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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Should Breathing Problems, Fast Heartbeat, Neck Lymph Node Swelling Be Treated?

I m a former smoker( I quit March 2013) who is now experiencing breathing problems. I have a nebulizer that I use, it has not helped. My (R) lymphnode in my neck keeps swelling and my heart keeps beating fast and slow without doing any activity, and I ve been having these symptoms for about a month. What do you think?
Thu, 6 Nov 2014
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Pulmonologist,  's  Response
Thanks for your question on HCM.
In my opinion you should get done chest x ray immediately. Since you are smoker and worsening of breathing even after nebulisation suggest
1. Infection
2. Malignancy causing collapse of lung.
Chances of malignant lesion are high as you are also having enlarging cervical lymphnode on right side. This can be a malignant lymphnode due to spread from lung primary.
So Fine Needed Aspiration Cytology (FNAC) is needed from lymphnode.
So hmget done chest x ray and FNAC.
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How Should Breathing Problems, Fast Heartbeat, Neck Lymph Node Swelling Be Treated?

Thanks for your question on HCM. In my opinion you should get done chest x ray immediately. Since you are smoker and worsening of breathing even after nebulisation suggest 1. Infection 2. Malignancy causing collapse of lung. Chances of malignant lesion are high as you are also having enlarging cervical lymphnode on right side. This can be a malignant lymphnode due to spread from lung primary. So Fine Needed Aspiration Cytology (FNAC) is needed from lymphnode. So hmget done chest x ray and FNAC.