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What Causes Breathing Difficulty, Chest Pain And Nausea?

Posted on Thu, 9 Jun 2016

Question: Hi last night i wake up with difficulty to breath and still that pain in my chest and nausea...is there still a chance to have a heart problem despit all the exams i have done like EKG, EKG stress test, Echo, Holter? i was feeling better and this last days my symptoms getting worse, please tell me if there is any chances to have heat problem even if all that exams clear.Thanks

Answered by Dr. Deepak (37 minutes later)

Brief Answer:
No chance if tests are normal.

Detailed Answer:
Hello.
Welcome to HCM.
Thank you for the query.
I have gone through your query and understand your concern.

If all the tests you have got have come back normal then there very almost nil chances of cardiac problem. Kindly do not worry about your heart as it is perfectly normal.
I have also gone through your other posts where you have mentioned that you are a smoker. I would strongly recommend to quit smoking.
Even lung pathology can also cause similar symptoms. I have also noted that your symptoms are not relieved by Antacids like Omeprazole. This rules out gastric pathology like GERD.
I would recommend you to consult your Pulmonologist and get detailed examination and investigations like PFT, chest X ray to rule out any lung pathology. A Pulmonary CT was also advised in one of previous answer.

Your problems are mostly due to Lung pathology and NOT cardiac pathology.
Kindly get it done ASAP.

Hope this helps.
Take care, Bye.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Deepak (19 minutes later)

Hi,

What kind of pulmonary patholgy i could have? i have done X ray of my lungs recently and they found just a small atelectasis on my left lobe.

Answered by Dr. Deepak (5 minutes later)

Brief Answer:
Pneumonia, Inflammatory lung disease.

Detailed Answer:
Hi.
Welcome back.
Thank you for the follow up query.

Atelectasis means partial or complete collapse of lung lobes.
Based on your symptoms and Xray report I would think of Pneumonia or any other Inflammatory( Fibrotic) lung diseases.
This completely rules out any cardiac disease. You can stop worrying about heart and focus on next line management of lung disease.

I would proceed with PFT(Pulmonary function test), Blood tests culture and sensitivity.

Hope this will help you.
Regards.

Above answer was peer-reviewed by : Dr. Deepak

Follow up: Dr. Deepak (23 minutes later)

My last question is doctor found the atelectasis which was small so how they cannot see if i had a pneumonia, do i really need to do this exams?The doctor dont seem to be worry and say lot of people canhave atelectasis...about my stress and always worry condition what medicine could you recommend me?what sport also at what intensity?i really want to feel better and not worry about anything, just accept my life and dont focus on symptoms...if you say me my heart is 100 percent safe then its make me feel better, now about my lungs i will check again.Thanks

Answered by Dr. Deepak (11 minutes later)

Brief Answer:
Get PFT. Heart is fine.

Detailed Answer:
Hi.
Welcome back again.
I understand your confusion.

Minor degree of Atelectasis need not be a big issue as your doctors have opined. But you are still having all these symptoms. This mandates further line of investigations as I have mentioned previously. I would suggest you to get another pulmonologist's opinion in this regard.

About your heart I will again reassure you that nothing is wrong with your heart.
Kindly stop worrying about it. This is the main reason for anxiety. Anxiety further makes you think about all these unnecessary things.

I believe Diazepam has been advised for anxiety. You do not need any other medicines. No medicines will help you if you keep on worrying about heart.

Lastly I would suggest you to start doing cardio exercises like cycling, tredmill, jogging. All these physical activity will increase cardio pulmonary reserve capacity which can help in minimising all of your symptoms.

Regards.

Above answer was peer-reviewed by : Dr. Deepak

Follow up: Dr. Deepak (7 minutes later)

Thanks doctor for your replies, yes i will try to relax and dont think about it, i suffer from that anxiety since couple of panic attack months ago and since that time always worry about my heart condition and nothing can help me even i have done test...and as soon as i have symptoms like palpitations or extrasystole its come back...last night i have wake up around 5 am with chest pain and difficulty to breath i was worry, but maybe just come from air con or something like this i dont know but try to feel better...

Answered by Dr. Deepak (6 minutes later)

Brief Answer:
Wish you all the best.

Detailed Answer:
Hi.

I'm glad I could help you.
Get all pulmonary tests done. I'm quite sure you will find some remedy.

Regards.

Above answer was peer-reviewed by : Dr. Deepak

Follow up: Dr. Deepak (15 minutes later)

My last question Doctor, is in my age when people have heart attack what is the reason mostly??im sorry to ask about heart again but maybe it will reassure me to know more details about that, i have seen couple of young people dying without reason and its also have increase my phobia...

Best regards

Answered by Dr. Deepak (10 minutes later)

Brief Answer:
Discussed below.

Detailed Answer:
Hi.

Sudden cardiac deaths occur if the person has cardiac conditions like Hypertrophic Obstructive cardia myopathy (HOCM). But these conditions can be detected in investigations Echo and ECG.
Since all of these tests were normal, there is nothing to worry.

Bye

Above answer was peer-reviewed by : Dr. Deepak