50 Yr. old male with shortness of breath and chest discomfort at rest and initially on exertion. Lightheaded and feeling of exhaustion with swollen abdomen. Echocardiogram and treadmill stress test 8 months ago showed no cardiac problems, PFT around that time showed improvement in COPD condition induced by chemo therapy for testicular cancer 7 years ago. I did have almost a year of intensive chemo therapy with the standard BEP and later after relapse a salvage treatment of BEP along with Taxol and "red devil" and a few others I don't remember the name of. Liver function test showed no problems with liver.
Shortly into a work out whether light walking 2-3 miles, calasthenics or weight lifting the shortness of breath and chest discomfort disappears and relief is enjoyed for about 2-3 hours afterwards. When I cool back down or after a good nights sleep I am back to square 1 with the symptoms again. I was recently placed on Paxil because of the symptoms disappearing on exertion it is believed to be stress/anxiety related by a doctor at a walk in clinic. I am under a lot of stress at work and at home but don't feel that this is what is causing the problems. I am rescheduling cardio consult and pulmonary consult once again. These same symptoms lead to the last consult for both and they just seemed to resolve themselves or went unnoticed until recently. Any ideas or suggestions. I thought of pulmonary fibrosis, pulmonary hypertension and a few others but none seem to resolve with exertion and only get worse.
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