Upper Body Pain: When to See a Doctor - Family Medicine

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Body pain


In the past few months, I have been experiencing intermittent pain in my upper body, but it feels different from regular soreness.
I'm not sure how to describe it; I feel pain in my back, lungs, and throat, but it's not severe—just a persistent discomfort that is quite bothersome.
Which specialist should I see?

Lin, 20~29 year old female. Ask Date: 2019/06/17

Dr. Ye Qianyu reply Family Medicine


Hello! Based on your description, the symptoms appear to be non-specific.
The physician may need to inquire further about your medical history.
It is recommended that you visit a general internal medicine or family medicine clinic.
Thank you for your question, and I wish you a speedy recovery!

Reply Date: 2019/06/17

More Info


When experiencing persistent upper body pain that is not typical muscle soreness, it is essential to approach the situation with caution and seek appropriate medical advice. The symptoms you describe—pain in the back, lungs, and throat—can be indicative of various underlying conditions, and understanding when to see a doctor is crucial for proper diagnosis and treatment.

Given the complexity of your symptoms, it is advisable to start by consulting a primary care physician. They can perform a comprehensive evaluation, including a physical examination and a detailed medical history, to determine the nature of your pain. The physician may also order initial tests such as blood work, X-rays, or other imaging studies to rule out serious conditions.

If your primary care doctor suspects that your symptoms may be related to musculoskeletal issues, they might refer you to an orthopedic specialist or a physical therapist. Conditions such as muscle strain, ligament injuries, or even spinal issues could be contributing to your discomfort. On the other hand, if your symptoms suggest a potential respiratory issue, such as pain in the lung area, a pulmonologist may be the appropriate specialist to consult. They can evaluate for conditions like pleurisy, pneumonia, or other lung-related issues.

Additionally, if your throat pain is significant or accompanied by difficulty swallowing, a visit to an ear, nose, and throat (ENT) specialist may be warranted. They can assess for conditions such as pharyngitis, laryngitis, or other throat-related disorders.

It is also important to consider the possibility of referred pain, where pain is felt in one part of the body due to an issue in another area. For example, heart conditions can sometimes present as upper body pain, particularly in the back or throat. If you experience any accompanying symptoms such as shortness of breath, chest pain, or radiating pain to the arms or jaw, you should seek emergency medical attention immediately.

In summary, the best course of action is to start with a visit to your primary care physician, who can guide you through the necessary evaluations and referrals based on your specific symptoms. Keeping a detailed record of your pain—when it occurs, its intensity, and any associated symptoms—can be very helpful for your doctor in making an accurate diagnosis.

In the meantime, consider lifestyle factors that may be contributing to your discomfort. Stress, poor posture, and lack of physical activity can all exacerbate pain. Engaging in gentle stretching, practicing good posture, and managing stress through relaxation techniques may provide some relief while you seek medical advice.

Remember, early intervention is key to addressing health issues effectively, so do not hesitate to seek help if your symptoms persist or worsen.

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