Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

158 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Diagnosed with walking pneumonia. Having cough, heart burn and pain in chest. What could this be?

Answered by
Dr.
Dr. Divya Kuttikrishnan

General & Family Physician

Practicing since :2000

Answered : 969 Questions

default
Posted on Mon, 24 Dec 2012 in Lung and Chest disorders
Question: Diagnosed with walking pneumonia in October. Had a persistent cough when exercising about 8 weeks leading up to the pneumonia. Have had on and off pain in my left lung that is exacerbated by lying down for a couple of years now, much worse after the pneumonia. Now when I lie down, I start to cough, pain in back is worse, standing up makes it better, but I don't feel right. Also, I am very tired, I feel full a lot (haven't eaten breakfast in months and will often skip lunch). I fall asleep on the couch after work and wake up feeling my pulse is forceful and I feel weird (groggy). Family history, high BP on mom's side, type II diabetes (late onset on my Dad's side), Graves disease (my Dad). I'm a 28 year old male, 6'5" ~200 lbs and in average shape. I can still bike and do activities, better than a lot of other people, I just don't feel right though. I also get bouts of heart burn that have me salivating a lot at night. They will come for a week or two and then disappear for a few months.
Forgot to mention, when my cough is bad and my left back (around the lung is hurting) I often get numb lips. When I am fatigued after work, I often wake up with pins and needles in my legs and feet (unilateral or bilateral) that goes away after walking around.

What could this be? I want to say the residuals of the pneumonia, but the back pain around my left lung was around long before and the fatigue has been bothering me for some time. It feels like the pneumonia was secondary to something else. I've read anything from heart failure (unlikely for my age I would think), to GERD, to muscular problems.
doctor
Answered by Dr. Divya Kuttikrishnan 5 hours later
Hi there,

Thanks for writing in.

I would think more in terms of GERD or gastritis in view of your symptoms like pain, persistent cough at night,heartburn and excessive salivation at night.

Please do get the following investigations like Hemoglobin, Vit B12 levels, Thyroid function tests, Blood sugar levels both fasting and post prandial sugars to rule out anaemia, vit B12 defeciency, Thyroid disorders, and Diabetes respectively. The numbness and tingling might be due to one of the above.

Try to follow the below mentioned measures:

1. Drink lukewarm water at regular intervals( at least 8-10 glasses per day).
2. Regular exercise 30 minutes a day 5 days a week .
3. Have well balanced meals. By trial and error method avoid foods that make your symptom worse.
4. Avoid spicy, oily, XXXXXXX fried food.
5. Avoid tea, coffee, carbonated beverages, smoking and alcohol.
6. Instead of having 3 large meals a day, have frequent small quantity meals (5- 6 times) a day.
7. Avoid lying down immediately after a meal. It tends to make symptoms worse. Wait for at least 2 hours after a meal before lying down.
8. While lying down make sure the head is kept elevated on a pillow/ head end of the bed is slightly raised.
9. Avoid heavy exercise immediately after a meal. Again, wait for 2 hours after a meal and then exercise.
10. Do not skip breakfast. Ensure regular meal times.
11. You might get symptomatic relief with proton pump inhibitors like pantoprazole. Do consult your physician /gastroenterologist regarding the same.

Hope you feel better soon.

Have a great day :)

Regards,
Dr. Divya Kuttikrishnan


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,   ,   ,   ,  
Medical Topics

Recent questions on  Thyroid

doctor1 MD

Hi I have been tested negative for thyroid & liver problems & arthritis. However I am unwell at least for sometime every day and have the following symptoms. Slight arrythmia, heat intolerance, even when it isn t hot at all I can heat up a lot, when i drink even cold drinks I heat up. Breathlessness, anxiety, irritability, fatigue, trembling hands, muscle weakness, depression, concentration difficulties, even when I eat a lot I don t put on weight. I have difficulty getting back to sleep when I wake up at night, pains/aches in joints and hands, mood swings, forgetfullness, body odour problems. When I twist the upper part of my body, where my thyroid is it feels like something is grinding and it blocks my airways a bit making it difficult to breathe. I take no medications apart from a ventolin inhaler. I have been diagnosed with adhd, tourette syndrome & depression. It really appears to me to be a thyroid problem but the tests have always been negative

doctor1 MD

Really getting scared lately but also been under alot of stress....Outside of my throat hurts (aches more really) all the way down from under my chin to bottom of my neck. Today, my ears completely stopped up so that I hear feedback in them similar to a cell phone. It is like a 3 second delay on words before I actually hear them. I m not dizzy or sick in anyway...what should I do? I am 53 year old woman / smoker / 5 5 / 180 lbs - 1/2 Sister has had Thyroid cancer

doctor1 MD

I have been lightheaded for 3 months. 40 yr old female. Very healthy. Experienced nausea, weight loss, fatigue and diarrhea for the first 2 months. Now the lightheadedness comes in waves. Any ideas? All tests have come back normal. Brain MRI, vng tests, thyroid, eye exam, hormones, blood tests etc

doctor1 MD

I recently had the left portion of my thyroid removed due to an enlarged nodule. Since the surgery (7 days ago) i have been feeling very jittery. I have been unable to sleep for the past few nights. There was no evidence of hyper or hypo thyroid prior to the surgery. I am not on any thyroid medications. I take Celexa 40 mg once/day, daily vitamin and calcium supplement. Is this normal after this type of surgery?

doctor1 MD

my child is 21 months old and suffeing from constipation from long term. pedistrician told to use some laxatives from 10days as situation got worse ,but still no luck.we did use the back medicine for m otion after 4days while using laxatives. she...

doctor1 MD

My father undergone Electrical cardioversion treatment due to having severe Atrial Fibrilation (AF). Needless to say the treatment did not work after 4 attempts and they have prescribed him various medications to control the rate of the heart. We...

doctor1 MD

I'm a 69 year old female and I'm still getting hot flashes. Doctors say it's something like my internal thermostat is not working. Doesn't sound very specific, does it? A few days ago a hot flash came on and this time the cold sweat was...