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Middle back pain, difficulty in deep breath,clear sputum.

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I'm a 30 y/o female. I'm having difficulty taking a deep breath. I also have right middle back pain. I have a cough mostly dry sometime productive with clear sputum and brown spots. Have had for about 2 weeks. Quit smoking 2 mos ago. Saw NP who said diminished lung sounds bilateral but sounded clear. She gave me albuterol inhaler which does not seem to help. 02 sat 99. Clear chest X-ray 5 mos ago. Concerned about lung cancer.

Category: Pulmonologist

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Category: Family Physician-GP
Dr. Andrew Lewis is online now

Expert:  Dr. Andrew Lewis replied 4 Days.

Dear patient,
Thanks for your query at
I will not be considering lung cancer in you straight away. However, I will suggest you to take a chest x-ray, spirometry, complete blood check now.
The first impression I get is probably asthma, however, you should have got relief with albuterol.
2nd thing I may consider is viral fever with muscle pain
3rd a small pneumonia
Rarely a pulmonary embolism.
I suggest you please mention the time you feel pain and shortness of breath, what increases it, any diurnal variation, any symptoms that occur during sleep.
Brown spots in sputum of an ex-smoker is usually nothing but the smoke inside.
Hope that helps.
Dr. Jacob George

Dr. Andrew Lewis
Category: Family Physician-GP
Dr. Andrew Lewis and 4 other Medical Specialists are ready to help you

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