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Symptoms of possible pleuritis

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Last night i developed a pain under my right shoulder blade it is a constant pain which i can only describe a a dull cramp but on top of this pain i also get a very intense pain that is coming and going in the same area, its hard to describe the pain all a can say is that its a cramping/burning and can be very intense, but i also have numbness to the skin and my right arm feels dead, also shortness of breath and a few times i have felt as though im getting palpatations, i have a slight cough but no chest pain, i thought it could be muscular but it doesnt "feel" muscular and i can move it freely without pain, i have taken some ibuprofen this morning and its taken the edge of it but im still in pain, Please if anyone could give me an insight into what this could be i would really appriciate it,
Many thanks.

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replied January 20th, 2009
Lungs and Respiratory Disorders Answer A5420

An intense pain under the shoulder blade accompanied with shortness of breath and lack of chest pain might indicate a pulmonary embolism. This is an emergency situation and a check in the emergency service is required.

Less intense pain in that area combined with the previous sore throat might indicate that the infection has spread to the pleura (the two-layered serous membrane that surrounds the lungs) and caused pleuritis (inflammation of the pleura). In this case, antibiotics would be needed.

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