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Suggest Treatment For Breathing Difficulty And Tightness In The Chest

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Posted on Tue, 12 Jul 2016
Question: Its been a tougher than usual day, I think its the anxiety and desire to be here full time that has me on edge. anxiety has breathing a bit more difficult than usual. again I think its because i am looking for instant relief and its not there so i get upset and edgy.

I had to run around town today, then go mow the yard in 90 + degree weather with high humidity. lots of tree branches to pick up, weeds to cut and grass to cut. The grass cutter is self propelled and pulls me along. i am forced to move faster than i want then i feel breath more uncomfortable. No SOB just uncomfortable breathing

I had some chest tightness while mowing, air inflow felt limited so I did a force exhale to see if i could get anything out to let more in and there was no change.
I then assumed that the airways are constricted.

Is it normal with this type of inflammation to make the chest and lungs to feel tight and restrictive to air INFLOW.

would it be normal with airway inflammation to be a bit anxious and need to take a rest after working in the yard during the initial stage of recovery. and if so, as i progressively get less anxious and less inflammation, it will not require the rest as much.

I understand that as we age we do not have the stamina as a kid.

NEW Thought,
Describe small airways disease, obstruction and inflammation from the symptoms point and its effects such as fatigue and such. No reason other than curious on that subject.
doctor
Answered by Dr. Drkaushal85 (51 minutes later)
Brief Answer:
Yes, your understanding is right.

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
Why you are asking from new thread?
Did HCM close previous one?
Please rate the one and close it too.
Coming back to your query, yes, your understanding is right.
Small Airway inflammation can cause obstruction while breathing in as well as breath out. So this can't give feeling of chest tightness.
And yes, rest is very much important, not only for physical recovery but also for mantle peace and to decrease the stress and anxiety.
About your new thought, small Airway obstruction causes coughing as first symptom.
Coughing is usually dry, irritant type of with chest tightness.
Breathlessness on exertion is also seen but no breathlessness on rest.
Hope I haveI have solved your query. I will be happy to help you further. Wish you good health. Please close the previous conversation and rate my answer. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (16 hours later)
Yes hcm would not let me send another text so I had to open a new thread on an old account. I'm in an anxious state today. Getting loaded to go back. My daughter the respiratory therapist came by to get her daughter and asked why I was anxious and tried to explain what we talked about regarding inflammation of small airways from stress and anxiety. She looked confused, and explained that she understood anxiety inflammation and asthma relationship but I am sure my lack of knowledge confused her on this when asthma is not involved. What is the best answer for her from a patient point of view ?

She agrees that I have anxiety to blame on my breathing but as for the rest of my issues she doesn't understand when I try to explain. She knows of asthma and anxiety on airway constriction but her education may have not discussed what you believe is the case. Do you have an answer for me to give her maybe the psychiatric part was not given in full explanation. But if you can give me a good explanation answer for her that would be helpful

Since the clinical definition of emphysema does not apply
Since the clinical definition of bronchitis does not apply
Since your clinical explanation of air trapping does not apply
Since the clinical explanation of hyperventilating from panic does not apply
Since very mild asthma is not confirmed

Also the symptoms for each of these do not agree with my symptoms

I need an explanation to chest tight when exertion is taking place

Explain why air inflow and outflow is not smooth or deep when body is calling for air from working

You also are a father. Yesterday was Americas Father's Day so happy late fathers day
doctor
Answered by Dr. Drkaushal85 (11 hours later)
Brief Answer:
Inflammation is the key factor in both. (stress as well as asthma).

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Sorry for late reply as I was a bit busy since yesterday.
And I am married but yet not a father. So no happy Father's day for me.
But yes, happy Father's day to you.
You are not having any organic lung disease (emphysema or bronchitis or COPD or asthma).
Because in all these symptoms are different (cough, wheezing) and PFT has too show reduced FEV1 /FVC ratio, FEV1 and FVC.
Since thesethese are absent in your case over years, no need to worry for organic lung disease.
Inflammation is key component in each of them.
Stress and anxiety can also act via inflammation.
But the type of inflammation is different in all.
And this is the key.
So it is very hard to prove stress related inflammation. So we have to rule out other causes and confirm stress as diagnosis of exclusion.
Hope I have made my point clear.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (8 hours later)
I'll use up this thread and answer question from other. The weekend did not go as I wanted I did not see ex wife because current wife was along. Spoiled my plans.

I did get home and spent several hours working on that work project getting it just short of done This let me sleep through the night

I also hope that the reduction in stress will reduce inflammation and let airway open up and let more air in

She had no idea, she just wanted to go along she wanted a weekend trip and came along. And yes all my stress levels were up and I triggered them more by working and getting breathless and not getting the rest I needed and wanted

You use the term organic disease so when I start with breathing hing issues I think the worst thing possible. Anyway today I am tired and hoped to rest over lunch break.
doctor
Answered by Dr. Drkaushal85 (5 minutes later)
Brief Answer:
This should not be done by her.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I feel sorry for you.
I could imagine your condition and stress level.
But how could this possible.
Means why she joined you?
Did she have any idea that you are meetingmeeting your ex wife?
I will be happy to help you further. Wish you good health. Thanks.


Brief Answer:
Why you not meet your ex wife?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
This is horrible my friend.
Yes, you need break and relaxation.
Is your plan canceled only due to your current wife?
What was the reaction of your ex wife after hearing this?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Dr. Drkaushal85

Pulmonologist

Practicing since :2008

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Suggest Treatment For Breathing Difficulty And Tightness In The Chest

Brief Answer: Yes, your understanding is right. Detailed Answer: Thanks for your question on Healthcare Magic. I can understand your concern. Why you are asking from new thread? Did HCM close previous one? Please rate the one and close it too. Coming back to your query, yes, your understanding is right. Small Airway inflammation can cause obstruction while breathing in as well as breath out. So this can't give feeling of chest tightness. And yes, rest is very much important, not only for physical recovery but also for mantle peace and to decrease the stress and anxiety. About your new thought, small Airway obstruction causes coughing as first symptom. Coughing is usually dry, irritant type of with chest tightness. Breathlessness on exertion is also seen but no breathlessness on rest. Hope I haveI have solved your query. I will be happy to help you further. Wish you good health. Please close the previous conversation and rate my answer. Thanks.