Question: Dear Sir,
I am in need of your advice. Below is the medical history that has transpired on my end
I am 35 years old now. My dad had been suffering since 2010 from late stage
prostate cancer. After a 3 year struggle he succumbed to the disease and passed away on 2nd December 2013
For 3 years I had been under obvious mental stress. Also during dad’s late stages I developed a weird feeling that I might have cancer myself in any part of my body and slowly developed anxiety and phobia out of it
Around 2 weeks after dad’s death, I suddenly felt moderate to acute
shortness of breath while I was in the loo (It was 18th December 2013). It stayed there for around a couple of hours and then settled on it’s own. But I felt slight tightness in chest and throat. Baffled by the episode and anxious with the thought that my mom will be alone without me, I rushed to the ER and did a whole body check-up, the most exhaustive one that was available as a package. It included comprehensive and complete blood-work, chest X-Ray, ECG,
Echocardiogram, TMT, PFT,USG of whole abdomen, Fibre Optic Laryngoscopy. All results came normal except for my cholesterol, Triglycerides, Uric acid and SGPT which were elevated. I had fatty liver since the last 9 years. So that sort of explains the elevated SGPT and the consultant also attributed it to thatPost the result declaration the XXXXXXX consultant at the hospital (Apollo Gleneagles) advised me that there is no major organic cause and that it was from
Post Traumatic Stress Disorder and Anxiety Disorder. However he prescribed the following for me and advised me to review after 3 months
Rozavel 5 (once Daily)
Evion 400 (once daily)
Udiliv 150mg (once daily)
Lodoz 2.5 mg / Zabesta 2.5 mg (once daily)
Trika 0.25 mg (on As and When Required basis) (I took this only since February 2014)
I took the above medication for 3 months. During those 3 months I noticed moderate improvement in symptoms. During initial days although I didn’t have intense SOB episode ,(which I had only a couple of times after the 1st one I think) I did have
chest tightness,
tingling pain in chest, hands, legs, shoulder, jaws etc. I also had fatigue. The SOB was not real SOB that way during normal nostril breathing and my SPO2 always measured 99% to 100% all along. But what I felt was that during deep breathing or when I wanted to breath a XXXXXXX OF RELIEF (very deep breath) through my mouth then it felt as it 20% air is not going inside and my chest and throat are tight. But strangely the SPO2 level never went below 99% ever (I have a portable oximeter with me :-) ). Sometimes it settled down on it’s own and if it lingered then I took Trika which definitely relieved me quite a bit. I have also observed that the SOB, Chest and throat tightness is relieved by sneezing, mustarbating, brisk walking, distraction and definitely when I am in a good mood (this is my observation though).
Now, after 3 months, I repeated the blood-work, chest X-ray, PFT with reversibility, ECG and echocardiogram and everything again came normal !! Also now the fatigue and chest pain and tingling in hands shoulders and legs have almost disappeared. But I have mild tightness in chest and throat still although the SOB thing is much more infrequent now (I mean SOB on deep breathing). Now the medicines that I take are as follows:
Rozavel 5 (once Daily)
Zabesta 2.5 mg (once daily)
Trika 0.25 mg (on As and When Required basis)
Request you advice and guidance in the backdrop of the medical history that I have mentioned above
Dear Sir,
This is in continuation with the medical history that I enumerated in my previous writeup above. Please consider my latest reports that I have attached now
In addition to the above history I should mention that my cholesterol, Triglycerides, SGPT and Uric Acid are also within normal limits now as per the latest blood-work. Kindly consider this information as well during your assessment
Dear Sir,
In addition to the above-mentioned medical history, please note that now when I feel trouble taking a very deep breath, it's mostly when I try breathing huge volume through my mouth. Not so much so when I do nostril breathing. And then that happens I do feel mild chest and throat tightness as if 15% to 20% air is not entering through mouth. But then when I change position and try nostril breathing or even
mouth breathing sometimes then it's works fine .. Also if it leave it on it's own for sometime and try to distract my attention the after 5 or 10 mins I am able to take a satisfying very deep breath.
Please consider this detail in addition to the detailed medical history I enumerated before please
Thanks,
XXXX