Hi Reddit, happy to be here. I’m a thoracic surgeon at NYP/Columbia University specializing in disorders of the diaphragm. I’m the Surgical Director of the Diaphragm Center, Lung Volume Reduction Program, and Jo-Ann LeBuhn Center for Lung Diseases. The diaphragm is the primary muscle of respiration, and disorders of the diaphragm can result in significant impairment of breathing. These disorders are probably a bit more common than you think.

Most diaphragmic disorders are poorly understood by the general medical community. Many people I treat have been told “there’s nothing we can do” before coming to see us. The Diaphragm Center is the first of its kind in the world, and provides the most advanced diagnostic and treatment strategies available for these disorders. By gathering together some of the most experienced clinicians in this field, we are able to offer the most comprehensive and advanced care. Alright let’s get to it, AMA!

More about me

Disorders of the diaphragm include paralysis and weakness resulting in respiratory insufficiency, diaphragmatic hernias resulting in abdominal organs relocating into the chest, and lack of electrical stimulation to the diaphragm resulting in respiratory failure.

Edit: I’m here and ready to roll! Proof

Edit: It's about time I get back to work, but I'll be checking in later today. Signing off for now. Thanks for the great questions everyone!

I am in college Biology and Chemistry classes right now. I have learned about atmospheric pressure and torr in Chemistry, and in Biology, I am going over the respiratory system.

My Biology teacher informed us the the lungs are 760 torr at the peak of inhalation, and drop to 758 torr at the peak of expiration. The pressure in the thorax is 756 torr at the peak of inhalation, and drops to 754 at the peak of an expiration.

Could the hiccups be an "automatic system restart" of sorts? Maybe the pressure gets out of whack and the diaphragm very quickly and suddenly pulls in air because the pressure in the lungs maybe got too close to the pressure in the thoracic cavity? A priming of the lung pumps so to speak?

Thank you

Hello, I am 31 years old. Diagnosed with endo via MRI. Have not had surgery yet.

I went to the ER for chest pain two months ago and they also found a mass on my lung in a CT scan. I have absolutely zero pulmonary symptoms like coughing, etc, just searing upper back pain, particularly in my left shoulder blade. I don't smoke. I do live in a dusty building but lung cancer at 31 is very rare. They recommended a follow up CT scan to check if it had gone away to see if it was cancer or something, but could it maybe be endo?

How do they even find lung endo, rare as it is? Do they biopsy your lung and find it that way? Because I know they don't dig around above your diaphragm during a routine lap.

Thank you in advance ✌️

For all my ladies out there. Your period should be a slight inconvenience. Let me repeat, your period should only be a slight inconvenience. I am posting this because I was reading an earlier post about not wanting to return to work on your period. All the comments were period horror stories and I couldn’t comment enough. I went to several doctors because my period pain was so bad. I would miss work, lay in the fetal position, sob in the bathtub, gag, throw up, and pass out. If this happens to you, it ISN’T normal! Endometriosis is an often painful disorder in which tissue similar to the tissue that normally lines the inside of your uterus the endometrium grows outside your uterus. Endometriosis most commonly involves your ovaries, fallopian tubes and the tissue lining your pelvis. Endometrial tissue may also spread beyond pelvic organs. With endometriosis, the endometrial-like tissue acts as endometrial tissue would — it thickens, breaks down and bleeds with each menstrual cycle. But because this tissue has no way to exit your body, it becomes trapped. This is where I am at. It took me over 10 years to be diagnosed and get the help I needed. My first surgery was to remove the Endometriomas and cysts covering my ovaries a year ago. Unfortunately, Everything that could be removed grew back and bigger. Endometriosis is an incredibly aggressive and painful disease. Endometrial tissue covers my bowls, colon, other organs and now my diaphragm. Yep, my doctor suspects in on my lung. Called thoracic endometriosis. At 36 I had to have a radical hysterectomy two weeks ago to remove my uterus, fallopian tubes, and ovaries followed by 7 months of menopause to starve the endometrial tissue, then replacement hormones. I am sharing this because endometriosis is misunderstood, goes undiagnosed, and does not get the credit it deserves. Had the disease gone undiagnosed it would have destroyed my bowels, ureters, and who knows what else! Period education is so important. Please get multiple opinions if your period is more then a slight inconvenience! Also, please feel free to share your endo story or ask me questions.

