Discussions By Condition: I cannot get a diagnosis.

Breathlessness

Posted In: I cannot get a diagnosis. 4 Replies
  • Posted By: Kardell
  • October 13, 2010
  • 02:29 AM

For more than 6 months I experience some strange thing related to my health.
I have never had such random breathlessness. It is something else than just histamine reaction after exercise. From my feelings I feel that this breathlessness is not a obstruction of my bronchus, but somehow limitation of my lungs. How to describe it better. Every man has a need to take a deeper breath after every 3-5 normal breaths. In my case it is very hard to take this deeper breath, which is frustrating (choking) and sometimes force me to series of yawn, to provide enough oxygen to my body through this rather emergency system. Recently I had a full brake from this thing for about 1,5 month, but few days ago it appeared again. This thing happens or is more severe for me during rest or maybe I less care about it while standing.
I'm 27 years old.
- slim person,
- non-smoker,
- mild-asthma (breathlessness is appearing only after hard exercise, dry or cold air),
- only one episode of pneumotorax 8-10 years ago ,
- I ride on a bicycle few times a week, pushups everyday.

I was considering many options, but somehow I started to suspect my heart and blood vessels, when I experienced some strange pain (rather rare) on my left side of the throat, exactly artery area - and I feel this pain is somehow a response to this breathlessness and comes from blood vessels system.
I know that failure of the left side of the heart is causing breathlessness.

What should I do or what kind of test to undertake?

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4 Replies:

  • For more than 6 months I experience some strange thing related to my health.I have never had such random breathlessness. It is something else than just histamine reaction after exercise. From my feelings I feel that this breathlessness is not a obstruction of my bronchus, but somehow limitation of my lungs. How to describe it better. Every man has a need to take a deeper breath after every 3-5 normal breaths. In my case it is very hard to take this deeper breath, which is frustrating (choking) and sometimes force me to series of yawn, to provide enough oxygen to my body through this rather emergency system. Recently I had a full brake from this thing for about 1,5 month, but few days ago it appeared again. This thing happens or is more severe for me during rest or maybe I less care about it while standing. I'm 27 years old.- slim person,- non-smoker,- mild-asthma (breathlessness is appearing only after hard exercise, dry or cold air),- only one episode of pneumotorax 8-10 years ago ,- I ride on a bicycle few times a week, pushups everyday.I was considering many options, but somehow I started to suspect my heart and blood vessels, when I experienced some strange pain (rather rare) on my left side of the throat, exactly artery area - and I feel this pain is somehow a response to this breathlessness and comes from blood vessels system.I know that failure of the left side of the heart is causing breathlessness. What should I do or what kind of test to undertake?The symptoms you are describing are consistent with congestive heart failure... however, I believe we are jumping to conclusions a bit quickly. How is your family history? You also have the majority of symptoms that emphysema and COPD share. If you have a familial issue, know that it can manifest itself as early as the 3rd decade of your life. If there is no history, throw that away.You said you have a past history of pneumotorax. Based on that history and the symptoms you are showing now, there is a condition called Bullous Emphysema. Let me give you the symptoms of it.In the initial stages, the affected person might not experience any symptoms but as the condition gradually advances, breathing problems are likely to occur. When the inflammation is spread over a large number of air sacs, emphysema symptoms become bothersome. Trouble breathing is an indication that the inflammation of air sacs is interfering with the normal functioning of the lungs. Other than breathing problems, the person may also complain about chest pain. This chest discomfort might remain persistent or occur intermittently depending upon the severity of the condition. As the condition worsens, the person might develop phlegm producing cough. The patient may also suffer from wheezing, which is nothing but a kind of noise produced while breathing. Persistent wheezing is linked to respiratory problems and often indicates narrowed air passages.There is actually a lot of literature suggesting it is occurring in younger adults.Sorry for ranting. You asked for a heart failure workup. This will consist of:Blood tests:CBC W/Platelets and DifferentialElectrolytesRenal Function TestLiver Function TestB-type natriuretic peptideImaging tests:Chest RadiographyEchocardiographRadionuclide multiple gated acquisition scanCardiac magnetic resonance imaging (cMRI)Other tests you can use:Arterial blood gas (ABG)Venous blood gasPulse oximetryElectrocardiographA classification of patients with heart disease based on the relation between symptoms and the amount of effort required to provoke them has been developed by the NYHA.Class I: No limitations. Ordinary physical activity does not cause undue fatigue, dyspnea, or palpitations.Class II: Slight limitation of physical activity. Such patients are comfortable at rest. Ordinary physical activity results in fatigue, palpitations, dyspnea, or angina.Class III: Marked limitation of physical activity. Although patients are comfortable at rest, less-than-ordinary activity leads to fatigue, dyspnea, palpitations, or angina.Class IV: Symptomatic at rest. Symptoms of CHF are present at rest; discomfort increases with any physical activity.Hope I helped and hope you feel better.
    keanhe 86 Replies
    • October 13, 2010
    • 06:02 AM
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  • Thank You very much for your input :)As I know there is no episodes of heart problems related to my ancestors. Only some genetic disposition to asthma, showing up in every 2nd generation.To clarify: no chest pain, no cough, no wheezing ATM and before.In my case chest pain is caused rather by extensive enlargement of chest during forced deeper breaths, so interior and chest muscles are abused. How to explain this ~1,5 break from this bothersome symphtone?It might be some irritant or just a break before the next level. I have no idea. Too many possibilities. First of all I'll do chest scanning and compare with previous one and give a reply.
    Kardell 2 Replies
    • October 13, 2010
    • 09:12 PM
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  • Go to an ENT. Maybe the problem is in your nose. I have shortness of breath from nose allergy like you describe, i had it everyday for years after snort cocaine. No wheezing, no cough. Couldn´t take a deep breath, feeling sufocated.I think that you should go to a cardiologist, and than you go to an ENT. You have no wheezing so i think that the problem is not in your lungs but i´m not a doctor so go to a pulmonologist too. Homeopathy is great, try it.If the problem is not in your heart, not in your nose, and not in your lungs it can be anemia (a blood test will show).The last possibility i know is the mind: Anxiety and panic.Good luck to you
    Anonymous 42789 Replies
    • October 24, 2010
    • 03:52 PM
    • 0
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  • Hello again. I've done the x-ray scanning, and they found no presence of pneumothorax or something else unusual.Somehow I sense some relation between my stomach problems or rather disorder and this breathlessness. And to be honest stomach problems preceded this breathlessness.Recent (8 months ago) gastroscopy has revealed that there is a reflux but not from stomach to gullet, but from duodeum to stomach (a bile from liver). Sometimes it is very painful. After ~3 weeks helicobacter pylori treatment tissue damage was completly cured (4 months ago). But I feel that my liver is still struggling with coction.Random pain episodes after drinking alcohol (drinking only occasionaly) or grilled food.But the interesting thing is that eating bananas is confusing coction. I was eating them excessively (2 a day, 5 days a week) , but leter I had to quit (more than a year ago), because every banana was felt like a huge obstruction in my stomach and was causing characterinstic pain.After antibiotic tratment is much much better, I don't have to raise my bed anymore, but these pain episodes are still occuring and are concerning me, because I use to sort things out in my life to the final end including my health, but in this case I'm lost. I had no stomach problems before, only these recent ~2 years.Thank You for any wise clues.
    Kardell 2 Replies
    • October 25, 2010
    • 02:47 AM
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