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What Causes Chest Discomfort, Breathing Difficulty And Sleeplessness While Having Dengue?

Posted on Mon, 21 Aug 2017

Question: Hello Doctor,

I got dengue a month back and after that i am not feeling well at all. I have the below symptoms :

1) uncomfortable in chest
2) Breathing problem. specifically night time. not much cough.
3) Not getting proper sleep at night.

I took deriphyllin retard 150 tablet for 7 days and now again i am taking citiriine tablet but i am not able find any cure. I took nebulization for a day.i feel this is a allergy.

Could you please advise me on the same.

Answered by Dr. Drkaushal85 (46 minutes later)

Brief Answer:
Better to rule out bronchitis

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
In my opinion, we should rule out bronchitis in your case.
So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).
PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only.
You may need inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).
Don't worry, you will be alright with all these.
If chest x ray is not done in recent past then it is also indicated.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Drkaushal85 (25 minutes later)

Hello Doctor,

Thank you for the advise. I feel i will get done PFT today and will provide you the report. I feel based on that result can visit Pulmonologist? Recently 1 month back chest X ray done and the report is clean.

Your advise is appreciable.

Answered by Dr. Drkaushal85 (2 hours later)

Brief Answer:
No need for chest x ray now.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
No need for chest x ray now.
Yes, you should definitely get done PFT.
And I will be glad to receive your PFT report. I will guide you further after seeing your PFT report.
I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Drkaushal85 (1 hour later)

Hello Doctor,

Thank you very much for the response. I have attached my PFT report. Please let me know if there is any problem in my PFT report and advise if there is any medication or investigation i need to.

Appreciate your advise.

Regards,
XXXX XXXXXXX

Answered by Dr. Drkaushal85 (5 minutes later)

Brief Answer:
Your PFT report is normal.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
I have gone through the PFT report you have attached.
It is normal.
No need to worry for bronchitis.
Please let me know
1. Do you smoke?
2. Where do you work?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Drkaushal85 (17 minutes later)

Thank you for the quick reply. No, doctor i dont smoke and i work for deloitte. But, i am not sure why i am getting breathing problem still sprcifically at night.

Answered by Dr. Drkaushal85 (27 minutes later)

Brief Answer:
Do you have perspiration or chest pain at night?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Night time breathlessness is also seen in cardiac disease.
Dengue can cause myocarditis (inflammation of heart muscles).
So please let me know
1. Do you have chest pain or perspiration along with breathlessness at night?
2. Do you have severe dengue illness? I mean were you hospitalized for dengue?
3. Do you have sero positive dengue?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Drkaushal85 (21 minutes later)

Hello Doctor.

1) Night time i am not getting any chest pain. but, night time total uncomfortable in chest will be there along with wheezing sound.
2) Yes, Dengue serology test showed positive and i admitted to hospital for 3 days.

Regards,
XXXX XXXXXXX

Answered by Dr. Drkaushal85 (19 minutes later)

Brief Answer:
Start combination of montelukast and levocetrizine at night time.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Wheezing with breathlessness at night is more suggestive of allergic etiology.
In my opinion, you should start combination of antihistamine (levocetrizine or fexofenadine) and anti allergic (montelukast) once a day at night before going sleep.
Also take Levosalbutamol (levolin) inhaler at night before going to sleep.
I don't know which thing is causing allergy but your symptoms are definitely due to allergy.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Drkaushal85 (12 minutes later)

Thank you Doctor for your kind advise.

Answered by Dr. Drkaushal85 (26 minutes later)

Brief Answer:
If you are not having further queries, then please close the conversation.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
It's always encouraging for doctors to hear positive feedback from patients.
I am glad that my advice is helping you.
Hope I have solved your query. If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Nagamani Ng