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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Issue With Breathing. Why Is It Difficult To Swallow? Is It Anxiety? Why Always Dizzy?

I am 35 year old female. I have this issue with breathing . It seems like my chest rattles when I am laying down, only at night/early morning. If the weather is muggy I can also feel it. My doctor has given me an inhaler , but it only seems to make it harder for me to breathe. I am also noticing it to be more difficult to swallow . What is going on? I started with a variety of symptoms in November of 2011, about 2 months postpartum. My first episode was in the end of November. While with my two young children at Walmart I started to see very fuzzy, then felt very faint. I asked a passerby to take my baby and I sat on the ground. They helped me make my way to the front and I called my husband to come and get me. In looking back I hadn t really eaten or drank that well and given the fact that I was nursing I thought maybe I was hungry or dehydrated. About a week later, the same sort of scenario, it was early morning and I was in the kitchen and suddenly felt like I was going to pass out. My mother was here with me at the time and she got me some orang juice and I got something to eat as it was near breakfast time, my dad rushed over to my home and took my blood sugar( which was fine) I was very shakey. This time I went to the ER. Ultimately they ran labs and checked me over and everything seemed ok, they even did an xray of my heart to make sure it was not swollen from after the baby, that was fine. They went ahead and sent me home with a heart monitor, which came back borderline abnormal. You should also know that just after this my PCP put me on 50mg of Zoloft which caused incredible side effects,from shaking to hot flashes to severe panic. They decreased my dose, but the side effects were just too much to handle.I was then put on Paxil which seemed to aggrivate my SVT, though keep in mind at this time the PCP did not know I was struggling with SVT they called it anxiety .In February 2012 I was finally given a stress test which showed SVT, but that the structure of my heart seemed fine. In that same month of February I had noticed the breathing issue begin, it would seem that it would rattle when I would be laying down only, or upon waking. I went in my PCP and he did a chest xray which indicated the possible beginning of pneumonia, which he hesistated to treat stating that it may just be breast tissue . He treated it with Zpack anyway. Along the way I have also not felt right in my head, I feel sort of drunk and out of it, sort of like I m just floating through my day. On April 3rd 2012 I had the Catheter Ablation for my SVT which seems to be a success so far. During the ablation they actually found two SVT s which is rare I am told. One of the other symptoms I have is the feeling from the pit of my stomach, like nervousness but also a sensation where I feel as though I cannot get a full breath. Lying down only makes it worse. In May 2012 my PCP felt that they needed to treat my anxiety by treating me with more meds, so they put me on buspar. They also did a breathing test and ultimately sent me home with Advair, which didn t seem to help any. I also went to see an ENT who put a tube/camera down my throat to see if they could see any problems with myt throat. They showed a slight irritation and ordered an barium xray, which according to that xray I do not have acid reflux, so I stopped taking my acid reflux medication. I am still battling the breathing issue, I feel winded just going up the stairs. I started exercising again and can seem to run 3 miles without feeling awful. Most recently I feel very dizzy and off balance, I just don t feel myself these days. My PCP said it s my inner ear and doesn t seem to be anything more. I just feel drunk and short of breath and sleepy. My PCP chalks it all up to anxiety. I was recently in a store with my mother and got very dizzy, out of nowhere, I was feeling perfectly fine then it hit me I was just dizzy. I m overwhelmed, it seems since November my health has gone down hill and everyone seems to think nothing of it. What should I do? Is this all in my head? Am I crazy? Do I sound crazy? Are there questions I need to be asking my doctor that I just don t know of?
Sat, 29 Sep 2012
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Allergist and Immunologist 's  Response
ei thing you mustttttttttttgo for xray pns waters view
and other investiations
hb,haemogram
total ige level in blood
total ttg levels of blood
tatal eosinophil count'
thee will be anwer sitting on these investigations
post after this homework
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Have Issue With Breathing. Why Is It Difficult To Swallow? Is It Anxiety? Why Always Dizzy?

ei thing you mustttttttttttgo for xray pns waters view and other investiations hb,haemogram total ige level in blood total ttg levels of blood tatal eosinophil count thee will be anwer sitting on these investigations post after this homework