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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Tightness Of Chest, Constipation And Hives?

I am a 31 yr old female, 5'7" 157lbs. I am asthmatic, well at least that is the present diagnosis. I have constant tightness in my chest and weezing. I have done alot of blood tests, an endoscopy and CT scan. The blood tests and endoscopy are all normal. CT scan is normal excpet for a 5mm calified granuloma in my right upper lung and characteristics of fatty liver. SO in addition to the chest tightness, i am now experiencing Constipation and hives. I get the hives at night and in the morning, but it disappears during the day. I have tried prune juice and an enema for the constipation but to no avail. Can you please advise as to whats wrong with me? Any ideas???????
Fri, 22 Jul 2016
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Pulmonologist,  's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
Breathlessness, wheezing, hives are more suggestive of allergic asthma.
And for the diagnosis of asthma, PFT (pulmonary function test) is must.
So better to consult pulmonologist and get done
1. Clinical examination of respiratory system
2. PFT (pulmonary function test).
PFT will not only diagnose asthma but it will also tell you about severity of the disease and treatment is based on severity only.
You may need inhaled bronchodilator (formoterol or salmeterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone) for the treatment.
Oral combination of antihistamine (levocetrizine or fexofenadine) and anti allergic (montelukast) drug is also beneficial in your case.
For constipation, drink plenty of fluids orally, eat high fiber diet, avoid oily and spicy food. Take laxative syrup if needed.
Don't worry, you will be alright with all these.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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What Causes Tightness Of Chest, Constipation And Hives?

Thanks for your question on Healthcare Magic. I can understand your concern. Breathlessness, wheezing, hives are more suggestive of allergic asthma. And for the diagnosis of asthma, PFT (pulmonary function test) is must. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PFT (pulmonary function test). PFT will not only diagnose asthma but it will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilator (formoterol or salmeterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone) for the treatment. Oral combination of antihistamine (levocetrizine or fexofenadine) and anti allergic (montelukast) drug is also beneficial in your case. For constipation, drink plenty of fluids orally, eat high fiber diet, avoid oily and spicy food. Take laxative syrup if needed. Don t worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.