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What Causes Shortness Of Breath, Chest Pain And Heart Palpitations?

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Posted on Sat, 14 Jun 2014
Question: Hi, I have been unwell for weeks now. Shortness of breath, chest pain, heart palpitations, dizziness, fatigue. I have had my heart checked out and am told it's fine. I do have Asthma, could it be this?
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Answered by Dr. Hardik Thakker (3 hours later)
Brief Answer:
COPD, pulmonary function test

Detailed Answer:
Dear XXXXXX,

Greetings from health care magic!!! I am Dr Thakker and shall be answering your question.

I can understand your concern for your health. I will try my best to help you out with this.

Given your symptoms I would put forth the following differentials:

Acute panic attack

Cardiac arrhythmia

Myocardial infarction

Respiratory bronchiolitis

Pneumonia

COPD

Heart failure.

I would like to know the following details:

Duration of breathlessness?

Any wheezing sound heard on breathing?

Any leg swelling?

Restriction in daily activites due to breathlessness?

I would recommend you to have an ECG, X-ray chest and pulmonary function test to rule out the cause. Also asthma is very unlikely to start at 48 yrs of age. Usually it is COPD. Adult onset asthma rarely starts at 48 yrs of age. Pulmonary function test will help us to rule this out.



I hope this helps you out. If you have any more questions, please do not hesitate to write back to me.

Yours sincerely,
Dr Thakker.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Hardik Thakker

Internal Medicine Specialist

Practicing since :2006

Answered : 161 Questions

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What Causes Shortness Of Breath, Chest Pain And Heart Palpitations?

Brief Answer: COPD, pulmonary function test Detailed Answer: Dear XXXXXX, Greetings from health care magic!!! I am Dr Thakker and shall be answering your question. I can understand your concern for your health. I will try my best to help you out with this. Given your symptoms I would put forth the following differentials: Acute panic attack Cardiac arrhythmia Myocardial infarction Respiratory bronchiolitis Pneumonia COPD Heart failure. I would like to know the following details: Duration of breathlessness? Any wheezing sound heard on breathing? Any leg swelling? Restriction in daily activites due to breathlessness? I would recommend you to have an ECG, X-ray chest and pulmonary function test to rule out the cause. Also asthma is very unlikely to start at 48 yrs of age. Usually it is COPD. Adult onset asthma rarely starts at 48 yrs of age. Pulmonary function test will help us to rule this out. I hope this helps you out. If you have any more questions, please do not hesitate to write back to me. Yours sincerely, Dr Thakker.