to preface, i was diagnosed with stage 2 endo in november of last year. it’s near my appendix, there’s a cluster of small clear implants on my abdominal wall, and a long adhesion between my bladder and uterus.

a couple of months ago, i saw an endo specialist who recommended physical therapy to me after reviewing my case and further diagnosing me with pelvic floor dysfunction. i also told him about the chest flare ups i have, and he thought i had endometriosis on my diaphragm based on my symptoms.

so, i’ve been doing my physical therapy and my pelvic pain has been greatly reduced. however, my chest pain is still prevalent. the only relief i can find is putting a heating pad on my chest and taking naproxen, but it still hurts to lay or sit in certain positions. i’ve messaged the specialist, but because it’s a weekend, no one at his office has seen it yet.

endo warriors with diaphragmatic or thoracic endo, what can i do to help my pain?

Just took this exam. Studied Dementor OMM Deck, which goes over high yield topics from Savarese. Went through all all of Comquest's question bank for OMM (125 questions) and studied the anki deck above. Think I did very well, enough to pass at least I think. Overall it's another exam where it's difficult to know what to study, but I just cared about learning enough to pass.

Things to study:

1. There was a TON of Naming of dysfunction for cervical, thoracic, lumbar regions based on restrictions (eg, C3S_R_). Know the differences between each region and the exceptions (eg, OA vs C2-C7)

2. I had one viscerosomatics questions, but this is variable I think. It was super easy and isn't hard to study for.

3. Very few counterstrain points. The questions I was asked were more how to treat using counterstrain, not "what's the point."

4. Lots of fibular head and radial head dysfunctions + treatments. Know how other parts of those bones move too (eg, radial head goes anterior → how does distal part go?)

5. Some basic anatomy from UE and LE, but there is too much to study so just review briefly

6. Lots of "what is the best technique for this presentation?" For example, if someone has rib dysfunction, what's the best technique and HOW does it work! This was something I was not ready for this

7. Some random trivia from Savarese (eg, which diaphragm is most important)

8. Know psoas stretches. I got three questions on what stretches to recommend

9. Treatment setup (HVLA, muscle energy, still technique, FPR). Like each part. "When is compression added?" or "what barrier to you engage?"

10. lots of sacral/immoninate diagnosing but it didn't really follow what savarese has or comquest has. So maybe think about how you could diagnose each dysfunction will limited information and NOT always with the same information (eg, do you always use what L5 is doing to diagnose? what if they don't give you L5's information?)

11. I had lots of cranial (eg, flexion/extension dysfunction, torsions, where your hands are placed)

Hoping this is allowed as I'm feeling scared and a bit alone- I am 34 year old without children who presented with what was thought to be moderate to severe adult-onset asthma in early 2019. I presented with persistent productive cough, SOB, chest pain, elevated d-dimer and swelling in ankles with Ground-glass opacities on lungs. Negative for blood clots. In mid-2019 I had CT again. Symptoms were more mild at that time CT showed very little ground glass opacities, no elevated D-Dimer. Also started back on Yaz at that time. I didn't track it at the time but I was actually on my period during the initial onset of symptoms based on my hospital charting. Was not on my period on second CT.

Prior to that diagnosis many things happened in my life that could have been triggers for respiratory issues - late 2018 I had Skyla iud removed. I did not switch to another form of birth control right away. Also my mother passed away unexpectedly and I got a severe respiratory infection they thought could have been Whooping Cough. I do not smoke.

Anyways, for the past two years I have been back and forth between specialists trying to figure out why my respiratory system went from normal to that of a smoker. I've had sinus surgery, breathing treatments, endoscopy, colonoscopy, biologics, sleep studies, breathing tests, etc. And if anything it just lightens my symptoms.

Switched Pulmonologist at end of 2020 and stopped birth control pills again because of mental health issues. Pulmonologist told me to track symptoms against menstrual cycle so I did. Symptoms slightly worsened 10 days prior to menstrual and worsened symptoms stuck around for about three days. Then at onset of menstruation symptoms worsened significantly an a round blood (ball, clot?) in sputum was present. Newer noted symptoms I hadn't been tracking was right shoulder and right side upper back pain with slightly lower O2 levels (90-91). This repeated the next two months on same schedule. I'm currently waiting to get in on cancellation for CT scan while on my menstrual cycle this week as doc is assuming it is related and likely thoracic endo. My mother had severe endo and had an early hysterectomy after giving birth, though this was in the 80s.

