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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain Or Pressure On Chest, Wheezing,cough, Temperature Is Low,diagnosed Asthma, Taken Corticosteroid/ Bronchodilator (zenhale), Antibiotic Staken For Lymph Node On Jaw And Mouth Infection

My chest is very tight. It feels like I can t get a full breath. There is some pain/pressure in my chest. I have a deep wheezing , non-productive cough. My temperature is quite low at 96.3. I have been diagnosed with asthma , but I haven t had problems with in in 10+ years. I have been taking a rescue inhaler (salbutamol?) as well as a combination corticosteroid/ bronchodilator (zenhale), but neither seems to have any effect. I have been exposed to someone with pneumonia recently, but went through a cycle of antibiotics ( amoxicillin ) for an unrelated issue since (swollen lymph node on jaw - infection in mouth). It seems to get worse at night or when I lay down. Should I be concerned and/or seek emergency medical attention?
Wed, 6 Jun 2012
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Pulmonologist,  's  Response
You seem to be suffering from Asthma. To establish the diagnosis, get a PFT done. A chest Xray and routine blood examination and sputum examination should be done to rule out any other disease. Once diagnosis is confirmed you have to take both salbutamol and long acting corticosteroid+LABA inhaler for long term control. You have to be regular in taking your inhalers as commonest cause of poor control of asthma is not taking inhalers on the part of patient. You may also take a Montair LC and avoid any known allergens.
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Pain Or Pressure On Chest, Wheezing,cough, Temperature Is Low,diagnosed Asthma, Taken Corticosteroid/ Bronchodilator (zenhale), Antibiotic Staken For Lymph Node On Jaw And Mouth Infection

You seem to be suffering from Asthma. To establish the diagnosis, get a PFT done. A chest Xray and routine blood examination and sputum examination should be done to rule out any other disease. Once diagnosis is confirmed you have to take both salbutamol and long acting corticosteroid+LABA inhaler for long term control. You have to be regular in taking your inhalers as commonest cause of poor control of asthma is not taking inhalers on the part of patient. You may also take a Montair LC and avoid any known allergens.