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What causes chest tightness?

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Posted on Mon, 1 Aug 2016
Question: I had to reopen a closed account today just so I could continue our talk. I sent you a message earlier but it was in a general question to a pulminologist so I'm not sure if you will get it

Today was not overly bad. Had some good and had some bad. I'm now down to having one recurring symptom bothering me. I have talked of it before in some degree but I'm not sure if I have been really specific.
We have talked of the inflammation and how it affects whole lung not just certain sections. And that I notice it more in upper. Today I was laying on my back reading a book, I layer the book down on my upper chest. I noticed that as I breathed in my lower belly raised but the upper and book stayed motionless. As I tried to change to upper chest I could only raise it a small amount. Is this the inflation of the small airways and the constriction you spoke of that is causing that? Is this the meaning of tightness in chest that comes from inflammation ?

Well tomorrow starts the weekend, it will be a first for me in that I will not have a stressful work project over my head eating up my relaxation time. I hope to use it to play with my bass guitar, watch some movies and eat popcorn. Maybe I'll stop shaving for the weekend and get a scruffy look on the bald head and scraggly look on my face.
doctor
Answered by Dr. Kaushal Bhavsar (48 minutes later)
Brief Answer:
I want to see that face of yours. Ha ha ha.

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
First let me tell you something about movements while respiration.
We are having sternum in center of chest.
It acts as static thing. And all our ribs move through joint.
So sternum will not move much during respiration.
Since you are having more belly fat, this fat will give more vibration and hence perception of more movement in abdomen during respiration.
Am I clear?
And I want to see your face with beard. Ha ha ha.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar (8 hours later)
Both threads are good

Why 9:30? Because 8 hours would be 5:30 when I must get up. But we know many different things wake me and keep me up.

You know for the past few months, I wake up on some days and I have coughing spell not like the kind you have before you want to clean out your lungs but the type you have as you get before you vomit. It's not everyday but often enough

doctor
Answered by Dr. Kaushal Bhavsar (5 minutes later)
Brief Answer:
Do you have chest pain or expectoration while coughing?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
What was this 9.30 and 5.30 thing?
And do you have chest pain or expectoration while coughing?
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
doctor
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Follow up: Dr. Kaushal Bhavsar (1 minute later)
And chest pain no expectoration

You asked y I went to bed so early. I went at 9:30. To get a try for 8 hours of sleep
doctor
Answered by Dr. Kaushal Bhavsar (2 minutes later)
Brief Answer:
What about chest pain?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
What is 'and chest pain no expectoration'?
What should I interpret?
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar (2 minutes later)
Sorry. No chest pain no expectorant
doctor
Answered by Dr. Kaushal Bhavsar (2 minutes later)
Brief Answer:
Was coughing present yesterday?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Now I can understand.
So you are having mid night coughing spells without chest pain and expectoration.
This is new symptom for you.
Please let me know
1. Did you have coughing spell yesterday night?
2. How coughing stops? By itself or you have to take medicine?
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
doctor
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Follow up: Dr. Kaushal Bhavsar (3 minutes later)
The coughing is only in the morning after I get up
It stops on its own
Lasts a few minutes
It is not everyday
Has been going on since I guess I had last pft and I started using inhaler Flovent
doctor
Answered by Dr. Kaushal Bhavsar (1 hour later)
Brief Answer:
Why you have stopped flovent?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can't understand why you have stopped flovent?
Can you please tell me the reason?
Sorry for late reply as I was with my US visa agent.
Tomorrow he will start the process.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar (6 minutes later)
Did I say I stopped the Flovent?

I am still on Flovent.

Say, tonight after work, am I able to have an alcoholic drink or 1 beer with the new medications i am taking?

I never have but one beer/once a month at most. I stopped when it would give me a bad headache, I noticed it came after I took the lexapro.

Does it do the same with the new meds?
doctor
Answered by Dr. Kaushal Bhavsar (6 minutes later)
Brief Answer:
Be specific alcoholic drink or beer?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Be specific, alcoholic drink or beer because both are having different alcohol content and so the effects will be different.
And honestly speaking, you are should not drink alcohol with propranolol.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar (2 minutes later)
Well it would have been a low alcohol content beer but now you say propranolol is not a good mix.
doctor
Answered by Dr. Kaushal Bhavsar (15 minutes later)
Brief Answer:
Yes, you should avoid mixing both of them.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Well you should not mix alcohol and propranolol.
But you can drink low alcohol content beer once a month but on that day don't take propranolol.
Happy?

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

Pulmonologist

Practicing since :2008

Answered : 14643 Questions

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What causes chest tightness?

Brief Answer: I want to see that face of yours. Ha ha ha. Detailed Answer: Thanks for your question on Healthcare Magic. I can understand your concern. First let me tell you something about movements while respiration. We are having sternum in center of chest. It acts as static thing. And all our ribs move through joint. So sternum will not move much during respiration. Since you are having more belly fat, this fat will give more vibration and hence perception of more movement in abdomen during respiration. Am I clear? And I want to see your face with beard. Ha ha ha.