Question: I developed breathing difficulties approx 2 years ago, which have worsened gradually.. I am coansistently told by the doctor that I am hyper ventilating due to anxiety …. wish it were so simple.

I originally felt something wasn’t moving properly when I breathed in and out, ordered chest xray which came back clear. No wheezing or any symptom like that, just that i couldn’t breathe deeply any more. Problems have persisted, getting worse with worsening pantness, shortness of breath at all times and worsening feeling of suffocation especially when lying down. I’m breathing about 40 breaths every 30 secs now, constantly like this and am exhausted with it and scared at the increasing shallowness and choking feeling. Very bad feeling of choking all the time and gurgling noises in throat now, very shallow breaths n and out. Can still swallow but feels very odd and uncomfortable. Have also had a diaphragm test this was also clear. Have now such a shallow breath in and out and permanent choking feeling, wretching sometimes which is so difficult even as so little air. I! Now having to sit with my mouth open to breathe but if I open it wide start choking. My voice has changed too over past few months and struggling to talk without choking. Please don't say anxiety as doc has said this, have tried relaxation, meficatipn, everythíngg and still worsened. Can barely breathe in or out now and very frightened, as not been taken seriously at all. The doc says if I go to urgent care they will read chest xrays are clear and say I'm anxious. He seems unable to understand I'm anxious as this has worsened so much since the onset. I feel like something is semi paralysed in my throat is this possible? I feel it need urgent treatment and don't know how to proceed. I am 44 eight stone 6 points , one metre 68 and not taking any medication. Also to addmy symptoms started after four months of bed rest following following a leg accident. I have always felt that because I was immobile such a long time this weakened my muscles but my doc dismisses this. I can barely touch my throat now and feel I'm choking when I eat, when I breathe, the doctor says I'm focussing on it all the time but tandthe choking feeling is so frightening anduncomfortable becuasethe lack of breath I caninhale or exhale is so frightening, along with choking feeling. I feel I should have been referred andinveztigatedl long before this was allowed to happen. Please can you advise as to whether some kind of throat paralysis is possible and what can be doneif anything as I am going to book a private ent appointment for tomorrow as I'm fearingimay choke soon. This is not normal shortness of breath but some constriction which has worsened considerably over time. Please can you help in any way to advise me what canbe done if this is some kind of throat paralysis? I wouldnbe panicking so much if it weren't so serious and difficult to breathe. Thank you

Ivisited the ent specialist yesterday who checked for vocal chords paralysis but is not this. I have had chest xray which was OK. Also a diaphragm ultrasound and they said there was movement . I could barely breathe in or out when I lay down and had to gasp to breathe. Someone said after this they should have done a sniff test as the ultrasound alone would not necessarily pick up if it was bilateral diaphragm paralysis.. Is this correct do you know??. I have said from the start I felt the problem originally was with my diaphragm.. Is there any way this could have been missed on a normal diaphragm ultrasound test do you know? Or would it have picked up on any issue. I'm pretty upset as the ent specialist again said I was over breathing due to anxiety and worrying unnecessarily as my oxygen saturation levels were normal. I asked him why it is then getting faster and shorter why can I barely breathe when supine, why the choking.. He just got annoyed and said anxiety. I am so upset because I now have to wait weeks for a referral to respiratory specialist..and I feel I cannot hold on this long the way thebreathing and choking is deterioriorating. I feel this an emergency now and don't know what to do as cannot seem to get diagnosis of taken seriously that I am not able to breathe, just told its anxiety and to relax. My family even say they aren't too worried as its been going on a long time and that I will be fine to wait for a couple of weeks. I feel exhausted and light headed breathing like this and fear for my life now as has gone on so long without being diagnosed. I've said all along that I felt this was anizsue with something muscular weakening, its so seriously frightening and don't know what to do as can't get appointment with respiratory specialist for two weeks now. I don't understand why I'm choking like this either if vocal folds are OK. The ent guyvsaid I should ask for a barium swallow.. What is this used for please and would it detect if there were anything wrong with my diaphragm?By the way I hadchestxray approx 6 months ago and the ultrasound two weeks ago.Also no cough, but I feel my capacity when I do cough is greatly reduced from before. No fever. Very little appetite for some months now. No chest pain though a few months after thiS started I had intense paid s cross my shoulder blades. Sleeping is very difficult due to choking sensation a d panting, takes me about three hours to go to sleep and only sleep for about six hours. I also have a permant hissing in ears too. Bp is OK and pulse is OK thyroid tests OK.