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What Causes Shortness Of Breath And Minimal Fibrotic Infiltrates On Chest X-ray?
Gud day..im 39 yeras of ages and have 2 kids full time house wife.month of march this year I had my gastroscopy...but before my gastro I had 2 chest x rays done.. the 1st result of x ray is normal..then I have to see gastroentorologist bec im feeling always bloated ..to top it all my doc .suggested me to undergo gastroscopy he ask me to have another x ray and the result is minimal ptb both upper lobes..so I did.the result of gastroscopy is Esophagitis LA grade A diffuse erosive gastropathy incompetent pyloric ringthen he gave 3 combination of antibiotics and other medicine..so I was fine im ok after taking that medicine and then he told me to continue my omeprozole..thpen I stopped my omeprozole for 2 weeks thinking I was ok then..but after 2 weeks some symtoms of gerd came back..I went back to my doc..complaining I had shortness of breath back pain bloated tummy..he ask me again to my third xray and ecg..the result of my x ray is follow upmexamination to study dated 4/7/14 (which is my 2 xray.) Show no significant change in status of minimal fibrotic infiltrates in the left upper lobe.no active parenchymal infiltrates seen in the rest of the lungs fields.what should I do..should I go back to my gastroentorologist..bec he ask my again to have gastroscopy and ct scan.or should I look for a pulmonologist..please help..god bless
Tue, 11 Nov 2014
Thanks for your question on HCM.
In my opinion you should first consult pulmonologist and get done CT Thorax and PFT (Pulmonary Function test).
CT Thorax is superior modality than chest x ray in diagnosis of parenchymal lesions. So by CT we can get more idea upper lobe fibrotic lesion. PFT is needed to rule out bronchitis as GERD can be causative factor for bronchitis.
You should also consult gastroenterologist for control of GERD. As GERD and breathing issues are interrelated. You need to treat both simultaneously for better control.
So consult both.
In my opinion you should first consult pulmonologist and get done CT Thorax and PFT (Pulmonary Function test).
CT Thorax is superior modality than chest x ray in diagnosis of parenchymal lesions. So by CT we can get more idea upper lobe fibrotic lesion. PFT is needed to rule out bronchitis as GERD can be causative factor for bronchitis.
You should also consult gastroenterologist for control of GERD. As GERD and breathing issues are interrelated. You need to treat both simultaneously for better control.
So consult both.
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