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Stringy mucus and sticky feeling in mouth, pressure in shoulder blade, productive cough with white mucus, weight loss.

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General & Family Physician
Practicing since : 2009
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What is the string like mucas and stickey feeling in my mouth. I also have a constant pressure down the left side of my shoulder blade in my back, a productive cough with this white mucas which is usual early evening. I have lost a stone in weight in 12 weeks.
Posted Thu, 3 May 2012 in Ear, Nose and Throat Problems
 
 
Answered by Dr. Aparna Kohli 9 hours later
Hi XXXXXXX

Thank you for the query.

The sticky feeling in your mouth could result from an infection of the throat, sinuses or lungs, a post nasal drip or dryness of the mouth.

Since you have productive cough and weight loss, I suggest that you see your treating physician who can completely evaluate you and prescribe appropriate therapy.

There are several diagnostic possibilities including Tuberculosis, Pneumonia, Empyema, Heart failure amongst others.

As I believe that more information helps a physician arrive at an accurate diagnosis, I would request you to answer the following questions:

a.     Do you have any other complaints like fever and loss of appetite?
b.     Does the pressure that you feel down your left shoulder increase with breathing in?
e.     Do you feel a burning sensation in your chest or stomach?

I hope I have answered your query. I will be available to answer your follow up queries.

Awaiting your response.

Regards,
Above answer was peer-reviewed by
 
Follow-up: Stringy mucus and sticky feeling in mouth, pressure in shoulder blade, productive cough with white mucus, weight loss. 8 hours later
Thank you for getting back to me, to answer your questions for a more detailed diagnosis.
I have not lost my apptite, eating as normal
Breathing does not affect my pressure on my shoulder blade on back, the pressure is constant and uncomfortable feeling, when sitting and leaning on back of chair feels like there is something on the chair pressing onto me. I get breathless on trying to do heavy things or running, and my throat is almost always dry (or feels that way) and I keep clearing it.
The only burning pain I have is down the side of my breast on the left (same side as back pressure) which comes and go's.
To help further within the last 6 months I have had a Chest x XXXXXXX MRI brain scan, neck x XXXXXXX normal blood tests plus Instrinsic factor, all came back negative. Except my red blood cells are a little big borderline I was told.I think my GP is at a loss.
Thank you awaiting your responce.
XXXXXXX
I was B12 deficient, but had the jabs which cleared my constant dizzyness and tingleing. Still have the above symptons
 
 
Answered by Dr. Aparna Kohli 15 hours later
Hi XXXXXXX

Thanks for reverting!

There are several diagnostic possibilities in your case. These include gastroesophageal reflux disease (GERD), angina amongst others.

In your case, GERD seems to be more likely. However, I would suggest that you consult your physician who can perform electrocardiogram and other tests to ensure that angina has been excluded.

For gastroesophageal reflux disease (GERD), you could try the following measures:

a. Take small meals every 2-3 hours
b. Elevate your head with 2-3 pillows while lying down
c. Avoid spicy food
d. You could also try Tablet Ranitidine 150 mg twice daily 30 minutes to 1 hour before meals.
e. Milk has been found to be useful in relieving symptoms of GERD.

Also, as I believe that more information can help a physician arrive at an accurate diagnosis, please answer the following questions:

a. Since when do you have breathlessness on running or lifting heavy things? Did it occur earlier as well?
b. Please let me know your height, weight.
c. Do you have any family history of Diabetes, Hypertension or Heart disease?
d. Do you smoke? If yes, how many cigarettes in a day? Also, for how long have you been smoking?
e. Have you been screened for Diabetes and Hypertension?

Awaiting your reply.

Regards
Above answer was peer-reviewed by
 
Follow-up: Stringy mucus and sticky feeling in mouth, pressure in shoulder blade, productive cough with white mucus, weight loss. 12 hours later
My brethlessness came on about 3 months ago
My height is 5 foot 2 inches - weight 9 stone (Normal weight 9stone 11
No family history of Diabetes, Hypertension or Heart disease
Yes I smoke 25 per day for around 30 years
I have been screened for Diabetes and Hypertension.

It seems that when I walk fast or talk for a long time I get lightheaded, I feel as if I am not getting enough oxyjen into my brain, its a not quite with us feeling, unsteady. I have had an ECG 4 months ago it was normal.
Thank you for your time and help
XXXXXXX
 
 
Answered by Dr. Aparna Kohli 13 hours later
Hi XXXXXXX

I would suggest that you see your primary care provider (PCP) as soon as possible as you are possibly suffering from angina. Treatment would involve drugs called nitrates. However, these are prescription drugs and can be given only after you have been completely evaluated by your treating physician.

Please do follow the following lifestyle modifications:

a. Do not overtly exert yourself.
b. Try and have a nutritious, well balanced diet.
c. Further, I strongly advise you to quit smoking. Your PCP would be able to advise you in this as well.
d. I would also suggest that you get blood tests for increased cholesterol. This can be done after consulting your PCP.

Hope I answered all your questions. Please accept my answer in case you do not have further queries. Wish you Good Health.

Regards,
Above answer was peer-reviewed by
 
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