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How To Treat Breath Shortness?
Hi thre Doctor, Im a male 49 years old, im experiencing suddenly shortness of brath, lower back pain sweaty cold palms, shaking and chilling, and my bp spiking from normal to 160/100 then goes down back to normal. sometimes with neck pain, and shoulder right pain.
Tue, 22 Sep 2015
Hello!
Welcome and thank you for asking on HCM!
I understand your concern, and would explain that it is necessary to perform a comprehensive differential diagnosis of different disorder affecting the chest structures (lungs, cervical column, acute coronary syndrome, aorta).
I would recommend consulting with your GP for a careful physical examinantion, a chest x ray, a resting ECG, respiratory function tests and some blood lab tests:
- complete blood count
- thyroid hormone levels
- cortisol plasma levels (adrenal gland function)
- PCR and sedimentation rate
- fasting glucose
- blood electrolytes,
- kidney and liver function tests, etc.
It is necessary to perform a cervical spine xray , possibly followed by a cervical spine MRI if suspicions about a cervical disk displacement are raised.
If all the above tests result normal, I would advise to perform the 24 hour urinary levels for metanephrines to investigate for a possible pheochromocytoma, which may be the cause of a similar clinical scenario.
Hope to have been helpful!
Feel free to ask any other questions, whenever you need!
Best regards,
Dr. Iliri
Welcome and thank you for asking on HCM!
I understand your concern, and would explain that it is necessary to perform a comprehensive differential diagnosis of different disorder affecting the chest structures (lungs, cervical column, acute coronary syndrome, aorta).
I would recommend consulting with your GP for a careful physical examinantion, a chest x ray, a resting ECG, respiratory function tests and some blood lab tests:
- complete blood count
- thyroid hormone levels
- cortisol plasma levels (adrenal gland function)
- PCR and sedimentation rate
- fasting glucose
- blood electrolytes,
- kidney and liver function tests, etc.
It is necessary to perform a cervical spine xray , possibly followed by a cervical spine MRI if suspicions about a cervical disk displacement are raised.
If all the above tests result normal, I would advise to perform the 24 hour urinary levels for metanephrines to investigate for a possible pheochromocytoma, which may be the cause of a similar clinical scenario.
Hope to have been helpful!
Feel free to ask any other questions, whenever you need!
Best regards,
Dr. Iliri
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