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Suggest Treatment For Burning Sensation In The Chest And Difficult Breathing

Posted on Fri, 25 Apr 2014

Question: my mother age 52 years her p/a view x-ray shows bilateral prominent broncho-vascular markings. hear size normal hilar are normal cp angle are free IMPRESSION:- chronic bronchitis..... she never showed any serious cough or fever or sputum or any breathing problems...other than she snores in the night which she has been doing since a very longtime lymphocyte count -43,hb-11.7,total rbc count-3.79 erythrocyte sedimentation rate is -14 urine specific gravity -1.015 hba1c-6.0 rst all the values are in the normal range please advice

Answered by Dr. Vaddadi Suresh (16 minutes later)

Brief Answer: you can ignore the diagnosis. Detailed Answer: Hi XXXXXXX You need no be scared of the X Ray report. X rays cast only shadows and the interpretation hugely varies between two doctors. Remember - "A diagnosis of chronic bronchitis CAN NOT be made by chest x ray or any other test". It is a clinical diagnosis, done after thorough history taking and patient examination. x rays will only aid or help. As you say she does not have serious cough issues, you can ignore the diagnosis. Snoring is a different problem and may be due to her obesity, and can be best adressed by weight reduction. I hope i was of some help.

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

Follow up: Dr. Vaddadi Suresh (8 hours later)

thank you, she said that,some times may be twice or thrice in a year she used to get some burning sensation from last 2-3 years,near her chest,during which she could not breath wihch would go awaya after some time,other than that she used to get this feeling of her intestine moving upwards and when she lossens her dress and after few min she could will feel comfortable does ds show anything thank you

Answered by Dr. Vaddadi Suresh (2 hours later)

Brief Answer: what is the status of her Hepatitis B? Detailed Answer: Hi, The burning sensation could be because of acid reflux, which can be managed by simple drugs like pantoprazole or any other antacid. Other symptoms are just ignorable considering her age, and hence i suggest her not to worry about her complaints. what is the status of her Hepatitis B?

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

Follow up: Dr. Vaddadi Suresh (1 hour later)

after doing usg when i asked the radiologist he said there are no abnormalities,but other than fatty changes,which wil be gone once she do exercise, i didnt get her recent hepatits profile done its been a longtime,

Answered by Dr. Vaddadi Suresh (4 hours later)

Brief Answer: she has to UNDERGO FURTHER INVESTIGATIONS. Detailed Answer: Ok, Now this is important. Positive hepatitis B can mean anything from a simple carrier (no need to worry) to chronic hepatitis and cirrhosis (needs treatment and is dangerous). We need to know the status of hep B so that future complications can be prevented. A normal ultrasound abdomen will not rule out hepatitis induced liver disease. I WOULD HENCE SUGGEST HER TO UNDERGO FURTHER INVESTIGATIONS. All the best.

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