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Acute Respiratory Distress Syndrome (ARDS) Message Board
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Old 06-06-2013, 09:25 PM   #1
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please help... can't breath... What doctor next?

I am 26, Female, short of breath. It's the feeling that you've ran a few blocks and are out of breath, but it's all the time. Even going up stairs. No one can tell me what's wrong with me. It started a month and a half ago. I should note that it started along with the warmer weather... although I haven't found a link to that yet. i also have heart palpitations and the feeling that my heart is stalled. I also have i feeling of acid reflux and something feels wierd in my chest under my breastbone. I also smell cigarette smoke all the time even though there are no smokers here ..its a ghost smell.

†One night I woke up from a sound sleep...i sat up, and felt short of breath. I may or may not have panicked, but my heart started pounding fast and HARD... I couldn't stop it. I tried water, sitting, laying..nothing. It was brief, only a minute, but i ended up calling 911 because I was so scared and out of breath..I thought i was having a heart attack and I was alone at night with my 2 year old. They came and checked my bp- 120/82. (usuall is 100/60) My o2 was at 98%, and my pulse was back to normal but i had tremors. I didn't go in to the hospital because i had no one for my daughter.

†The next night was the same but less intense. I worked through it.Every night there on I have not have panic attacks about it because I know I will be ok, but I AM CONSTANTLY OUT OF BREATH. The shortness of breath and the awareness of my heart beating is no longer coming in "attacks", it's constant. I can't even go for a long walk. It's a constant feeling of no air.These are the tests I've had done
.HOLTER MONITOR 24 HR - Average heartbeat is 80, low is 48, high is 128. Occasional PACs. No PVCs. No pauses

.†LIPID W REFLEX-†cholesterol tot. 135,hdl 52, triglycerides 94,LDL 64,CHOL/HDLC ratio 2.6,†NON HDL CHOL 83,†

METABOLIC-†glucose 91,†urea nitrogen 15,†creatinine .74,†eGFR 112,sodium 141,†potassium 4,†chloride 105,†carbon dioxide 24,†calcium 9.9,†protein 7.6,†albumin 4.9,†globulin 2.7,†albumin/globulin ratio 1.8,†biliruben 0.6,†alkaline phosphatase 53,(AST 50 ),†ALT 12, magnesium 2.1,†TSH 5.10, (their scale goes from .4-4.50)

CBC-†white blood cell 8.9,red blood cell 4.24,hemoglobin 13.3,hematocrit 39.7,†mcv 93.5,†mch 31.5,†mchc 33.6,rdw 12.8,platelet count 227

After this i was in the e.r with shortness of breath again and these are the tests they did that came back within range:ECG 12-leadCR chest portable ap only 71010- normal heart and aorta, lung fields clearCBC with auto diffcomp metabolic panelprothrombin timepartial thromboplastin timed dimerestimated glomerular filtration ratepoc troponin 1

Then my doctor did more Thyroid panel to follow up on the high TSH:

TSH w reflex to FT4 -4.05
T4 Thyroxine total-6.0
Free T4 index- 2.1
T3 uptake 35
They told me all this was in range.†Does ANYONE have any idea what doctor i should go see next? I need to find a good doctor in the south suburbs of Chicago or within 30 miles of chicago.They prescribed me lexapro, proair inhaler, and singulair. I have not taken any of them because i do not know what is wrong with me and I don't want to complicate things.Please and thank you.

 
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Old 06-07-2013, 06:14 PM   #2
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Re: please help... can't breath... What doctor next?

You probably need to see a pulmonologist and if that testing is negative, a gastro.
Many disgestive issues mimic asthma but I'd have a PFT and maybe a methocholine challenge at the pulmo first.

 
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Old 07-31-2013, 02:02 PM   #3
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Re: please help... can't breath... What doctor next?

First take a deep breath...I have been a resp therapist for over 16 yrs and your symptoms sound more like panic attacks, they can make you feel like you are having a heart attack. That said there are some tests that your family doc can order before going to multiple expensive specialists. Specialists rarely talk to one another and you need a gate keeper or someone like a family doc who looks at the whole picture. Ask you PCP (primary care physcian...family doc) for a pulmonary function test or PFT, it can tell if something is going one with your lungs and based on the results send you to a lung specialist. The inhaler they gave you is very safe and based on your response to its use can also tell the docs about your lungs. The one specialist I might suggest would be an endocrinologist who deals with the thyroid, your elevate TSH may suggest something even though further testing was normal...you symptoms can also be thyroid in nature.

I hope this helps some.

 
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