All of this to say - anyone diagnosed...does this align with what you experienced? How were you diagnosed? I've always had normal paps, gyn visits, and relatively reliable periods (except on iud I had none.)

TLDR: Pulmonologist is specialist at large educational

Hello,

31F, non-smoker, 5’9, 170 lbs.

Possible endometriosis but no other existing diagnoses.

Six months ago I went to the ER with terrible left shoulder and chest pain and high blood pressure. They found that my D-Dimer and Sed rate was elevated so they did a chest CT to look for pulmonary embolism and didn’t find it, but they did find pneumonia and a 2.3 x 2.2 cm nodule in my lung. They said I should do a follow up CT in 6-8 weeks to document resolution and exclude neoplastic disease.

I just got it tonight and the results are below (the nodule got smaller so I am assuming I will get a message from my doctor saying “the nodule shrunk, no further workup is required).

My question is that I’ve been experiencing really bad left flank and left shoulder pain ongoing for the past six months and I’m wondering if the CT could see my kidneys.

Results:

CLINICAL HISTORY: Lung nodules

EXAMINATION: CT of the chest without contrast

TECHNIQUE: CT images were obtained from the thoracic inlet through the diaphragms without the administration of IV contrast. Axial, coronal and sagittal reconstructions were generated.

COMPARISON: CT dated _______

FINDINGS: Unremarkable body wall.

Osseous structures are intact.

Normal esophagus. No mediastinal lymphadenopathy. Residual thymic tissue.

Thyroid is normal in size. No consolidation or pleural effusion.

10 x 8 mm in the left lingula (series 4, image 453) compared to 2.3 x 2.2 cm previously, much smaller.

Visualized upper abdomen is unremarkable.

IMPRESSION: Marked interval decrease in size of left lingular nodule, probably infectious or inflammatory.

tldr; should I get another CT scan of my abdomen to rule out other things besides endo before getting a lap even though I’ve already had lots of radiation? My PCP said that MRI is not the imaging of choice for the abdomen.

Hi all,

I’ve posted on here before and this community has been so helpful. I’m 31 years old.

I’m seeking advice on a decision I need to make regarding testing. The background is that I have had two abdominal and pelvic CT scans (one in 2017 and one in 2020). The one in 2017 was for diffuse abdominal pain. The one in 2017 was for left sided pelvic pain. The most recent one was without IV contrast, only with oral. Neither showed anything of note, just “moderate stool in the colon.”

My constipation over the next few months got ridiculous and I have always wondered if I had endometriosis due to heavy periods and pain etc, but over the last couple years my periods randomly got lighter and less painful (they always used to be like 8 days long with clots the size of oranges, etc). I have also had terrible pain with sex my whole life (and sometimes I bleed), but doctors just told me that I had a tight pelvic floor and that was why.

Then something happened.

I was getting ready to explore the possibility of a lap when about six months ago, I developed severe sharp stabbing pain in my left shoulder blade and between my shoulder blades, with the pain radiating down my left flank and into my elbows. Around this time I also randomly developed high blood pressure and tachycardia (never had it before in my life).

I got a stomach bug in July and after that was when the really bad symptoms started. A doctor diagnosed me with autonomic neuropathy, which is basically when the nerves in your autonomic nervous system that control your breathing, digestion, blood pressure, heart rate, temperature control, etc are damaged. This can also cause gastroparesis, or paralysis of the GI tract. I was consistently burping and regurgitating so this is consistent with my symptoms. My pupils are also dilated constantly — basically I’m stuck in fight-or-flight mode, or my sympathetic nervous system is in overdrive (according to the doctor).

I also have a small lump in my left flank area.

My doctor said that because the CT in 2020 didn’t show anything, it’s probably nothing. She also said that visceral pain isn’t a good indicator of what’s actually going on in the body because it’s non-specific.

