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

150 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.

Get rapid heartbeat in the morning. Should I be worried?

Answered by
Dr.
Dr. Nsah Bernard

General & Family Physician

Practicing since :2012

Answered : 1704 Questions

default
Posted on Mon, 4 Feb 2013 in Hypertension and Heart Disease
Question: I have a rattly chest in the morning and I am worried, I haven't smoked since 1999 but it feels like a smokers cough, but it goes by midday
doctor
Answered by Dr. Nsah Bernard 2 hours later
Hi,

Thanks for writing to us.

Your presentation shows that you are having a chest affliction and with your description and past medical history could be due to different causes. I would have loved to get the following information at hand. Duration of smoking before stopping and number of cigarettes daily ( could be a risk factor), how long have you been having a rattly chest? Any fever, obvious weight loss, hemoptysis (coughing with blood), chest pain?
It is possible that you are suffering from an acute on chronic asthmatic cough. You will need to visit a doctor or pneumologist for a proper evaluation. Other possibilities for your chest affliction could be bronchitis. Lung cancer would be a distant possibility but we would need to evaluate it in more detail once I have these answers.

Please do provide the answers to the questions asked and let me know if you have more questions.

Waiting for your reply.

Hope this helps

Dr Nsah


Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
default
Follow up: Dr. Nsah Bernard 51 minutes later
Smoked since i was 14 1984 til 1999 20 a day for the last 10 years of that but i gave up smoking and have for 13 years, only now has the cough started about 3 weeks ago no fever no chest pain, no blood, i have a pain below my right rib feels like a bruise maybe muscle pain hurts when i cough.
I only get this cough in the morning.
doctor
Answered by Dr. Nsah Bernard 45 minutes later
Hi.
Thanks for the details.
With your smoking history there is increased chances of lung cancer even though you stopped years ago. However, your other symptoms dont match up. But for now, I think you are having acute bronchitis but a doctor will need to eliminate asthmatic cough, tuberculosis, emphysema and lung cancer. A chest x-ray and/or Chest CT scan, sputum exams ( Acid fast bacilli) and laboratory test would be needed. In either case, you will need to see a pneumologist as soon as possible as soon are having an obvious respiratory affliction.

Best regards
Dr Nsah



Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
premium_optimized

The User accepted the expert's answer

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

Recent questions on  Tuberculosis

doctor1 MD

Do I need a urologist or a nephrologist for treatment of renal tuberculosis? I live in Texas and I'm having trouble locating a physician in this speciality. All the physicians that I've called have not treated anyone with this. Would you please give me names/locations of a physician/s in Texas that has or had experience with renal TB?

Thank You, Judy

doctor1 MD

my self having lymphonite on right side of neck diagonsed with tb on att from last 52 days plus streptomycin 1 mg Fnac done twice to check senstivity now advised surgery as lymphonite is red in colour and its swelling what and from where to get it done

doctor1 MD

Sir, My mother is having tuberculosis and is on ATT for last 3 months. SHe took PZA for 2 months and she just stopped ethanbutol 2 days ago after taking it for 3 months. She continues taking R Cinex empty stomach. Well, she had mild fever in evenings since 2 months from correct diagnosis (mar end) and was diagnosed of TB on May 17. She had false cross results fr widal and hence was on Toxim O for 2 weeks and them changed medicine for another 2 weeks in April before we got alrmed that fever of grade 99+ still persists withs ame pattern. Post her plueral effusion on May 17, her fever subsided for 2 days and tehn rose to persistent 100- (99.6-99.8) and with ATT came back to her previous igures of 99+ (99.1-99.3). It has happened for last two weeks that her fever went away sometimes but it returns now rarely crosses 99.5. I must say fever has broken its stuborn pattern but still after 3 months of medicine, she has not out of it completely. Question: 1. Is this normal ? Add info: Her ECR was 60+ at teh tiem of diagnosis which ahs dropped to (5-6) . Her recent chest X-ray is normal.She did stop enthanbutol as advised by her doc last month and we are due next visit next week. 2. She had border line Fasting suger which have raised to 117. Is thsi side-effect fo R Cnex? As she mistakenly got tested for fasting after she took R Cnex assuming it has no effect and her sugar came out to be 135 and PP at 138. I repated the test as the range was too less, it was 117 next day comapred to 111 prior to having TB.

doctor1 MD

My mom is about 70 yrs. since past 3 - 4 years occasionally blood used to come from her mouth. Recently she consulted a doctor who advised x-ray, blood test etc. After diagnostics doctors say it is NOT a TB symptom. But doc does not say why blood comes from mouth. Doc says some abnormality in stomach as old cough is accumulated. We are not clear in understanding. What should we do?

doctor1 MD

Hi, Initially I had some right sided chest pain which I suspected was related to GERD and wanted to investigate further without doing a gastroscopy. I was advised for a CT and the report result reads: There is a cluster of ill-defined nodules in...

doctor1 MD

I am having cough and cold since many days. The cough has subsided a bit now, but since past 3 days the snot from one of the nasals is mixed with blood. The other nostril snot is pale yellow colour and normal. Is there cause to be concerned or it...

doctor1 MD

Why would a doctor change a prescription from Xifaxin to Rifampin when it was prescribed for hapatic liver desease. Rifampin shows it can cause liver desease. We waant to help it not cause more!