It burns, it burns!
April 18, 2008 7:51 AM

YANMD. Why does my diaphragm hurt?

My doctor is closed today and I don't think this warrants emergency treatment. Help me narrow down the cause so that I can treat the symptoms until Monday.

Last night, right before I went to bed, my diaphragm started hurting. It hurt worse when I moved. I figured it was extra-high indigestion. Went to bed, woke up to worse pain this morning. In addition, I have been coughing a little and sneezing [but only after the initial onset of the pain], both of which cause intense and slightly burning pain. It feels similar to the pain experienced when you have had an upper respiratory infection for a couple of weeks and are sore from coughing so much--only the order of events is backward.

Some other important information: I have an easily irritated stomach. For this I have been prescribed Zegerid, before that Prilosec, before that Nexium. I ran out of Zegerid a week and half ago and I have not gotten more. I also quit smoking cold turkey on April 4.

Is there any way to tell what's causing this? Should I take stomach medicine or cough medicine? Respiratory infection or just a side effect of quitting smoking? Can stomach problems cause you to cough, and the cough to subsequently burn? I realize most of your answers will be anecdotal, but I'm at a loss until I can see my physician. [Symptom checkers just seem to tell me that chest pain = emergency and not give any more information.]
posted by starbaby to Health & Fitness (8 answers total)
How close to the skin is it? Could be shingles. If you get any spots in that area in the next couple days, go to urgent care. (IANAD but I like shingles.)
posted by tiburon at 8:05 AM on April 18, 2008


Does the pain intensity synchronize with your breathing? If so, I suppose it could theoretically be pleuritis. If so, staying well-hydrated & using anti-inflammatories work.
posted by aramaic at 8:29 AM on April 18, 2008


"Inside" pain, right along the bottom of the ribcage? One side, both sides or in the middle?

Just taking a stabbing guess, esophageal ulcer. Or you aspirated some stomach fluids and have an irritation in the lung.
posted by gjc at 8:42 AM on April 18, 2008


Answers:

It's definitely internal, in the center of my chest. About level with the very bottom edges of my breasts, but between them horizontally. If I take a really deep breath, bend over, cough, sneeze, or laugh, pain is worsened. I haven't noticed any other times that it especially hurts.
posted by starbaby at 8:50 AM on April 18, 2008


Sounds like pleurisy, but I would expect you to have some trouble breathing if it were bad enough to make your chest hurt.
posted by misha at 12:08 PM on April 18, 2008


Ran out of Zegerid, you say? Hmm. Gee, I wonder what it could be.
posted by neuron at 3:12 PM on April 18, 2008


What neuron is trying to say is that is sounds like heartburn. It hurts in the location of your heart, and you have recently stopped taking a heartburn medication.
posted by emyd at 4:11 PM on April 18, 2008


Neuron, did you ever think that since I have been prescribed three different heartburn medications, I might know what it feels like?
posted by starbaby at 9:45 AM on April 22, 2008


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