The only thing that she thinks could explain my thora

I'm curling up like a baby as we speak. Normally I would feel my period coming. But now it just hit me without any notice. I also have adeno and endometriomas. Ovaries are stuck to my uterus as well. So it's angry! I won't be able to sleep tonight. I also have costochondritis (or it's thoracic and diaphragm endo, nobody knows yet cause 8 haven't had a lap) and my chest is so painful. A cooling pack on the chest, a hot one on my uterus.. I wonder if there's anything nice you guys would recommend to binge and help me trough the night? Or any nice music? Has anyone ever tried binaural beats? To calm or fall asleep with?

I notice myself doing breathing techniques, it's my body doing that by itself. Puffing like a pregnant woman. It's just so goddamn painful! I start to believe it's the ademoyosis and not the endo that's causing me this insane period pain. Blood is everywhere. I have 2 extra sheets on my bed and a pair of clean underwear next to it. I tell my partner every time that I'm sorry I'm moaning like a baby. He doesn't mind.

Is there anything natural that can slowdown the bleeding? Should I take any iron supplements? I now know why I've felt so utterly tired today. I'm 36 and noticing my periods are different every month. Pain wise, bloodflow wise.. But I always feel like crying, down and moody. It's prob PMDD that goes along with it. At my age you would think periods would slow down a bit, but then again my endo is pretty severe. Organs are glued together.

I just had to rant and vent a bit. Sorry if it doesn't make sense. Its not really interesting to read. But the pain is just so horrible. And I can't cancel my appointments tomorrow. I wish I could. Ppl still look at me funny when I cancel things due to endo. But all I wanna do is stay in bed, cry, scream, eat shitty foods (I won't offcourse. I'm already in inflammation mode) moan, leave my bra off and watch TV. Heating pad.. A shoulder to cry on. Fuck the world. I want to live in my little cave for the next 6 days.

I do worry about the intense bloodless from the adeno. I don't use any hormones and I don't want to. I think I mightve asked this before... But is there anything else other than a heating pad that can help for pain? I'm trying to stop using nsaids cause I've had an ulcer. I just can't seem to find something that gives me instant relief other than nsaids.

So from what I know and the videos I have watched in inspiration thoracic cage expands and the diaphragm moves down creating abdominal pressure which opens Venous valves and helps venous return to the center of the body and as expiration occurs diaphragm relax back to place making that central venous pressure increase venous return to the heart and in result increase cardiac output . This is why Deep breathing exercises are so helpful for circulation. Now ... I came across this question in Uworld where A patient was in POSITIVE pressure ventilation intubation and the answer was that an adverse effect of this is Hypotension . The explanation says all the oposite from other resources where i learned venous return . It says that positive pressure applied to the lungs increase intrathoracic pressure during inspiration (Ofcourse) decreasing venous return and cardiac output and causing hypotension.

Am so confused .... Can someone explain this

The muscles of the pelvic floor, including the muscles that affect the sexual function of men - ICM and BCM - are closely related to the muscles of the body. Rob u / robbsttl has described this very well in his articles. You can get acquainted with them in great detail here:

https://www.reddit.com/r/Hard_Flaccid/comments/ki5j0r/this_post_i_will_try_to_explain_the_hard_flaccid/

and

https://www.reddit.com/r/Hard_Flaccid/comments/lo99nm/the_role_of_the_gluteal_muscles_in_hard/

For our article, we'll take a look at the important takeaways from these articles:

• "Pelvic floor is a crucial part in the breathing process. During inhalation the diaphragm drops down, activates the TVA and moves down the pelvic floor (relaxes it), the opposite happens during inhalation. proper relaxation and function of the pelvic floor muscles.
• This all shows the crucial role the TVA has not only in breathing but in proper relaxation and contraction of the pelvic floor. The abdominal cavity, which is shaped like a balloon, is composed of abdominal muscles at the front and right side, para spinal muscles at the back, the diaphragm in the upper abdomen, and the pelvic floor muscles in the lower abdomen. Due to its structure, the PFM does not contract on its own but contracts in cooperation with muscles around the abdomen.That is especially true when intra abdominal pressure is generated. In this case the pressure is delivered in all directions including the pelvic floor muscles. When that happens these muscles contract in order to preserve the organs from the pressure.
• This all shows us that it is the proper function of the TVA that ensures the relaxation and proper function of the pelvic floor. It is the TVA and diaphragm that when standing support the body and absorb the intraabdominal pressure and distribute it in such a way so as not to tighten the pelvic floor.This is crucial and shows us how TVA is an absolutely crucial part in the proper function of the pelvic muscles. In healthy individuals, transversus abdominis activation is a physiological consequence of an increase in PFM tension. Pelvic floor muscles also stabilize the lumbar spine which is essential in standing."

