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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Experiencing shortness of breath and difficulty in breathing

hi I have been having shortness of breathe , feeling something in my esophagus when I swallow, its difficult to take deep breathes, I did have a spot of chest pain but that s gone now.. I did inhale some nasty chemicals.. but this has been goin on for about a month now and its not getting better or worse. I don t wheeze high pitched sounds although I was for a day or two , two weeks ago.. theres just a weird sound when I breathe and yes I do smoke.
Wed, 9 May 2018
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Pulmonologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Since you are an active smoker, we should definitely rule out bronchitis (inflammation of airways) for all your symptoms. Bronchitis causes bronchospasm and this, in turn, causes breathing difficulty, chest pain, coughing etcetera.

So better to consult pulmonologist and get done a clinical examination of the respiratory system and PFT (Pulmonary Function Test). PFT will not only diagnose bronchitis but it will also tell you about the severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Smoking cessation is a must.

Hope I have answered your query. Let me know if I can assist you further.

Regards,      
Dr. Kaushal Bhavsar
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Pulmonologist Dr. Kaushal Bhavsar's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Since you are an active smoker, we should definitely rule out bronchitis for your breathing difficulty and shortness of breath. So better to consult pulmonologist and get done a clinical examination of the respiratory system and PFT (Pulmonary Function Test). PFT will not only diagnose bronchitis but it will also tell you about the severity of the disease and treatment is based on severity only.

You will mostly need inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). For food-related symptoms, get done upper GI (gastrointestinal) scope to rule out any esophageal obstructive lesion because smokers are prone for this.

Hope I have answered your query. Let me know if I can assist you further.

Regards,      
Dr. Kaushal Bhavsar
I find this answer helpful
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