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What causes difficulty breathing after exercising?

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Posted on Fri, 13 May 2016
Question: +-I have a condition where my breathing is labored any time I do any type of exercise.The rest of the time my breathing is fine.Do you know of anything that could cause this?
doctor
Answered by Dr. Kaushal Bhavsar (36 minutes later)
Brief Answer:
Get done PFT first.

Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
In my opinion, you are mostly having functional lung disease like bronchitis.
It is not affecting lung parenchyma, so chest x ray and CT scan are normal.
Patient with bronchitis tend to develop breathlessness on exertion.
So in my opinion, you are mostly having bronchitis.
And for diagnosis of bronchitis, PFT (Pulmonary Function Test) is must.
PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment of bronchitis is based on severity only.
So please get done PFT first.
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
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Follow up: Dr. Kaushal Bhavsar (2 days later)
The spec.I am seeing did a spirmetry test witch showed nothing.It was conpletely normal.He also did a test that I do not know the name of.The machine was clipped to my left index finger.As we walked around his office he held the machine.If I remember right the number was 88 He said that as a number that he would expect from a smoker.I have never smoked plus living in Hawaii the air quality is great.Walking or at rest my breathing is normal. what can you tell me.Thank you XXXXXXX XXXX
doctor
Answered by Dr. Kaushal Bhavsar (2 hours later)
Brief Answer:
Can you send me your spirometry report?

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
You had six minute walk test. And 88 Spo2 is low for normal individuals.
It is common in COPD patients to have low Spo2. This is because of COPD.
So you are having low Spo2 despite of non smoker.
And this is the reason for your symptoms.
Most common cause for this is COPD. Other causes are Pulmonary embolism.
I need to see your PFT report and graph for accurate diagnosis.
So can you please send me your spirometry report?
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 (8 days later)
I have a copy of the spirometry test that was performed I am seeking info on how to get it to you.Hopefully in the next few days
doctor
Answered by Dr. Kaushal Bhavsar (54 minutes later)
Brief Answer:
Your PFT report is normal.

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
I have gone through the PFT report you have attached.
Your PFT report is absolutely normal. It is not suggestive of any disease like asthma or bronchitis.
So, you are having normal chest x ray, CT scan, PFT report, and still you are having breathing difficulty on exertion.
This is commonly seen with stress and anxiety.
So please let me know
1. Are you having stressful life?
2. Do you have breathlessness on particular exercise?
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 hour later)
My sister in law sent the spirometry test results that you requested.Have you had a time to go over them
doctor
Answered by Dr. Kaushal Bhavsar (8 minutes later)
Brief Answer:
Yes, I have recieved your PFT report.

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
I have recieved your PFT report and also gone through it.
PFT report is absolutely normal. No need to worry for this PFT report.
I already mentioned in previous answer about it.
I want to know
1. Do you have stressful life?
2. On which particular exercise or exertion, you feel breathlessness?
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
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Follow up: Dr. Kaushal Bhavsar (9 hours later)
Thank you for the follow up. To answer your questions,no I do not have a stressfull life.I am retired and only work helping out when I am called. Once every couple of months.I first noticed the symptoms in Dec of 2014 primarily playing tennis.Back then the worst of it was serving,walking up hill or biking up hill even a slow trot was hard.My breathing was so fast I thought I had a heart problem. I was sent to a heart doctor.After a stress test and heart rate monitor for 30 days he said my heart was fine. That left a breathing specialist as the last resort.He was some what stumped by the symptoms and did the tests I mentioned.The symptoms are the same if less sever.They also seem to be cummulative..For example the longer the service game the more labored my breathing is.The rest of the game i am ok unless it is a long point.Riding a bike is still hard.I can do a walk trot routine as long as the trot is not too long.For the last couple months I have developed a cough that actually seems to make me feel better.I also cough up phlegm. The amount varies but it usually a milky white color. I hope this will help figure out what is going on.The doctor I am seeing only said my brochi was not working right but no specifics. Could you please tell me how the brochi work during exercise ?

Thank you for your time XXXXXXXX
doctor
Answered by Dr. Kaushal Bhavsar (7 hours later)
Brief Answer:
You should get done PFT when symptomatic.