**So, for the proper functioning of th

Hi fellow costo sufferers, With my current flare up I have 24/7 right chest pressure under my breast. (female). Also sternum pressure along with rhomboid muscle pain (I googled rhomboid muscle pain and noticed shortness of breath popped up as a symptom as well!) And I automatically want to take a deep breath cause everything feels so tight. And when I do I can also feel the right side of my neck muscle acting up. Like it wants to stretch out and expand. But it's stuck. Along with my right shoulder, pins and needles. Soreness. Is there a connection between stuck tight neck muscles and costo? The PT said upperback problems and shoulder and neck problems can give chest problems as well. Is this the case? I wonder if this is rheumatoid artritis. A fellow costo sufferer has mentioned this. (whom I had a lovely conversation with btw)

The symptoms are so diverse that after a year of suffering this and flaring up for the 2nd time now, I still have so many questions. I'm pretty sure it's costo. But still have 10% doubt about its origin. Rheumatoid artritis or thoracic endometriosis (since I also suffer endometriosis, and thoracic endo happens mostly in the right side of the diaphragm and chest).

Costo isn't giving me a break at all right now. Every move I make its tight pressure. I stretch, I rest, I use a posture corrector, the back pod, a tennisbal, a door stretch.. Tumeric, breathing excersises, watch my inflammatory food intakes... It's driving me crazy. I was fine before this flare up. I had finally left the 1st flare up. Had a break for a few months eh voilà... Back with a vengeance. It's really affecting my insanity on a daily basis. The feeling of pressure and tightness is there in rest, when I fill my dishwasher, when I go for a walk (which speeds up my heart rate like crazy and makes the shortness of breath worse) when I talk to my friends on the phone, just when I live my live! 😑

I wonder if some of you have constant pressure as well, or just with movement? And does anyone see a connection with GERD? I also wonder about silent GERD. Since this all started after 3 years of NSAIDS use. But I've stopped NSAIDS intake last year and it hasn't improved. Could silent GERD be felt on only one side of the chest or body?

So many questions, not a lot of answers.. What I DO know is that this subreddit has saved my life. Doctors have been gaslighting me since the beginning. So a big thanks to everyone here. When costo first hit me last year.. I sat here crying,

This started a year ago for me. In March last year. All of a sudden. I was doing some arts and crafts at my kitchen table and a of a sudden it hit me. Extreme shortness of breath. I got these symptoms in March last year, around the time covid hit my country of the netherlands, for me it started with severe shortness of breath, upper back pain and chest tightness and pressure. Diaphragm pain. And later shoulder pain, underarm pain, upperback pain. Went to ER multiple times. They told me it might be a condition called costochondritis. Maybe due to a covid infection. They had no idea. Some said it was just stress. Nothing was found. Last September I was diagnosed via mri and ultrasound with severe stage 4 endo with bilateral cysts, adeno and bowel DIE. After a spine mri for lower backpain. They round cysts in my ovaries. Coinsedence? Idk. Do you guys also experience neck pain and shoulder pain and pressure or rib pain? I was on a lot of ibuprofen last year for the backpain, and I'm having thoughts of.. Is this GERD? I'm still trying to figure it out.

My symptoms:

• shortness of breath, feeling as if lung isn't expanding
• chest pain when breathing
• shoulderpains
• pins and needles in shoulder and arms
• neck pain
• sore shoulderblades
• upperbackpain
• rhomboid muscle pains
• breasts are painful to the touch
• upset stomach
• bloated
• sometimes a feeling of a burning stomach (idk if this is acid reflux?)
• tight throat
• feeling like there's something stuck in my throat
• sternum pressure
• dry mouth when pain flares up
• pressure in throat
• cold feeling in throat when inhaling (like I've just had a few ice cubes or an eucalyptus sweet)

My thoughts are:

• diaphragm endo
• GERD
• indigestion problems, since I feel it sometimes creeps up after swallowing a pill
• costochondritis (inflammation of the ribs and chest cartilage)
• rhomboid muscle strain
• bad posture
• other neck problems
• yawning a lot when there's a flare up, cause my body is trying to catch a deep breath

I've had every test under the sun except tests to check for stomach problems. Only thing they come up with is that I don't breathe right. But I'm not buying this. I'm actually in pain and the shortness of breath and upperback pain can be really severe.

