the sternum. Coughing and sudden intake of breath are very painful, but sometimes you can breathe in slowly and carefully to draw a full breath. There are undoubtedly other causes too. Your PCP is a good person to diagnose it.

I have gotten both at different times from excessive coughing. Both were treated with pain relievers, and in the case of pleurisy a short course of prednisone.

Sue

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Sue I just started coughing a lot today…..it’s clear mucus….tickle in throat. Why would this suddenly start. . Is it a good thing? Any thoughts?

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@healthybon

Sue I just started coughing a lot today…..it’s clear mucus….tickle in throat. Why would this suddenly start. . Is it a good thing? Any thoughts?

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Gee I'm sorry I don't have an answer for you, changes in symptoms usually should be watched for 5-7 days, and if they don't improve, a call to your doc is in order.
Sue

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@sueinmn

Gee I'm sorry I don't have an answer for you, changes in symptoms usually should be watched for 5-7 days, and if they don't improve, a call to your doc is in order.
Sue

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Thank you for your response Sue. I think it’s a head cold because I’ve been sneezing my head off… So hopefully it’ll just dissipate. I’m so grateful for this blog I am learning so much and getting information in regard to where to seek help and so many other things… I’m very grateful to you and everyone thank you

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Yep, chest pains, and yep sometimes the ones that kick you in the upper chest and stop you in your tracks. They're certainly not in your head, they are in your chest!

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@egayle187

@joann... It is frustrating to have so much pain and be told it is not your lungs. I had chest pain running around my bra line and in my back and breast areas. After having many heart tests, it was still up in the air. My acupuncturist treated my nerves which were highly agitated and made me cough twice as much as was necessary to remove mucous. It worked. I only cough after nebulizing twice a day. I, too had gastric issues with a hernia and had fundiplication surgery. That helped, also.
Don't give up your search. I agree with irene5, start with your PCP and demand consults with specialists to rule out other issues.

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The "bra line" made me think back to my pregnancy days. I was sure my bra was too tight, so I stopped wearing one. The pain continued. A doctor later diagnosed it as a sliding rib. The baby inside had caused connective tissue damage in the rib area. The pain occasionally comes back, especially when I bring my knee to my chest. A doctor can diagnose it by pulling on the rib, it moves quite a bit out of place. Just knowing what it is has helped me deal with it over the years.

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Joann, I don’t know your age, but thought this might be worth sharing, if not for you, for others. . I have bronchiectasis, no MAC. Had some very small neuroendocrine tumors and an inflamed granuloma removed in Jan. From left lung. I started having severe back pain after being hospitalized in 2023 with pneumonia. I thought maybe it was pneumonia side effects. The pain was so bad the GP sent me for an X-ray. It was 3 compression fractures of my spine. I opted for physical therapy to strengthen my core muscles and that helped. I have a bone density scan every two years but had always been in osteopenia range. Just wanted to share because back pain can happen for other reasons and Sue is on spot, you have to pursue it if it continues. Hope all is well since I saw the post was from 2020.

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