A 26-year-old female asked:
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er 2day w/severe back pain following straining w/bm (ongoing constip & dark blood in stool). diangosis w/high wbc + pneumomediastinum (cat scan). no asthma, no perf in esoph or lungs ... what's going on?

2 doctor answers
Dr. Hassan Bencheqroun
21 years experience Pulmonary Critical Care
Pneumomediastinum: This is a condition seen not so infrequently in young population that may have underlying undiagnosed asthma, defects in the lung or lung lining tissue predisposing it to air leaks, etc. It usually resolves on its own but needs incredibly meticulous follow-up by your lung specialist with ct not cxr as the latter can miss persistent air. Refrain from flying or subadiving till authorized by your md.
Answered on Nov 12, 2013
Dr. Shin Beh
Dr. Shin Beh answered
8 years experience Neurology
Sounds serious: You should go to an emergency room or contact your doctor asap. This doesn't sound good.
Answered on Nov 12, 2013

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