How do I ask my gyno to check my diaphragm? Since my symptoms are here everyday and he said that it can't be diaphragm endo cause I have this every day. To me this is nonsense since I did research and it says it can happen outs

The least efficient way of breathing, where singing is concerned, is the shallow intercostal method. Rather than the diaphragm being free to expand downward and outward (in the fashion of a “circle” that surrounds the waistline), it is incorrectly inverted

upward, while the entire chest cavity is raised.

This incorrect method of breathing allows only a partial inhalation of breath and it interferes with the attainment of a full breath which is so vitally necessary to create the required breath pressure that acts as the motor force for the production of the presently sung tone. Singers who employ this incorrect shallow, intercostals method of breathing (women, more frequently than men), tend to gulp for air, in-between phrases, while incorrectly raising their upper ribs and clavicles. This method produces undesirable tensions with certain muscles that should remain passive, while singing, and it forbids thoracic expansion, so that the lungs may inflate, and the freedom of the diaphragm.

I make sure mine is outward, but I'm not sure whether it's upward and I do know that I tend to gulp for air, in-between phrases.

what about my blades?

I'm 1 year in. I'm 36F, from Europe the netherlands. Started March 2020. Flaring up as we speak. I've had every test under the sun (except a MRI or CT, which they don't think is necessary) and nothing abnormal has been found. To me the chest pain is painful but if it would be just that, I can live with that (and some painkillers and muscle relaxers) but the shortness of breath is what causing me to feel locked up and trapped in my own body. I know covid is doing this to all of us and yes we're in our 3rd covid wave over here. So we're in evening lockdown. But even going out to a field in a nice forest where no one is there and I'm free as a bird or if I'd be dancing and drinking at a hippy summer festival.. I'd still feel trapped. I can't get a deep breath, feels like my chest is too small. I can't catch my breath when I start being active and my heart rate is sky high then. And then the anxiety comes on, and I feel like I'm being put away in a prison.

I have high pain tolerance. I was diagnosed with endometriosis around the same time as costochondritis started. And some docs even said its because Ive been in intestinal pain and backpain since age of 12 (prob because of endometriosis) that I've started to breathe differently. To me this sounds like bs. I was diagnosed with severe level 4 endo last August. Endometrioma cysts which are bilateral, kissing ovaries, which means my ovaries are adhered together, while they make it sound all lovey dovey.. It is not. My uterus is attached to my bowel, I also have adenomyosis inside my uterus and I have DIE. This means deeply infiltrated endometriosis on my bowel. It's a woman's disease.

I've always had excruciating periods, with blood clots and unable to do anything for 5 days a month. I was told I was being too sensitive, I was told it was normal. I've seen many gp's. I even saw a gyno in 2015 and I asked her if I have endometriosis. She said no. But offcourse I did. It was just not visible on the ultrasound back then. But it was fucking my insides up. Since my costo isn't healing, I've came to the suspecion of thoracic endometriosis. And that that's the reason of my costo. Endometriosis is an inflammatory condition. Where it creates adhesions and inflammation outside the uterus. Blood that is supposed to stay inside the uterus when you menstruate is moving outside it and can adhere any stomach organ. Mostly bowel, bladder, and ovaries. Thoracic endo is rare but it happens. Mostly on the right side. And it give

you must be a fish

non-fishes = sus

i am the pufferfish

diep.io/#2677969600712C9321EB

tell me if invalid ok

Tetraodontidae

From Wikipedia, the free encyclopediaJump to navigationJump to search"Blowfish" redirects here. For other uses, see Blowfish (disambiguation)."Globefish" redirects here. For other fish known by this name, see Porcupinefish*.*Puffers[1]Temporal range: Lutetian-Holocene📷Inflated white-spotted pufferScientific classification📷Kingdom:AnimaliaPhylum:ChordataClass:ActinopterygiiOrder:TetraodontiformesSuborder:TetraodontoideiFamily:TetraodontidaeBonaparte, 1832Genera

