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Having chest pain due to chronic bronchitis - Online Doctor Chats

Date : 29-Nov-2013
User rating for this question
Very Good Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1555 Questions
User:need some help
Doctor:How can I help you?
User:Good Morning Dr
User:I am having Chronic bronchitis
User:Yesterday I underwent medical test
User:In that Lymphocytec is 15% ( Nor 20-35 ) and Monocytes is 1% ( nor 2 - 8 )
User:I have having chest pain
User:Is the test normal
User:Yesterday My BP was 130/80
Doctor:The reports that you mentioned are differential counts - percentage of the total WBC count.
User:WBC IS 8100
Doctor:Further most often the differential counts improve or decline with time.
Doctor:Therefore if you do not have any clinical symptoms of infection
Doctor:I wouldn
Doctor:*wouldn't be very worried with the lower lymphocyte percentage.
User:Dr ( Chest Physc) has called me today also
Doctor:Do you smoke?
User:Average 1 cgr per day
User:And 180ml Rum per week
Doctor:Do you suffer from frequent allergies?
User:No allergies till now
User:I am suffering from Chest Pain for last 8 mths
User:Shooting pain
Doctor:Your chest physician most likely called you today to explain about chronic bronchitis.
Doctor:As such this is a condition which will need regular follow ups with pulmonologist.
Doctor:I do not find any association with lower lymphocytes and monocytes with chronic bronchitis.
User:Shall I go for lung test
Doctor:Lung function test is a decision taken after clinical examination of chest.
User:Till now no dr is able to detect the cause of chest pain
Doctor:I will not order this test based on low lymphocyte count.
User:I have done all the required test
User:2D echo, chest xray,stress test
Doctor:I would be able to help you, if you can explain the chest pain to me.
Doctor:Where exactly is this pain?
User:Its from the deep inside the heart and not on the upper
User:Feels pain while breathing is the pain starts
User:But Its not regular
User:May be after 1 week or after stress work
User:Breathing problem while going up hill
Doctor:For how long does the pain last?
User:It last for 1 or 2 days
User:Sometimes more
Doctor:Is it a constant pain which is present when you sleep?
Doctor:Do you feel nausea and vomiting with the pain?
User:For last 3 days there is mild shooting pain which has not yet stopped
User:I am not able to breath properly if I sleep on Flat surface
User:No vomiting with the pain
User:I do not notice the pain while sleeping
Doctor:You mentioned it is a shooting pain. Since you said it starts in the centre may I know if it radiates / shoots to the back or hands?
User:When the pain starts I also feel the back pain
Doctor:Is the pain related to food intake?
User:I have visited the gastroentrologist
User:And gone through endoscopic test
Doctor:May I know what was the gastroenterologist opinion? It is essential that we exclude reflux esophagitis and gastritis.
User:But the result was normal he gave me only 1 tab which was PAN -D
Doctor:For how long did you take this medicine?
User:For last 1 mths and then stopped it as the pain of the chest has not gone
User:Shall I tell you the present tab details
Doctor:Let me brief you before I review your medications.
Doctor:The chest pain that you describe, doesn't clearly fit into any one organic medical problem.
Doctor:Two close possibilities are - either a reflux esophagitis or a lung related issue.
User:Drego , Nucarntic Homo -16 , bigbro
Doctor:Since you have been diagnosed by chronic bronchitis, it may be causing the chest pain.
Doctor:In all possibilities, this chest pain is not related to low lymphocyte count.
User:Which type of lung test should I go
Doctor:I would suggest you to visit pulmonologist on the fixed appointment date.
Doctor:He/she can examine your lung and order for lung function test
Doctor:and HRCT (if not done yet)
Doctor:to confirm bronchitis.
User:Thanks Dr
Doctor:Treatment can be determined based on the report.
Doctor:I hope you find answers to your questions after the pulmonologist visit.
Doctor:Do you have any questions?
User:No Thanks
User:Good Day
Doctor:Thanks for consulting me.
Doctor:Bye for now
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