
What Causes Breathing Difficulty With Pain And Vibrating Sensation In The Chest?

I would recommend as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I carefully passed through your question and would explain that your symptoms could be related to gastro-esophageal reflux or hiatal hernia.
The fact that your symptoms are triggered by lying down and eating junk food is another argument in favor of this diagnosis.
Have you ever tried taking Omeprazole or Zantac? Do these drugs improve your situation? This would be another fact to indicate gastro-esophageal reflux or a hiatal hernia.
But anxiety can not be excluded either, considering the fact that you have been taking Ritalin, which can trigger all this clinical scenario.
The fact that you have been smoking for 8 years, predisposes you to lung disorders similar to asthma too. I would like to know if you have ever performed pulmonary function tests.
Coming to this point, it is important performing a comprehensive differential diagnosis between the above mentioned possible causes. For this reason, I would recommend consulting with your attending physician for a careful physical exam and some tests:
- a resting ECG and a cardiac ultrasound to examine your heart
- a chest X Ray study and pulmonary function tests (if you have not performed these tests yet)
- a fibrogastroscopy to investigate for reflux or hiatal hernia
- complete blood count, PCR, ESR for inflammation
- thyroid hormone levels for thyroid dysfunction
- blood electrolytes for possible electrolyte imbalance.
An ambulatory 24-48 hours ECG monitoring would also help examine your heart rhythm trends during the day and exclude possible cardiac arhythmia, which could mimic this clinical scenario.
You should discuss with your doctor on the above issues.
If all these tests result normal, you should consider anxiety as the main cause of this clinical scenario.
Hope to have been helpful!
If you have any other questions, please don't hesitate to ask me again!
Wishing good health,
Dr. Iliri


also.. I have no acid coming up what so ever so can it still be reflux?
I remain at your disposal whenever you need!
Detailed Answer:
Hello again dear,
I remain at your disposal whenever you need at any time!
I would be happy to review all your performed tests for another professional opinion!
I would strongly recommend you to perform the above mentioned tests. Trying taking Omeprazole is another options, which will help distinguish if your symptoms are related to gastro-esophageal reflux or hiatal hernia. In such case fibrogastroscopy would be necessary.
If our thread is closed by the system, you can ask a question directed to me (for ex.: question for Dr. Ilir Sharka) and I will be able to answer to your question.
You can also upload all your test reports here, so I can be able to review them for a more professional opinion.
Hope you will find this answer helpful!
Wishing all the best,
Dr. Iliri


You are welcome!
Detailed Answer:
I am glad to have been helpful to you!
Let me know about everything!
Kind regards,
Dr. Iliri

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