Detailed Answer:

I can understand your concern.

Your case is indeed strange. You have worsening in symptoms with all normal reports of heart and lungs.

Exercise or any exertion cause sympathetic stimulation. And this sympathetic stimulation causes dilatation of bronchi to improve air inhalation. This is a body's mechanism to match increased body need during exercise.

Since you are symptomatic and the reports are normal, I will suggest we repeat the PFT when you are symptomatic. Testing when you have symptoms might show something.

I would like to know if you take any other pills, other than you mentioned?

Regards
Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Kaushal Bhavsar (19 hours later)
Thank you for the information on sympathetic stimulation. The only other meds I take are iron pill once a week and vit B-12 every 3 days.I very rarly take any kind of pain medication.I have been given prokrit,but the last time was over a year ago XXXXXXX XXXX
doctor
Answered by Dr. Kaushal Bhavsar (2 hours later)
Brief Answer:
How old are your CT scan and PFT reports?

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
These drugs can not cause breathlessness.
So in your case, you should get done PFT when you are symptomatic. This might show some abnormality.
Also let me know
1. How old are your chest and CT report?
2. How old is your PFT report?
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 (42 hours later)
The PTF was done the last week in Oct 2015.The ex=ray was done 2 weeks later.The CT scan was done The 18 or 19 of Dec. I got the results on the 28th.My medical is with the VA and it often takes some time to get tests authorized.
doctor
Answered by Dr. Kaushal Bhavsar (10 hours later)
Brief Answer:
You should get done repeat PFT.

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
In my opinion, you should get done repeat PFT study because your symptoms are suggestive of disease while reports are normal.
You are also having low Spo2. This is also suggestive of disease.
So get done fresh PFT report.
Please let me know
1. Are you symptoms worsening since last 2-3 months?
2. Do you have allergies?
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 (13 hours later)
I have an appointment on the 28 of this month.I will ask the Dr about a follow up PTF.To answer your question,no I do not have allergies, not to my knowledge any way.No my symptoms are not worsening.If anything they are better. I mentioned the coughing and the phlegm and they seemed to make me feel slightly better.The thing is that they seem to come and go.some times the coughing is heavy and hacking ,other times slight.What I don't know is if my physical activity is causing the coughing or something else.
Regards
XXXXXXX XXXX
doctor
Answered by Dr. Kaushal Bhavsar (5 hours later)
Brief Answer:
You should definitely get done repeat PFT.

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
Yes, you should definitely consult your doctor and discuss about repeat PFT.
If this is also normal then no need to worry for lung related causes.
Then we need to search for heart related diseases for your symptoms.
Do let me know your progress and PFT report.
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
doctor
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Follow up: Dr. Kaushal Bhavsar (2 days later)
I am at a loss about the mention of heart disease.The cardiolagist I saw during the middle of last year said my heart was fine.I think I mentioned the treadmill stress test and the 30 day 24/7 heart monitor test showed nothing. I was wearing the monitor even playing tennis where I have the most symptoms. Wouldn't these tests show symptoms of heart disease?
doctor
Answered by Dr. Kaushal Bhavsar (7 hours later)
Brief Answer:
Yes, those tests would definitely show disease if present.

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
Yes, those tests (stress test, 24 hour monitoring of heart) would definitely show disease if at all present.
Since your 24 hour heart monitor showed nothing while playing tennis, no need to worry for heart diseases.
You should get done repeat PFT (Pulmonary Function Test).
If this also comes out normal, then no need to worry for heart and lung related diseases.
Then possibility of psychological breathlessness is more.
So get done fresh PFT ti rule out any lung disease.
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
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Dr. Kaushal Bhavsar

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What causes difficulty breathing after exercising?

Brief Answer: Get done PFT first. Detailed Answer: Thanks for your question on Health Care Magic. I can understand your concern. In my opinion, you are mostly having functional lung disease like bronchitis. It is not affecting lung parenchyma, so chest x ray and CT scan are normal. Patient with bronchitis tend to develop breathlessness on exertion. So in my opinion, you are mostly having bronchitis. And for diagnosis of bronchitis, PFT (Pulmonary Function Test) is must. PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment of bronchitis is based on severity only. So please get done PFT first. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks