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Hi, I'm 21 and I was diagnosed as factor v Leiden 4 years ago. I'm not on any medications apart from anti depressants, and the depo provera needle. I'm a non smoker. BUT about 3 weeks ago, at a party my friends and I shared a few cigarettes. For a few days after, I had tightness/aching in the very base of my lungs. It's not like any pain that I have felt before so is very hard to describe. It feels like nausea or heartburn but is in the base of my lungs. Not lower or higher. I did cough some blood at one point during that time. It worsens with deep breathing - say if I get up and get moving, or yawn or sneeze, the pain feels like I'm going to die sharply, then dulls down again. It stopped after 3 days. Today it has randomly started again. I am unsure whether this could be something like a pulmonary embolism? Can it be on and off? And can you get a pulmonary embolism without 'trauma' as such like a broken bone or a fall etc?
Thank you.
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replied July 26th, 2017
Thank you for asking
I read your question and i understand your concern. With factor 5 mutation use of smoke and depo provera both can be disastrous and trigger peothrombotic state and cause such discomfort. You need to quit smoking and avoid birth control and get evaluated for pulmonary emobolism for this pain in chest.

I hope it helps. Please consult your doctor as our advice is just for education purpose only.
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