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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Asthma, Anxiety, Smoker. Pain In Neck, Chest Tightness, Sore Legs, Weakness

I am 17, smoke almost every day since I was 16. I have asthma , and anxiety. Stopped smoking off and on for about 3 months now. I have noticed a pain in the lower left side of my neck only when I move my head down for about 2 to 3 weeks now (could be a strained muscle). This morning my chest was really tight and was hard to breath, I did my inhaler but it has been acting up off and on all day. Also my body feels really weak (especially in the legs). My legs have been very sore and weak for the last two days and I really haven t done much exercise so I am not sure what it is from, and it has gotten worse today. These all could be nothing but my anxiety of course makes me jump to conclusions ( lung cancer , emphysema, etc...)
Fri, 26 Oct 2012
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Pulmonologist 's  Response
Hi
Thanks for your query
Its very unusual to have lung cancer or emphysema only after 1 year of smoking exposure.
I think you have lost your asthma control after smoking.
Smoking affects asthma in the following way -
1. it is common trigger factor for asthma
2. it makes your asthma control difficult
3. it makes your respiratory tract refractory to main asthma medication like inhaled corticosteroid
4. it increases the chance of asthma exacerbation
So it will be better if you immediately quit smoking.
You should have a chest x-ray PA view also.
You should consult your pulmonologist and get yourself examined. Smoking supplements if needed needs to be introduced. Asthma therapy may be stepped up to regain asthma control.
Thank you.
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Asthma, Anxiety, Smoker. Pain In Neck, Chest Tightness, Sore Legs, Weakness

Hi Thanks for your query Its very unusual to have lung cancer or emphysema only after 1 year of smoking exposure. I think you have lost your asthma control after smoking. Smoking affects asthma in the following way - 1. it is common trigger factor for asthma 2. it makes your asthma control difficult 3. it makes your respiratory tract refractory to main asthma medication like inhaled corticosteroid 4. it increases the chance of asthma exacerbation So it will be better if you immediately quit smoking. You should have a chest x-ray PA view also. You should consult your pulmonologist and get yourself examined. Smoking supplements if needed needs to be introduced. Asthma therapy may be stepped up to regain asthma control. Thank you.