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What Causes Breathlessness, Tiredness, Dizziness And Nausea?
Question: 20 male i have had shortness. Of breath the past couple of weeks . Mostly after i exert myself in the slightest. And then my heart starts beating fast too. My chest feels like its congested like i have a cold and my throat feels like i just ate something im alergic to. Also ive been tired and dizzy and nauseous . Ive gone to the hospital and have had a chest x ray done as well as an ecg and and blood and urine tests . They all came back fine . Was told its anxiety and its all in my head . But i know what i feel. It feels like i got the wind knocked out of me and it just wont go away . Help me i have no idea what i can possibly do from here
Brief Answer:
get a clinical examination at time of symptoms
Detailed Answer:
Dear Sir
1. If the shortness of breath always comes on exertion? If it never comes at rest? If it is associated with cough/ wheeze etc?
2. If the breathlessness is definitely coming only on exertion and not on rest or there are associated symptoms, then you must take it seriously. A chest x-ray or blood tests will not pick up every thing. We normally ask our patients to undergo a clinical examination at time of symptoms. This will pick up any bronchospasm which can be transient or reversible and can be best picked up on clinical examination.
3. I would get a cardiac ultrasound (ECHO) and Pulmonary function test (PFT) in all such cases in my practice.
4. I would keep anxiety as last possibility after ruling out all organic causes.
Feel free to discuss further.
Sincerely
Sukhvinder
get a clinical examination at time of symptoms
Detailed Answer:
Dear Sir
1. If the shortness of breath always comes on exertion? If it never comes at rest? If it is associated with cough/ wheeze etc?
2. If the breathlessness is definitely coming only on exertion and not on rest or there are associated symptoms, then you must take it seriously. A chest x-ray or blood tests will not pick up every thing. We normally ask our patients to undergo a clinical examination at time of symptoms. This will pick up any bronchospasm which can be transient or reversible and can be best picked up on clinical examination.
3. I would get a cardiac ultrasound (ECHO) and Pulmonary function test (PFT) in all such cases in my practice.
4. I would keep anxiety as last possibility after ruling out all organic causes.
Feel free to discuss further.
Sincerely
Sukhvinder
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Could it be serious like a fatal thing that is causing this? And why wouldnt the hospital do these tests if these things were happening
Brief Answer:
please see details
Detailed Answer:
Dear Sir
1. The seriousness of this issue is not clearly reflected in the information we exchanged here. The clinical examination is an important part of it. Most of the decisions taken by us are based on clinical examination and circumstances. At times physician do not advise cardiac ultrasound if the clinical examination of heart /ECG/xray chest, all three are normal. Possibility of a heart disease is low in such scenarios.
2. The clinical examination at time of having symptoms is foremost thing. If supposedly a patient has episodic bronchospasm and we do not examine him at that time, we may miss it totally. Even pulmonary function tests may miss it.
3. An upset stomach with a lot of distension can give rise to breathlessness at times, however without examination at that time, it is impossible to pin point a single cause.
Hope this explains my opinion about the problem.
Feel free to discuss further.
Sincerely
Sukhvinder
please see details
Detailed Answer:
Dear Sir
1. The seriousness of this issue is not clearly reflected in the information we exchanged here. The clinical examination is an important part of it. Most of the decisions taken by us are based on clinical examination and circumstances. At times physician do not advise cardiac ultrasound if the clinical examination of heart /ECG/xray chest, all three are normal. Possibility of a heart disease is low in such scenarios.
2. The clinical examination at time of having symptoms is foremost thing. If supposedly a patient has episodic bronchospasm and we do not examine him at that time, we may miss it totally. Even pulmonary function tests may miss it.
3. An upset stomach with a lot of distension can give rise to breathlessness at times, however without examination at that time, it is impossible to pin point a single cause.
Hope this explains my opinion about the problem.
Feel free to discuss further.
Sincerely
Sukhvinder
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Yes i understand . So i could be alergic to something and just not know ? Can it happen suddenly in someones life like that? And isnit possible that this all could be anxiety as well?
Brief Answer:
please see details
Detailed Answer:
Dear Sir.
1. Yes, this may also be an allergy that will manifest only on time of exposure,
2. Yes, the allergies may happen suddenly also.
3. Anxiety can manifest like that but there are a few facts. 1. I always keep anxiety as my last possibility and first rule out the organic causes. Because missing anxiety for a few days is much less harmful than missing an organic illness. 2. Do you really have a reason to worry, be anxious or remain stressful? If yes, then this possibility can be looked into but as a second possibility.
Sincerely
Sukhvinder
please see details
Detailed Answer:
Dear Sir.
1. Yes, this may also be an allergy that will manifest only on time of exposure,
2. Yes, the allergies may happen suddenly also.
3. Anxiety can manifest like that but there are a few facts. 1. I always keep anxiety as my last possibility and first rule out the organic causes. Because missing anxiety for a few days is much less harmful than missing an organic illness. 2. Do you really have a reason to worry, be anxious or remain stressful? If yes, then this possibility can be looked into but as a second possibility.
Sincerely
Sukhvinder
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I think the shorteness of breath could be from anxiety but that doesnt explain the tight throat feeling. This looks bad to me
Brief Answer:
please consult a throat specialist.
Detailed Answer:
Dear Sir
The pic you have attached with the question shows your throat to be congested. warm saline gargles may help in such a condition.
I would recommend a consultation with your GP or Throat specialist on priority. This possibly explains tightness of your throat.
Sincerely
Sukhvinder
please consult a throat specialist.
Detailed Answer:
Dear Sir
The pic you have attached with the question shows your throat to be congested. warm saline gargles may help in such a condition.
I would recommend a consultation with your GP or Throat specialist on priority. This possibly explains tightness of your throat.
Sincerely
Sukhvinder
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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