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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Shortness Of Breath, Chest Tightness And Dizziness?

Hi I am 25 and I recently have hit a really busy time in my life. I m not sure if I m having anxiety or heart problems but I have shortness of breath, tightness in chest, dizziness when sitting and I cough for no reason every once in a great while. Although I do have insurance I don t want to go in and have a Doc tell me, oh it is just anxiety. Also, a couple of nights ago I felt like I couldn t breathe when I was in bed and it felt like bubbles were blocking my air way trying to breathe. However, once I stood up and then laid back down it went away and I could breathe fine. Recently my right harm has been in pain when every I move it. The when I message the lymph not between my collar bone and arms it helps. Is this all dealing with anxiety or what? Please help, Thank you.
Thu, 29 Jan 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
I can understand your situation and problem.
Since you are young (25), possibility of cardiac cause is very less. But better to rule out this first. So get done ECG to rule out cardiac cause. If ECG is normal than no need to worry much for cardiac cause.
Asthma can also cause similar symptoms. So consult pulmonologist and get done PFT (pulmonary function test) to rule out asthma.
If both are normal than no need to worry for any major illness. Your symptoms are mostly due to anxiety only.
So avoid stress and tension.
Be relax and calm.
Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it.
Don't worry, you will be alright.
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What Causes Shortness Of Breath, Chest Tightness And Dizziness?

Thanks for your question on HCM. I can understand your situation and problem. Since you are young (25), possibility of cardiac cause is very less. But better to rule out this first. So get done ECG to rule out cardiac cause. If ECG is normal than no need to worry much for cardiac cause. Asthma can also cause similar symptoms. So consult pulmonologist and get done PFT (pulmonary function test) to rule out asthma. If both are normal than no need to worry for any major illness. Your symptoms are mostly due to anxiety only. So avoid stress and tension. Be relax and calm. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it. Don t worry, you will be alright.