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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Shortness Of Breath, Diaphragm Feels Tight And Restricted After Waking Up. Any Ideas?

Hi. I am a 38 year old mother of six. I have had five c-sections. I am having a big problem with shortness of breath that I know comes from the diaphram area, not chest. It will feel very tight and restricted, especially when I first rise in the morning, I noticed that eating actually helps for whatever reason. I have lost about 21 pounds so far. I have alot of back pain and tightness with it. It is very tiring as I have to pull really hard sometimes to get a deep breath. Can you please give me any ideas as to what this is. I had a upper endoscopy already many times, although stomach is good I have a problem with my cricopharyngeal muscle and my esophagus gets streched once in awihle by by gastro dr. Also, if I have to walk any amount of time it is much worse.. I also notice bloating with it. Thank you. (I have also had echos done of the heart.
Sat, 28 Sep 2013
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Pulmonologist 's  Response
You have got evaluated for your heart and the echo seems normal.
Also you have got your endoscopy done and it rules out any ulcer disease.
The symptoms that you are describing can be a lot of times because of some nerve injury that must have taken place during the c section and hence now causing restricted diaphragm function.
Another thing that i feel you can have as you have back pain and restricted movements in the morning can be an ankylosing spondylitis.
Get a xray spine and a usg of the abdomen to look for diaphragm movements and then see a physician
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Shortness Of Breath, Diaphragm Feels Tight And Restricted After Waking Up. Any Ideas?

You have got evaluated for your heart and the echo seems normal. Also you have got your endoscopy done and it rules out any ulcer disease. The symptoms that you are describing can be a lot of times because of some nerve injury that must have taken place during the c section and hence now causing restricted diaphragm function. Another thing that i feel you can have as you have back pain and restricted movements in the morning can be an ankylosing spondylitis. Get a xray spine and a usg of the abdomen to look for diaphragm movements and then see a physician