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Suggest Treatment For Chronic Shortness Of Breath, Cough, Chest Pain, Tightness And Pain Through My Body

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Posted on Thu, 15 Feb 2024
Question: I have chronic shortness of breath, cough, chest pain, tightness and pain through my body so bad I can't walk and have great difficulty with daily activities for one year. I have had disability for years and I have never been in a situation like this before. I have been to many specialists and had ct xrays and blood done. Only a few nutritional deficiencies showed up and rib brakes from cough. History of allergies since I was a baby, I only have a few foods left in my diet now due to increased sensitivities, lupus for 18 years. Do I continue to seek help or do I try to take care of all of this on my own? I am told I need to see doctors and then when I do they are of little help. I am only trying to feel better from all of this. I am not trying to upset anyone.
doctor
Answered by Dr. Drkaushal85 (3 hours later)
Brief Answer:
Get done PFT and CT thorax.

Detailed Answer:

Hi,

I can understand your concern.
In my opinion, you should definitely consult pulmonologist and get done
1. CT thorax
2. PFT (Pulmonary Function Test).
Since you are suffering from lupus, lung involvement can be seen in the form of restrictive or obstructive lung diseases.
So CT thorax and PFT are must for the diagnosis.
You may need inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone) based on the reports.
Please let me know
1. Have you ever undergone CT thorax or PFT?
2. Have you ever consulted pulmonologist?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Drkaushal85 (1 hour later)
Thanks for your reply. I had a ct of the chest done (does that include thorax?) that showed a few small nodules and a couple of rib brakes. The CT report was pretty long and detailed.
I had previously had several findings on xrays but I guess the CT didn't reflect that.

I have had PFT's done with and without albuterol and they both show basically the same thing, mild restriction. Medicine was not helpful for symptoms and it didn't improve test results either. I have seen several pulmonologists. One said that if lupus were affecting lungs, it would show up on a ct scan of the chest which I had. He mentioned asthma and I have a history of reactive airway/ bronchospasm but inhalers have not been proven to be helpful.
Just unsure what to do with all of this from here. I have chronic chest pains too and pain all over now so bad it interferes with walking, I can't walk but a short distance without terrific effort, and tightness. Without a whole lot showing up it leaves me not knowing how best to try to help myself. Should I still see a pulmonologist or a rheumatologist? Or do I chalk it up to allergies and bronchospasm? I just don't know anymore but whatever it is it is most debilitating.
Thanks for your reply.
doctor
Answered by Dr. Drkaushal85 (4 hours later)
Brief Answer:
I think you should definitely start inhaled treatment.

Detailed Answer:

Hi,

I can understand your concern.
In my opinion, your symptoms are due to bronchospasm and reactive Airway disease.
So you should definitely start inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).
Along with this, you should also try anxiolytic drugs like propranolol or flunarizine. This is to relieve underlying stress and anxiety because this can also cause chest tightness.
You should also take combination of pantoprazole and levosulperide on empty stomach because gastritis can also worsen chest tightness and breathing difficulty.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Kampana
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Answered by
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Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 15005 Questions

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Suggest Treatment For Chronic Shortness Of Breath, Cough, Chest Pain, Tightness And Pain Through My Body

Brief Answer: Get done PFT and CT thorax. Detailed Answer: Hi, I can understand your concern. In my opinion, you should definitely consult pulmonologist and get done 1. CT thorax 2. PFT (Pulmonary Function Test). Since you are suffering from lupus, lung involvement can be seen in the form of restrictive or obstructive lung diseases. So CT thorax and PFT are must for the diagnosis. You may need inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone) based on the reports. Please let me know 1. Have you ever undergone CT thorax or PFT? 2. Have you ever consulted pulmonologist? Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.