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Causes for shortness of breath and phlegm in throat - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2584 Questions
Doctor :   Hello.
Doctor :   How can i help you?
User :   As I have already said, I have some shortness of breath and constant throat phlegm. After many doctor visits, tests and treatments, no solution has been found. I suspect that the two problems are related.
Doctor :   Since when are you having these symptoms?
User :   Shortness of breath, about two years. Phlegm, one year.
Doctor :   Have you done any investigations/ tests?
User :   Breath rests are slightly below normal. I have also undergone allergy tests and an endoscopy, all of which revealed nothing.
Doctor :   Ok.
Doctor :   Is this breathing problem present constantly? or is it on and off?
User :   On and off.
Doctor :   How often do you get it?
User :   When I exert myself, walk up a long flight of stairs. So it's probably more on than off It's strange though: the problem doesn't exist when I exercise daily on a device which mimics cross-country skiing.
Doctor :   Ok.
Doctor :   Give me you age, height and weight?
User :   74, 6 ft., between 2l0 and 2l5
Doctor :   Ok.
Doctor :   Did you get your heart checked?
User :   Never had a heart problem, no family history. I see a cardiologist twice a year.
Doctor :   Ok.
Doctor :   How often do you get phlegm? describe it color, quantity, consistency, etc?
User :   Phlegm is constant, making my voice raspy. I swallow it, so I don't know color. I get more of it when I eat a large meal.
Doctor :   Ok.
Doctor :   Next time look for the color, and amount per day.
Doctor :   Are you on any medications?
User :   Everything prescribed for the problems, including nasal sprays, inhalers and various pills have not succeeded. I take meds for hypertension, hypothyroidism, arthritis and an enlarged prostate.
Doctor :   Ok.
Doctor :   How did the shortness of breath start? sudden or gradual?
User :   Must have been gradual. I was seeing a doctor for something else and was informed about the breathing. Never had been aware of it.
Doctor :   Ok.
Doctor :   About the phlegm?
User :   The phlegm was gradual, too. I experienced it at first after big meals. It built up from there.
Doctor :   Ok.
Doctor :   Phlegm after large meal, probably due inadequate water in take during the meals
Doctor :   Did the doctor say any thing about COPD?
User :   The pulmonary clinic doc told me there was nothing more he could do, so I guess he ruled out COPD
Doctor :   Ok.
Doctor :   How about the allergists? did they come to any conclusion?
User :   No allergies
Doctor :   Ok.
Doctor :   Did any of the medication prescribed to you, show any improvement in your condition?
User :   No. In fact, some of the meds disagreed with me. One more thing: I am very sensitive to chemical and cosmetic odors and humidity.
Doctor :   Ok.
Doctor :   Probably that could be the reason for your condition.
Doctor :   when did you last meet the allergist ?
User :   Two months ago
Doctor :   Ok.
Doctor :   When did you last visit the pulmonary clinic?
User :   Two weeks ago
Doctor :   Ok.
Doctor :   how about your BP? is it under control?
User :   As far as I know. It will be checked shortly by the heart doc
Doctor :   Do you measure it regularly?
User :   No
Doctor :   You have to measure your BP regularly.
Doctor :   Do you have any past history of diabetes?
User :   That would be ideal, but it means either spending money on office visits or relying on home meters, which I have tried and found unreliable. But yes, I know it would be medically correct to do it regardless of the cost.
User :   No diabetes
Doctor :   try to
get a home meter, so you can measure it on daily basis.
Doctor :   How about
hypothyroidism ? is it under control?
User :   Yes.
Doctor :   Ok.
Doctor :   About the enlarged prostate?
Doctor :   Since when are you having it?
User :   Yes. Have had it for years. Dealing with its effects is part of my lifestyle.
Doctor :   Ok.
Doctor :   When was the last time you checked it?
User :   I've had annual appointments at a urology clinic for years. Next one's in October.
Doctor :   Ok.
Doctor :   Now, things we have to rule out is your BP control.
Doctor :   Once you have sure that BP in under control.
Doctor :   'are
Doctor :   we can look at other options.
Doctor :   As of now nothing can be said a 'the' cause for your condition.
User :   Is the chat over?
Doctor :   No.
Doctor :   Do you have any other query?
User :   No
User :   Well, then, thanks for your input
Doctor :   Bye for now.
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