### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
i have been experiencing pain in my mid of my upper right side of my back-I think it might be my kidney but Im not sure. It hurts when i breathe in and then if I push on it/theres no pain-but once i realise the pressure Im in complete n major pain...its been getting quite bad for me to breathe. Im on coumadin and have had 3 blood clots all localized in the right lung-can you help me out. Im a 49 yr.old female-

### output:

Hi Dear !! Thanks for your query to Chat Doctor. I reviewed facts of your query in context to your health issues. My Opinion-In My opinion, in the given situation you seem to suffer promote(Venous Thromboembolism)with PE(Pulmonary Embolism), which could cause such a pain in chest from inflammation from embolic event causing right pleurisy pain in back of chest. Though on Coumadin, you have had 3 clots in right lung already. In this scenario I would suggest you to check the INR ratios with fresh BT/CT studies and to adjust doses to keep INR at-1:2.5 of normal. Other causes need to be ruled out. Your Vascular Surgeon and Physician in charge, need to be Consulted immediately, as to avoid massive embolic attack. Alerts-Take it to ER and to treat for Embolism to avoid massive embolic complications endangering your life. Next appointment-After 2 weeks to review treatment for existing stomach problem. If you update more information/ details upon these suggestions, I would give further suggestions on medicines to correct your health issues. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-http://doctor.Chat Doctor .com/Funnel?page=askDoctorDirectly&docId=70229 Dear, if you don't have any further query in this regard, Do close this query with YOUR pleasing and feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!!  Chat Doctor. N. Senior Surgical Specialist M.S. Genl-CVTS