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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Shortness Of Breath After Exertion?

59, 5'10", 190lbs. Heavy smoker 30 years ago, 3 stents inserted 6 years ago. On Crestor, Plavix, Metropolol and Niaspan.
I started a ten day course of Levaquin 500mg for treatment of bronchitis. I have 3 days left. However, 2 nights ago I noticed rales when lying down. I can change position to temporarily alleviate them. I still have some shortness of breath after exertion. Is another doctor's visit recommended?
Wed, 13 Sep 2017
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Pulmonologist,  's  Response
Hello! Thanks for posting your query. Considering your history of having had stent placement in the past it is essential now to have your cardiac status checked. Do review with your physician and get an EKG and Echocardiography done to ensure your heart is working well , because even a weak heart can cause the symptoms you have mentioned (rales and symptoms worsening on lying down). For your bronchitis , do complete the course of levofloxacin and get a Chest X ray done to ensure it has got cleared . The further treatment in your case will depend on investigating and finding out whether the problem has got to do with your heart or lungs. So do get the above mentioned tests done and review.With the right treatment you should definitely feel better. Hope my reply is of help . Do drop your valuable feedback. Take care.
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What Causes Shortness Of Breath After Exertion?

Hello! Thanks for posting your query. Considering your history of having had stent placement in the past it is essential now to have your cardiac status checked. Do review with your physician and get an EKG and Echocardiography done to ensure your heart is working well , because even a weak heart can cause the symptoms you have mentioned (rales and symptoms worsening on lying down). For your bronchitis , do complete the course of levofloxacin and get a Chest X ray done to ensure it has got cleared . The further treatment in your case will depend on investigating and finding out whether the problem has got to do with your heart or lungs. So do get the above mentioned tests done and review.With the right treatment you should definitely feel better. Hope my reply is of help . Do drop your valuable feedback. Take care.