Breathing Issues and Pain: When to See a Pulmonologist or Neurologist? - Pulmonology

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There is a sound during exhalation on the lower right side of the chest?


Hello, Doctor.
For the past few days, I have been experiencing a sound in the middle lower right side of my chest when I inhale.
I also have difficulty taking deep breaths, which leads to feelings of dizziness and hypoxia.
Additionally, I have severe pain in the right zygomatic bone, and sometimes I struggle to breathe properly.
Should I see a pulmonologist or a neurologist for these symptoms? Thank you for your response!

Yi Yu, 30~39 year old female. Ask Date: 2017/06/21

Dr. Jian Shuntian reply Pulmonology


Hello: Please consult a pulmonologist.
Best regards, Jian Shun-Tian.

Reply Date: 2017/06/21

More Info


When experiencing symptoms such as difficulty breathing, chest pain, and dizziness, it can be quite concerning and may lead to confusion about which specialist to consult. In your case, the symptoms you describe—specifically the sound when inhaling, the inability to take deep breaths, and the pain in the right cheekbone—could potentially involve both respiratory and neurological systems.
Firstly, let's break down your symptoms. The sound during inhalation could indicate a few possibilities, including issues related to the airways, such as bronchospasm or inflammation, which would typically fall under the expertise of a pulmonologist (lung specialist). The sensation of not being able to take a deep breath and the accompanying dizziness could suggest a respiratory issue, potentially involving the lungs or airways, or it could be related to anxiety or panic attacks, which can cause similar symptoms.

On the other hand, the pain in the right cheekbone could suggest a neurological issue, especially if it is accompanied by other neurological symptoms such as headaches, facial numbness, or weakness. Conditions such as trigeminal neuralgia, which affects the facial nerve, could cause significant pain in the facial region and might be best evaluated by a neurologist.

Given the complexity of your symptoms, it would be prudent to start with a visit to a primary care physician who can conduct a thorough evaluation. They can assess your symptoms in detail, perform necessary physical examinations, and potentially order preliminary tests such as blood work, chest X-rays, or CT scans to rule out any serious conditions. Based on their findings, they can then refer you to the appropriate specialist—whether that be a pulmonologist for respiratory issues or a neurologist for neurological concerns.

In terms of urgency, if you are experiencing significant difficulty breathing, chest pain, or any other alarming symptoms such as severe dizziness or fainting, it is crucial to seek immediate medical attention. These could be signs of a more serious condition that requires prompt intervention.

In summary, while both pulmonologists and neurologists could be relevant to your symptoms, starting with a primary care physician is advisable. They can help navigate your symptoms and direct you to the appropriate specialist based on their findings. Remember, your health is paramount, and addressing these symptoms early can lead to better outcomes.

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