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Asthma and hyperactivity of the accessory muscles - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Asthma and Allergy
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3632 Questions
User :   Hello,
Male, 23 years old, 185lbs. I am having what appears to be an allergic reaction, however I have not done anything out of the ordinary. My symptoms include: Swollen Throat
Swollen Lymph Nodes in Throat
Facial Swelling
Abdominal Bloating
Severe symptoms begin during physical exertion. If I lay down the symptoms subside to a manageable intensity. I was diagnosed with childhood asthma, but have not had a recurrent attack in many years. I recently made a visit to the doctor and was told my tonsils were cryptic and need to be removed. Is tonsilitis causing all of this?
Doctor :   hi
Doctor :   let me read what you have typed
User :   ok sounds good, thank you
Doctor :   tonsillectomy will help you with symptoms if related to tonsils
Doctor :   but I would recommend you to have a PFT done (pulmonary function test) to see if your asthma attack is come back
Doctor :   since your symptoms are related to physical exertion, then it is possible that it is due to asthma
Doctor :   or a variant of asthma
User :   The muscles in my neck are extrememely tense, and the facial swelling comes and goes
Doctor :   do you have any other symptoms?
User :   the swelling is not visible but I can feel it.
Doctor :   ok
Doctor :   the tense feeling in neck muscles could be due to the asthma
Doctor :   due to the hyperactivity of the accessory muscles
User :   Would a bacterial infection cause these symptoms? Or aggrevate the asthma?
Doctor :   some amount of facial bloating and congestion can be felt during the attack
Doctor :   yes, infections both viral and bacterial can aggravate the condition
User :   This doesnt quite feel like asthma, I am not gasping for air, my throat swells up.
User :   ok, any obvious signs or sypmtoms that would indicate a bacterial infection?
Doctor :   ok. the PFT test will reveal whether it is asthma or some other problem with similar symptoms
Doctor :   it can differentiate between hyperactive and obstructive airway problems
Doctor :   have you followed what I have said?
User :   yes...a few other symptoms i did not mention earlier...fatigue, severe upper back pain during my other symptoms.
Doctor :   all your symptoms are related to the use of accessory muscles for the breathing
User :   ok, I will use my inhaler. Should resolve my symptoms right?
User :   or atleast dampen them?
Doctor :   it shoul dhelp to an extent
Doctor :   but an exmaintion and investigation
Doctor :   wil be helpful
Doctor :   to see if any infection is there
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