See text

📷Deflated Valentinni's sharpnose puffer

Tetraodontidae is a family of primarily marine and estuarine fish of the order Tetraodontiformes. The family includes many familiar species variously called pufferfish, puffers, balloonfish, blowfish, blowies, bubblefish, globefish, swellfish, toadfish, toadies, honey toads, sugar toads, and sea squab.[1] They are morphologically similar to the closely related porcupinefish, which have large external spines (unlike the thin

Hey,

I have a weird pain in my chest on the right side. This pain can sometimes go down my arm and up my neck a little. It seems to be there around a my period, starts a few days before. It also hurts to breathe in, cough, laugh or yawn. It’s been happening since I was around 14/15 and I’m 26 now.

I’ve had a doctor prescribe muscle pain cream, I forget the name, but that did nothing. Went for an x ray and that showed nothing so they chalked it up to muscle pain, didn’t know what else it could be.

I’ve always had super heavy and painful periods. I’ve been to a gyno that didn’t think I have endometriosis but I understand it can take a long time to get diagnosed and also that it’s not something that’s really well known about by some docs.

I also get pain when going to the bathroom (both types) it feels like a period cramp around my bladder.

Please any advice or input is really appreciated.

Thanks in advance

I’m Caucasian, 26F, 8st 10, 5’4, no alcohol or smoking

F31, 150lbs, 5’9, I do not smoke or drink alcohol.

I am wondering what the cause of all my symptoms are.

Basically it feels like there is some kind of mass in my left flank area that’s blocking my bowel, but nothing shows up there in imaging and it’s making me feel crazy.

TLDR

Primary symptoms right now:

• Sharp left shoulder blade pain and pain between shoulder blades, and in left ribs
• Epigastric area pain
• Burping constantly
• Inability to pass gas (feels like bowel is blocked, but it isn’t because I can still poop)
• High resting heart rate and heart palpitations
• Feeling of fullness/pressure/congestion in left flank/left upper back area
• Hemorrhoids
• Bulge in left lower flank area
• Huge dilated pupils at night
• Insomnia (partially because my heart rate doesn’t go down)
• Heat intolerance/always feel hot
• Altered sense of taste (sense of smell is intact)
• Night sweats
• Severe adrenaline rushes that seem to come out of nowhere and really catch me off guard

Imaging and tests I’ve had done:

• CT scan, abdomen and pelvis w/ oral and IV contrast in 2017 - found nothing
• Barium swallow in 2018 - found nothing
• Ultrasound of pelvis 2019 - found nothing
• CT scan, abdomen and pelvis w/ oral contrast only in 2020 - found nothing but moderate stool in colon
• MRI of pelvis and lumbar spine in 2020 - found nothing but a disc bulge between L5 and S1 that is supposed to cause sciatic like pain down my left leg but I don’t feel that and thus I don’t care about it. First radiologist who looked at it found “apparent linear tissue consistent with adhesions” and so concluded that it could be endometriosis, second opinion saw nothing.
• Abdominal ultrasound, 2020: found nothing
• Three endoscopies: found nothing but mild gastropathy in stomach - one found bile sitting in my stomach 17 hours after eating
• 2 Colonoscopies: one found shallow ulcers in terminal ileum, biopsied but were negative for Crohn’s disease
• Pillcam: Orginally found shallow ulcers in terminal ileum, got a colonoscopy a week later and the ulcers were not there.
• X-Ray, chest 2020 - found nothing
• CT scan, chest 2021 - found small 2.3 cm mass-like density and pleural effusion in the lingula.
• Tested my kidneys and thyroid and they were fine

Conditions that have been ruled out via tests:

• Crohn’s disease
• Hiatal Hernia
• COVID (tested negative 5 times and tested negative for antibodies.)
• Early menopause (my FSH is normal although my estrogen is low for some re

Go post NSFW jokes somewhere else. If I can't tell my kids this joke, then it is not a DAD JOKE.

If you feel it's appropriate to share NSFW jokes with your kids, that's on you. But a real, true dad joke should work for anyone's kid.

Mods... If you exist... Please, stop this madness. Rule #6 should simply not allow NSFW or (wtf) NSFL tags. Also, remember that MINORS browse this subreddit too? Why put that in rule #6, then allow NSFW???

