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What Causes Breathing Difficulty, Tiredness And Lethargy?

Posted on Mon, 10 Aug 2015

Question: I have very bad breathing problems, have just been cleared from the lung and heart specialists, have had a liver biopsy waiting for results, but in the last week or so, have felt very tired and lathagic. I am also on thyroxine, should I up my pills, I am on 125gmx per day..any suggestions please.

Answered by Dr. Drkaushal85 (1 hour later)

Brief Answer:
First get done thyroid function test.

Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your situation and problem.
No need to increase the dose of thyroxine.
First get done thyroid function test and if TSH is high or T3 and T4 are low than increase in dose is required.
Better to get done free T3 and free T4. They are more sensitive than plain T3 and T4.
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. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (2 hours later)

I have an iron reading of 1500 hence the liver biopsy..what could the answer be...
What a mixture.

Answered by Dr. Drkaushal85 (13 hours later)

Brief Answer:
Have the doctors rule out Pulmonary embolism?

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
Raised iron levels can cause Pulmonary embolism.
And this can be the cause for your bad breathlessness.
So please let me know
1. Which tests you had from your cardiac and Pulmonary doctors?
2. Have they rule out Pulmonary embolism?
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. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (1 hour later)

Have recently had an hour and a half mri scan and all was clear and discharged from the cardiology clinic..also been discharged from the lung clinic ..both with very good results..am now waiting for results from liver biopsy..if that's good, not sure where to go from there..

Answered by Dr. Drkaushal85 (25 minutes later)

Brief Answer:
Are you having stressful life?

Detailed Answer:
Thanks for your followq up uestion on Health care Magic.
I can understand your concern.
If your MRI is normal, no need to worry for Pulmonary embolism.
If your cardiac and Pulmonary work up is normal than possibility of stress and anxiety related breathlessness is more.
So please let me know
1. Do you have stressful life?
2. Do you have burning epigastric pain or central chest pain, burping, chest tightness?
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. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (9 minutes later)

A busy life, not particularly stressful, bad constipation, no chest pain, but pain in the upper back , suffer a lot from chest infections..

Answered by Dr. Drkaushal85 (10 minutes later)

Brief Answer:
Have you tested for PFT?

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your situation and problem.
You are having recurrent chest infection and breathlessness.
So possibility of bronchitis is more.
So please let me know
1. Have you ever undergone PFT (Pulmonary Function Test)?
2. Are you smoker?
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. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (5 minutes later)

Not a smoker since teens, not sure about pft test..have had so many tests from lung clinic, all clear and discharged..

Answered by Dr. Drkaushal85 (3 minutes later)

Brief Answer:
Are your sugar levels and blood pressure under control?

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
If you have not gone through PFT than it is must for you as bronchitis causes recurrent chest infection and breathlessness.
Please let me know
1. Are your sugar levels under control?
2. Is your blood pressure controlled?
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. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (15 minutes later)

Yes both these are under controll..will ask about pft .

Answered by Dr. Drkaushal85 (22 minutes later)

Brief Answer:
PFT is must for you.

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
Since your diabetes and blood pressure, both are normal, PFT (Pulmonary Function Test) is must to rule out bronchitis for your symptoms.
So please get done PFT.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wish you good health. Thanks.

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