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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes dry cough, dry stomach heaves, nausea and bloating?

Answered by
Dr.
Dr. Kaushal Bhavsar

Pulmonologist

Practicing since :2008

Answered : 14619 Questions

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Posted on Wed, 24 Aug 2016 in General Health
Question: Running late this morning. Woke up with a dry cough that turned into dry stomach heaves.
Forgive me for asking but what diagnosis would you give me if you did not know me and you saw my recent pft and previous pfts for the first time.
doctor
Answered by Dr. Kaushal Bhavsar 42 minutes later
Brief Answer:
I well first go for sleep study.

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
Well, I would love to have you as a patient so that I can meet you personally.
Ha ha ha.
I will first go for sleep study. Then I will come on some diagnosis.
Please let me know
1. When did you have sleep study last?
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 49 minutes later
10 Years ago im guessing maybe 12

I have been waking with stomach nausea and bloating pressure feeling lately. Today I feel miserable, I would rather be resting in bed. I have a feeling that its too much worrying. But it also has been since my most recent medicine changes.
Below is my list of prescriptions.

     PROAIR HFA AER Old active RX
     PROPRANOLOL TAB 20MG Stopped
     BUSPIRONE TAB 5MG Stopped Not refilled by Psychiatrist
     QVAR AER 40MCG Old RX Changed to FLovent
     ESCITALOPRAM TAB 10MG Old RX Changed to Citalopram by Psyc
     CITALOPRAM TAB 40MG Recently Added
     FLOVENT HFA AER 44MCG Recently Added
     ALPRAZOLAM TAB 0.5MG Old Active RX
Lipitor 10mg Old Active RX

Ever since I added and started Citalopram and Flovent, i have slowly been getting the stomach nausea, dry heaves and pressure to abdomen.

It any of the meds on the list a possible reason or is my super high panic level to blame. Spend enough time considering the med list before saying Panic is the cause, JUST IN CASE there might be a possible bad interaction.
doctor
Answered by Dr. Kaushal Bhavsar 54 minutes later
Brief Answer:
Sorry to say but I think it is worsening stress, anxiety and panic.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Sorry to say but I think it is due to worsening of stress, anxiety and panic.
What is the reason for your worsening?
Why propranolol stopped?
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 4 minutes later
That is the RX that the Local pulmonologist got angry with the prescriber. something with a interaction of a beta blocker and other meds

I thought you would say that,

What has me worse. Too much work to get done at job with great pressure, Home life, nothing on a new Job. Just more stress I guess. My body is too sensitive to every sensation that it triggers the panic and when I combine it with the above, i have a much worse time. At least its the weekend coming. I will have work to do, but no feeling of someone watching me get it done.
doctor
Answered by Dr. Kaushal Bhavsar 2 minutes later
Brief Answer:
Are you more worsening after changing of drugs?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Are you more worsening after changing of drugs?

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 2 minutes later
You know, I have asked myself that but I am not sure. It seems like I have become more anxious since changing to the new anti depressant

I need to find out how long i need to be on the Citalopram before and decisions on a change can be considered
doctor
Answered by Dr. Kaushal Bhavsar 9 minutes later
Brief Answer:
When is your next follow up with psychiatrist?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
When is your next follow up with psychiatrist?
Why there is too much work load these days?

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 47 hours later
Next psych visit this Wednesday

Miserable weekend. So far. A
L I want to do is stay in bed. It's the only place that I breathe easiest. I get up and move around and I breath harder and its tighter feeling in chest.

You still sure it's panic disorder stress and inflammation or stress?
doctor
Answered by Dr. Kaushal Bhavsar 27 minutes later
Brief Answer:
Do you have tachycardia?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
First of all Happy Friendship's day.
Sorry but I have to wish you today.
Sorry for your weekend.
What happened?
Well, I am not 100% sure about the cause (stress and anxiety), but stress and anxiety are the biggest aggravators for you.
Please let me know what is your pulse rate?
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Kaushal Bhavsar 18 minutes later
O2=98
Pulse 80 - 85

3 years ago I visited a cardiologist for a full work up and tests. Treadmill. Ct/MRI holter monitor blood. Etc. no issues were found. I asked about tachycardia and they. Said no.

Friendship day. Well same to you my friend.
doctor
Answered by Dr. Kaushal Bhavsar 10 minutes later
Brief Answer:
Don't worry much. I think you should get your self checked for sleep apnea.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
In my opinion, you should definitely get your self checked for sleep apnea. So get done sleep study to know the severity of the disease.
And uncontrolled stress, anxiety and panic further worsen the underlying lung condition. So you are more symptomatic when you are having stress and anxiety.
Well this is my assumption only.
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. Prasad
doctor
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Follow up: Dr. Kaushal Bhavsar 16 minutes later
This is a question for understanding if any similarity exists
I remember reading on copd when mom was alive and dealing with it, that you avoid strenuous activity to avoid the sob,

When panic disorder takes over and makes breathing harder with inflammation, is it normal for the body to want to do less so not to feel winded too.

So this would be a panic issue hat needs to come down by rest and light exercise and to not think of it


Oh, hey. When chronic panic disorder exists, can you trigger a attack when sleeping or let's say that differently and say can a thought or dream during sleep trigger an attack when over sensitized??? I'm laying down right now. Resting, I think by occupying my curious mind traveling the Internet in between our texts
doctor
Answered by Dr. Kaushal Bhavsar 11 minutes later
Brief Answer:
Don't think too much.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Will you believe me if I tell you something?
Please don't think too much or search on Internet too much.
This might cause more panics, stress and anxiety.
This is my belief as far as I know you.
So please just relax on bed, listen to music or watch your favorite show on television.
In short, do things which make you happy.
Don't read or surf more about your symptoms.
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. Prasad
doctor
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Follow up: Dr. Kaushal Bhavsar 48 minutes later
I was doing many things such as playing a game. Looking at musical instruments reading about the ship titanic after watching a documentary. Don't do those?
doctor
Answered by Dr. Kaushal Bhavsar 11 minutes later
Brief Answer:
What do you mean by 'Don't do those'?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.

Well, instruments, music and reading are not bad. However why you are reading about titanic? It is a sad story. I prefer reading positively.
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. Prasad
doctor
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