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Chest congestion, breathing problem, mucus in chest, acidity and nasal blockage. Asthma?

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Practicing since : 2003
Answered : 588 Questions
Problem : I am suffering from sudden chest congestion followed by breathing problem,coughing ,Wheezing and mucus in my chest , nasal blockage .

Medicines prescribed by doctor XXXXXXX : Telecast L,Pentoacid , Doxiflo 400, predmet 24, Mometasone aqueous nasal spray

Reports :
1) My nasal xray has shown "frontal sinus blockage and nasal sputum is deviated towards left side due to hypertrophic right inferior turbinate"
2) DLC \ TLC blood report -> TLC 7000/ cumm, DLC (polymorphs 51%, lymphocytes 44%, eosinophils 5 %, monocytes 0 %, basophils 0 %

Other information : I took these medicines for 3 weeks and was feeling better and when I left taking these medicines I use to suffer from sudden chest and upper abdomen acidity\pain followed by chest congestion with mucus,wheezing after heavy meals ( sometimes without that as well) and on taking the above medicines the problem goes away in 1-2 hours.Mucus color remains white or XXXXXXX

History : I use to suffer from nasal blockage, Headache and Cold very easily since childhood but never ever suffered from bronchitis symptoms before XXXXXXX 2012.

Smoking habits : Never done smoking.

Job : Working as software engineer ( includes lot of sitting for long hours ). Also use to have some junk food occasionally.

Questions :
a) I am confused what to do , should I continue with these medicines ?
b) Is this a GERD problem as I am feeling acidity\pain after heavy meals or Asthma problem or due to post nasal drip (due to frontal sinus blockage ) ?
c) How to cure this sudden congestion \ acidity,Wheezing and coughing ? I am taking the above medicines since past 1.5 months.
d) Any food item from which i should remain away?
Posted Thu, 10 Jan 2013 in Lung and Chest disorders
Answered by Dr. Gyanshankar Mishra 1 hour later
Thanks for posting the query on XXXXXXX
After going through your query, I would like to comment the following:

1. You seem to be suffering from allergic rhinitis with ? asthma.

2. You need to get yourself evaluated from a pulmonologist in detail.

3. Investigations required are chest xray pa view, pulmonary function test (spirometry with reversibility) and serum IgE levels.

4. Associated GERD does aggravate the symptoms and may be the precipitating cause. This can be confirmed on oesophagoscopy by a gastroenterologist but is seldom required. Since you are on pantocid, it should care of the symptoms.

4. The medications seem to be sufficient but an inhaler seems to be requires considering your chest symptoms. Offcourse the decision will be guided by your investigations and clinical profile as mentioned above.

5. Avoid spicy diet, cold food, carbonated beverages, ice creams, etc. Do not stay empty stomach for more than 4 hours.

I hope I have answered your query. I will be glad to answer follow up queries if any.
Please accept my answer if you have no follow up queries.


Dr. Gyanshankar Mishra
Consultant Pulmonologist
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