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I Have Developed A Hard Breathing, My Feet Over The Past 2-4 Days Have Been Swollen BP Is Normal What Are These Symptoms?

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Posted on Tue, 7 Feb 2023
Question: I have developed a hard breathing, my feet over the past 2-4 days have been swollen. I haven’t been sleeping and sometimes when I lay down it feels like it’s hard to breath. Also I’m fatigued going up stairs my legs burn. I had a EKG ultrasound a week ago said it’s normal. I’ve had hyper tension and I’m 59 yr old male. Also seems like I’ve gained weight in my mid-section. BP runs 135/70 - 145/80

I was on aderal but my Dr took me off cold turkey 2 weeks ago because I went in for a office visit and my BP was 179/75 3 weeks before there she took me off of Vicodin 1 1/2 pill a night can’t sleep body gets real sore. Was in a accident 3-4 yrs go and have had a lot of stress past 3 yrs

I’ve always had borderline hypertension and I take Alodapine .5 mil and losartant in am

I’m wondering since my current dr just terminated me as a patient for questioning the discontinuation of aderal because I test my BP daily and no effect.

Oh I also have been spitting up white mucus for 4-5 months and she never addressed the issue. I’m so run down and the breathing issue is concerning me. Should I go back to the er with my symptoms
doctor
Answered by Dr. Sagar Makode (33 minutes later)
Brief Answer:
Needs echo and pulmonary function test

Detailed Answer:
Hello,
Yes, it's better to visit er especially if you are having excessive difficulty in breathing at rest or on sleeping.
Firstly, possibilities in you are heart failure, COPD. Also, the swelling may occur due to heart failure, but amlodipine is a very common cause of swelling and you should get it changed to other antihypertensive like either increasing losartan dose or additing thiazide.
The mucus production can be explained by COPD, and also it can cause shortness of breath and swelling.
So you ll need echo to asses heart function and pulmonary function test, chest X ray for lung function.
You ll need diuretics or inhalers for current symptoms, so you may discuss regarding the same with local doctor.
Hope this helps you and get back if you have any doubts.
Thanks.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Sagar Makode (1 hour later)
I’m sorry I did have Ehco cardio and chest X-rays and I was told they were ok. All I know is that it got worse over the past few weeks and between getting winded and my body aches I feel like I’m 100 yrs old
doctor
Answered by Dr. Sagar Makode (11 minutes later)
Brief Answer:
Okay, still should get pulmonary function test

Detailed Answer:
Okay..so if your heart is okay, then we should consider you for pulmonary function test. As normal chest X ray will rule out structural causes, but COPD and other airway disease can be diagnosed on pulmonary function test. Also, chronic mucus production goes in favor of lung disease only. So there is a possibility of COPD or allergic airway disease, which can explain both of your symptoms. So likely you ll be benefited from inhalers.
Another cause should be ruled out is low hemoglobin, so get it tested if not done recently.
And swelling is likely due to amlodipine only especially if it is bilateral, so should get changed. You should also get Vit D levels done as its deficiency is common and lead to generalized body symptoms.
Thanks.
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Sagar Makode

Cardiologist

Practicing since :2013

Answered : 1867 Questions

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I Have Developed A Hard Breathing, My Feet Over The Past 2-4 Days Have Been Swollen BP Is Normal What Are These Symptoms?

Brief Answer: Needs echo and pulmonary function test Detailed Answer: Hello, Yes, it's better to visit er especially if you are having excessive difficulty in breathing at rest or on sleeping. Firstly, possibilities in you are heart failure, COPD. Also, the swelling may occur due to heart failure, but amlodipine is a very common cause of swelling and you should get it changed to other antihypertensive like either increasing losartan dose or additing thiazide. The mucus production can be explained by COPD, and also it can cause shortness of breath and swelling. So you ll need echo to asses heart function and pulmonary function test, chest X ray for lung function. You ll need diuretics or inhalers for current symptoms, so you may discuss regarding the same with local doctor. Hope this helps you and get back if you have any doubts. Thanks.