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Suggest Remedy For Difficulty In Breathing And Pain In Jaw In A Chain Smoker

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Posted on Tue, 22 Dec 2015
Question: my sister is 51 years old and she is a heavy smoker. she suffered lately difficulty of breath when laid on her back and that was associated at first with some pain in the left jaw , arm and chest. her heart rate was 60 PBM and MP was as slow as 100/70 though she used to be a hypertensive.
Echo did not indicate any abnormality except for a mild Aortic Sclerosis and then the Chest X ray gave the following noted:
- Prominent central hilar vascular shadows with accentuated basal lung markings
- Dilated unfolded aorta with prominent aortic knuckle
is this an indicated of serious condition?
doctor
Answered by Dr. Neeraj Kumar (22 minutes later)
Brief Answer:
Require evaluation by a pulmonologist and CT thorax

Detailed Answer:
Hello XXXXXXX
I have gone through your question and understand your concerns.
Heavy smoking leads to respiratory disease like chronic obstructive pulmonary disease, bronchitis or malignancy.
The changes described in xray may be features of lung disease or pulmonary edema due to cardiac dysfunction or pulmonary hypertension.
She needs to evaluated by a pulmonologist and get CT chest if required.
She should stop smoking.
Continue other medications and antibiotics.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr Neeraj Kumar
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Neeraj Kumar (1 hour later)
Pls relay the same question to a pulmonologist
doctor
Answered by Dr. Neeraj Kumar (4 hours later)
Brief Answer:
Get pulmonary function testing

Detailed Answer:
Hello,
Visit to a pulmonologist and clinical examination is fruitful in such condition.
Pulmonary function testing and CT thorax may be required.
Regards
Dr Neeraj Kumar
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Neeraj Kumar (26 hours later)
Could the XRay "shadow" reference be an indication of lung cancer?
doctor
Answered by Dr. Neeraj Kumar (19 minutes later)
Brief Answer:
Xray not suggestive of lung cancer

Detailed Answer:
Hello XXXXXXX
The xray findings are not suggestive of cancer but the best imaging will be CT scan thorax with contrast.
Get her examined with a stethoscope by a pulmonologist and then go ahead for investigations.
Regards
Dr Neeraj Kumar
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2259 Questions

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Suggest Remedy For Difficulty In Breathing And Pain In Jaw In A Chain Smoker

Brief Answer: Require evaluation by a pulmonologist and CT thorax Detailed Answer: Hello XXXXXXX I have gone through your question and understand your concerns. Heavy smoking leads to respiratory disease like chronic obstructive pulmonary disease, bronchitis or malignancy. The changes described in xray may be features of lung disease or pulmonary edema due to cardiac dysfunction or pulmonary hypertension. She needs to evaluated by a pulmonologist and get CT chest if required. She should stop smoking. Continue other medications and antibiotics. Hope you found the answer helpful. Do get back to me for further queries. Regards Dr Neeraj Kumar