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What Causes Tightness In Lungs And Breathing Difficulty?

Posted on Tue, 3 Jun 2014

Question: Hi I am a heavy smoker. The past week I have had what I thought was a chest cold. But now my lungs feel heavy tight like there crap in them its very painful to breath on orout and gets worse when I lay on my back. When I cough its deep gurggle rumble sound the pain is from the middle of my breasts out to under my arms on my ribs but most pain is in the middle of my breasts. I couch up bright green phlem. I'm 27 female I have been smoking for 11. Years

Answered by Dr. Anshul Varshney (56 minutes later)

Brief Answer:
I need further details.

Detailed Answer:
Dear Friend.
Welcome to HCM. I am Dr Anshul Varshney. I have read your query in detail. I understand your concern.

With the description you have given, I would keep a possibility of following:
1.Pneumonia
2.Pleuritis
3.Musculoskeletal Pain.

I require following details to help you better:
1.Any fever associated?
2.Any weight loss?
3.Any night sweats?
4.Any acidity?
5.Does your chest pain aggravates on Coughing, Movement, walking?
6.Any blood in expectoration?
7.Any investigations and chest X-ray if you have please attach.
8.Any history of diabetes?

This is my best advise for you based on available details. If you have any further query please ask me and revert with the answers of the questions i have asked preferably in point wise manner.

Stay Healthy.
Dr Anshul Varshney, MD

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

Follow up: Dr. Anshul Varshney (4 minutes later)

No fever but very very tired. Like I just can't get enough sleep
No weight loss just weight gain.
My pain is around all the time it get a lot worse at night.
I have bad heart burn all the time .
I'm not sure about diebeties never been tested.
I having went to a doctor yet because I figures it was just a Cold but it doesn't seem to be getting any better
I have recently been getting night sweats that I rarely never have.

Answered by Dr. Anshul Varshney (8 minutes later)

Brief Answer:
Get Investigated

Detailed Answer:
Dear Friend.
I strongly feel that you should get investigated, as you are having serious symptoms and also you are a smoker and have Asthma.
Smokers and People with Asthma, are very prone to bacterial and Fungal Pneumonia's. And the presentation is like this only.

So, better to get investigated.
I advise you following:
1. Chest X ray
2. Hemogram with ESR
3. Sputum for Gram Stain and KOH mount and AFB.
4. ECG.

These investigations would clear the picture.
I strongly recommend the testing for you as you are very young and have a long life ahead.
If you have any further query please ask me.
Stay Healthy.

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