Please consider changing rule #6. I love this sub, but the recent influx of NSFW tagged posts that get all the upvotes, just seem wrong when there are good solid DAD jokes being overlooked because of them.

Thank you,

A Dad.

A lot of us breathe normally, the correct way, up until the age of 5. By then, we get introduced to schools, most of the time we sit, etc. Things that fuck up our breathing.

Ever noticed how animals expand while breathing? That's what should happen when we breathe. Instead, we expand our chest and raise our shoulders. We're breathing in the upper chest, the thoracic area. we should be breathing lower, in the diaphragm. Here is how to fix that

Prof. Lucas Rockwood explains this better than I do so if you're interested in the science behind it, go check this out.

Edit: I forgot to include benefits. Benefits include better stress management, sleep, easier running, etc.

Martin Freeman, and Andy Serkis.

They also play roles in Lord of the Rings.

I guess that makes them the Tolkien white guys.

Not directly after, maybe a couple hours or a day later. During a panic attack, my whole body tenses and I hold myself kind of tensely curled up. I don’t really realize how tense my muscles actually are until I’ve calmed down and I can feel pain in my jaw (I have TMD from clenching) and neck. But sometimes I’ll get like an occasional pain in my sternum area. It’s not constant. But it is slightly worrisome. Does anyone else get something similar to this? Have you ever worried about the overall health of your heart?

She said apple-lutely

Or feel that they were misdiagnosed?

A naturopath diagnosed me with SIBO without doing a breath test or stool test. I had a stomach bug in July, was fine for a few months, and then my stomach got bad again in December.

I’ve also had rosacea on my face for 10 years that worsens when I eat...anything. But it gets especially bad with beer (I wasn’t a big drinker before but I don’t drink at all now).

I’ve had elbow pain and rashes for two years. And now thoracic spine nerve pain that started a month ago in line with an official GP diagnosis. I believe it’s referred pain from my stomach.

I went to a naturopath because I was desperate and my (very kind, but not super helpful) GI discharged me from the endoscopy with simply the words “GERD/Ulcer diet/2mg Motegrity” on a piece of paper.

I am already nauseous and not eating from the GP and I am just scared the neomycin and Xifaxan will make it worse. I miss vegetables so much but they just sit in my stomach and torture me because my stomach does not move anymore.

I know it’s only two weeks but I was having normal BMs for a few days as long as I only ate a bagel and cream cheese and coffee in the morning. And that’s it for the day. Yes I know that’s not cool with this crowd but it’s what my stomach can handle right now. Not low fodmap. I’m also becoming malnourished but idk what to do because those vitamin shakes like Kate Farms make me sick and I can’t eat vegetables.

I feel that this may be the wrong diagnosis. I also get a constant gurgling in my epigastric area now that I’ve never had before. Thought it might have something to do with my diaphragm shifting.

It just seems more like a neurogastrological thing than a gas or bacteria thing. I’ve always had slow motility and I don’t think this gets to route of the problem, which is my stomach.

Like I know GP can cause SIBO but I don’t believe SIBO can cause GP.

Anyhoo. Now I’m out a lot of money from seeing that naturopath and having a lot of doubts.

Thoughts?

'Eye-do'

This is my first post pls don't kill me lol.

The people in the comment section is why I love this subreddit!!

Cred once again my sis wants credit lol

I heard parents named their children lance a lot.

First post please don't kill me

Edit: i went to sleep and now my inbox is dead, thank you kind strangers for the awards!

second hand stores!

The least efficient way of breathing, where singing is concerned, is the shallow intercostal method. Rather than the diaphragm being free to expand downward and outward (in the fashion of a “circle” that surrounds the waistline), it is incorrectly inverted upward,

while the entire chest cavity is raised.

This incorrect method of breathing allows only a partial inhalation of breath and it interferes with the attainment of a full breath which is so vitally necessary to create the required breath pressure that acts as the motor force for the production of the presently sung tone. Singers who employ this incorrect shallow, intercostals method of breathing (women, more frequently than men), tend to gulp for air, in-between phrases, while incorrectly raising their upper ribs and clavicles. This method produces undesirable tensions with certain muscles that should remain passive, while singing, and it forbids thoracic expansion, so that the lungs may inflate, and the freedom of the diaphragm.