Question: I developed breathing difficulties approx 2 years ago, which have worsened gradually.. I am coansistently told by the doctor that I am hyper ventilating due to anxiety …. wish it were so simple.
I originally felt something wasn’t moving properly when I breathed in and out, ordered chest xray which came back clear. No wheezing or any symptom like that, just that i couldn’t breathe deeply any more. Problems have persisted, getting worse with worsening pantness, shortness of breath at all times and worsening feeling of suffocation especially when lying down. I’m breathing about 40 breaths every 30 secs now, constantly like this and am exhausted with it and scared at the increasing shallowness and choking feeling. Very bad feeling of choking all the time and gurgling noises in throat now, very shallow breaths n and out. Can still swallow but feels very odd and uncomfortable. Have also had a diaphragm test this was also clear. Have now such a shallow breath in and out and permanent choking feeling, wretching sometimes which is so difficult even as so little air. I! Now having to sit with my mouth open to breathe but if I open it wide start choking. My voice has changed too over past few months and struggling to talk without choking. Please don't say anxiety as doc has said this, have tried relaxation, meficatipn, everythíngg and still worsened. Can barely breathe in or out now and very frightened, as not been taken seriously at all. The doc says if I go to urgent care they will read chest xrays are clear and say I'm anxious. He seems unable to understand I'm anxious as this has worsened so much since the onset. I feel like something is semi paralysed in my throat is this possible? I feel it need urgent treatment and don't know how to proceed. I am 44 eight stone 6 points , one metre 68 and not taking any medication. Also to addmy symptoms started after four months of bed rest following following a leg accident. I have always felt that because I was immobile such a long time this weakened my muscles but my doc dismisses this. I can barely touch my throat now and feel I'm choking when I eat, when I breathe, the doctor says I'm focussing on it all the time but tandthe choking feeling is so frightening anduncomfortable becuasethe lack of breath I caninhale or exhale is so frightening, along with choking feeling. I feel I should have been referred andinveztigatedl long before this was allowed to happen. Please can you advise as to whether some kind of throat paralysis is possible and what can be doneif anything as I am going to book a private ent appointment for tomorrow as I'm fearingimay choke soon. This is not normal shortness of breath but some constriction which has worsened considerably over time. Please can you help in any way to advise me what canbe done if this is some kind of throat paralysis? I wouldnbe panicking so much if it weren't so serious and difficult to breathe. Thank you

I have managed to get an appointment private ent tonight. Do you think it possible to email me within the next ten minutes before I set off? Thanks I know this a lot to ask.

Hi will set off in half an hour don't know if anything is possible for a reply before then am hoping to have more information before I go thanks.

There was no evidence of vocal fold paralysis. Ages ago I asked for a diaphragm test as I felt my diaphragm wasn't moving properly when breathing, and they did an ultrasound on diaphragm and said there was movement. However the respiratory nurse had said that they should have done sniff test which measures movement before and after inspiration, two different readings to compare. They just held the ultrasound over my diaphragm and didn't do any before or after measurements.. Can you tell me if ultrasound alone without sniff test would detect all types of possible paralysis if there was an issue. As this has been happening a long time and I originally had said I felt the muscles weren't working properly.

Hi can i ask you what other neurological deficits woyld be present please