Suggest Treatment For Exertional Dyspnea
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Detailed Answer:
Hello
Thanks for your query.
Exertional dyspnea in this age group may be attributed to both heart and lung disease. But as your cardiologist has already excluded heart causes then possible lung causes in this respect may be as follows -
1. Chronic obstructive pulmonary disease
2. Interstitial lung diseases
3. Pulmonary arterial hypertension
In this respect I would suggest your mother to go for the following investigations along with clinical examination by a good pulmonologist -
1. Chest X-ray (PA view)
2. Spirometry with bronchodialator reversibility testing
3. HRCT scan thorax if chest X-ray is inconclusive or non-contributory
You should visit the office of another pulmonologist and get your mother thoroughly examined.
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Thank you.
Regards,
Dr Arnab Maji
MBBS (Hons), MD
Consultant Pulmonologist
COPD, late-onset asthma are strong possibilities
Detailed Answer:
Hi
Thanks for writing back.
Retrosternal goitre may cause this symptoms. Thyroid problems can cause this problem. But COPD and late-onset asthma are more compatible with the symptoms she has. Everything will be revealed by the investigations which I prescribed you in my previous answer. Go for the tests and get your mother clinically examined by a good pulmonologist. I hope you soon will get your answer.
Thank you.
Regards,
Dr Arnab Maji
MBBS (Hons), MD
Consultant Pulmonologist