Follow Up to RUQ Pain Question

Hi. It’s nice to hear from you again. Lung cancer commonly presents with chronic coughing, chest pain, hemoptysis (coughing out of blood), and difficulty in breathing. Symptoms differ depending on the location of the tumor. If the tumor involves the central airways, patients may complain of cough, hemoptysis, difficulty in breathing, and wheezing. If the tumor is located peripherally in the lungs, patients commonly complain of pain in the chest aggravated by deep breathing, cough, and difficulty in breathing. The severity of symptoms is related to the growth of the tumor and involvement of the vital structures in the chest. A chest x-ray is a good initial diagnostic modality in the diagnosis of lung pathology like that of a pulmonary malignancy. Clinicians commonly request this modality in patients with symptoms pertaining to the lungs. It would not hurt to have another chest x-ray done. This can aid your doctor find out if there is any lung pathology that is causing your mid back pain. As I’ve said in my previous post, the back pain can be a referred pain from the liver hemangioma previously diagnosed. Perhaps you can ask your doctor if there is an indication to treat this condition now. Other considerations for the mid back pain you are experiencing would be musculoskeletal pain syndrome caused by excessive stress on the bone and muscle, or degenerative changes in the thoracic and lumbar vertebra. Hope this helps. Regards

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