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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Difficulty In Speaking And Lung Pain?

I started with a middle ear infection, one week later I had severe laryngitis, prescribed erythromycin and injected cortisone. One week later still unwell but could speak slightly. Doc said he couldn t do anything else and that I should see chest specialist (I have chronic asthma). I have left it for 3 weeks. Current situation is voice is still very husky, cannot speak in long sentences without stopping for breath, ear still some occasional pain and I h ave back / lung pain (which may partly be strain). I am not coughing particularly. Any ideas?
Fri, 19 Dec 2014
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Pulmonologist,  's  Response
Thanks for your question on HCM.
Since you are asthmatic possibility of lower respiratory tract infection ( LRTI ) and worsening of asthma are more.
So get done chest x ray to rule out LRTI. As chest pain is an indication of LRTI.
If infiltration is seen on x ray than sputum culture and sensitivity is needed to guide antibiotic therapy.
Get done PFT ( Pulmonary Function Test ) to rule out asthma exacerbation. As not able to speak long sentences can be due to uncontrolled asthma.
You may need inhaled treatment and steroids too.
So better to consult pulmonologist and get done PFT and chest x ray.
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What Causes Difficulty In Speaking And Lung Pain?

Thanks for your question on HCM. Since you are asthmatic possibility of lower respiratory tract infection ( LRTI ) and worsening of asthma are more. So get done chest x ray to rule out LRTI. As chest pain is an indication of LRTI. If infiltration is seen on x ray than sputum culture and sensitivity is needed to guide antibiotic therapy. Get done PFT ( Pulmonary Function Test ) to rule out asthma exacerbation. As not able to speak long sentences can be due to uncontrolled asthma. You may need inhaled treatment and steroids too. So better to consult pulmonologist and get done PFT and chest x ray.