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What causes shortness of breath and tightness in chest? - Online Doctor Chats

Date : 26-Feb-2014
User rating for this question
Very Good Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2305 Questions
User:I have had a xray done..white fluff on xray shortness of breathe fatigue and chest feel tight first we thought astma attack but after usual treatment no luck eases after using pulmicort and ventolin nebulizer Any idea
Doctor:How can I help you today?
Doctor:Are you there?
User:Im al little concerned.. thought I aws having an asthma attack but usual treatments didny work...fatigue white fluff showed up on xray
User:taking pulmicort and ventolin nebulizer twice a day eases it
User:all blood work was excellant
Doctor:It may be easing it because of dilation of respiratory pathways
User:shortness of breath tight feeling in chest
Doctor:For how long?
User:have gone for ct scan but no results yet
User:about 4 weeks now
Doctor:Did you get an ECG done?
User:yes was good
Doctor:Then it may be bronchitis from other cause
Doctor:It may be infection
Doctor:Can you tell me how it started?
User:I have asthma and it felt like an asthma attack Was put on prednisone no result a then started nebulizer machine
User:white fluff was seen after chest xray
Doctor:If it is ongoing then maybe you will need oral medicines
Doctor:Oral medicines are usually started when the cough episodes occur more frequently
Doctor:But it should be given after ruling out other causes
User:there is a cough now but no phlegm
User:dry cough
Doctor:For dry cough cough suppressants are advised
User:could it be something more serious? This I can handle
User:no fever or weight loss appetite is good
Doctor:It does not seem to be serious
Doctor:Mostly a person's own immunity is able to cope up
Doctor:White phlegm may also be due to ongoing fungal infection in respiratory tract
Doctor:fungal infections usually do not present with fever
Doctor:A sputum culture or throat swab may be helpful in finding the causative agent
Doctor:It helps ruling out bacteria
User:ok will ct scan show infection
Doctor:If bacteria are ruled out then it may be fungal or allergic/asthmatic
Doctor:To rule out infections throat swab and sputum culture are done
Doctor:But I am aware of the fact that CT scan is usually done first
User:that hasn't been done yet
Doctor:You may discuss with your doctor if it is needed
User:what is white fluffn on chest xray?
Doctor:Apart from this you can try some lifestyle changes to help increase the immunity
Doctor:The white fluff is arising from some solid structure
Doctor:Now I am not sure if it is localised or is spread through out the lung
Doctor:Mostly I need to see the Xray to tell you what it may be
User:he said I had a few
Doctor:Are those round?
User:he said they look like balls of fluff
Doctor:It may be infection
Doctor:It may be healed or active
Doctor:Though there may be other causes
Doctor:So I do not want to raise an alarm
User:more concerned about cancer etc..
Doctor:I would advise that you daily exercise for atleast 20 min
User:infection I can deal with\
Doctor:and drink clean water
Doctor:It will help raise your immunity
Doctor:Cancers are usually not fluffy
Doctor:but they may have spikes
User:would it not show in bloodwork
Doctor:Yes it may
User:had two sets of bloodwork done for heart and all was excellant
Doctor:That is reassuring
User:had a cbc and biochemistry test done and they were normal
Doctor:CBC usually gets upset in the presence of cancer
Doctor:Weight loss is also seen in cancer
Doctor:Weakness and malaise are prominent symptoms
User:have had no weight loss and appetite is good
Doctor:Your symptoms do not seem to be pointing to cancer
User:fatigued but not weak
User:other than the shortness of breath and tightness in chest I feel good
Doctor:It is related to lungs
Doctor:But more tests are needed to confirm
Doctor:In the meanwhile follow lifestyle changes and take symptomatic treatment
Doctor:Thanks for consulting
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