Tightness Around the Collarbone: Asthma or Other Causes?

Q: Tightness Around the Collarbone: Asthma or Other Causes?

Dear Wenwen： Based on your description, it seems to be related to respiratory allergies. <br>The so-called post-nasal drip is also associated with allergies. <br>When you return to the clinic, you can undergo pulmonary function tests and blood allergy index tests. <br>Currently,

Tightness in the clavicle?

Hello doctor, a few years ago I asked you about the discomfort I felt in my collarbone area.
For the past few years, I have been regularly seeing a pulmonologist every three months.
The doctor mentioned that I have a small lung capacity and mild asthma, with the only symptom being tightness in my collarbone.
I last visited the doctor in October of last year, and he said my lung capacity had improved a bit.
From October to April, I did not experience any tightness in my collarbone, so I did not see the doctor.
However, on April 6th of this year, after visiting the zoo and drinking a mung bean smoothie due to the heat, I started feeling tightness in my collarbone again the next day.
Previously, the tightness would last for two to three days or a week and would resolve on its own without medication.
But this time, the tightness has persisted from April 6th until today.
I don't feel like I'm gasping for air, but it is uncomfortable, and sometimes I need to take deep breaths.
Since I haven't had time to see a doctor, I would like to ask you: Am I experiencing asthma again, or could it be due to post-nasal drip? I do have a history of post-nasal drip.
I have an appointment with the pulmonologist this Friday; what tests should I ask the doctor to perform?

Wenwen, 40~49 year old female. Ask Date: 2019/04/24

Dr. Huang Yiwen reply Pulmonology

Dear Wenwen: Based on your description, it seems to be related to respiratory allergies.
The so-called post-nasal drip is also associated with allergies.
When you return to the clinic, you can undergo pulmonary function tests and blood allergy index tests.
Currently, using nasal sprays can help improve your condition.
The tightness around your collarbone is due to bronchoconstriction.
Changhua Hospital cares about you.

Reply Date: 2019/04/24

More Info

Understanding the tightness around the collarbone can be complex, especially when considering conditions like asthma or other potential causes. Based on your description, it seems that you have a history of mild asthma and have experienced episodes of discomfort around the collarbone, which can be concerning.
Asthma is a chronic respiratory condition characterized by inflammation and narrowing of the airways, leading to symptoms such as wheezing, coughing, chest tightness, and shortness of breath. The tightness you feel around your collarbone could potentially be related to your asthma, especially if it is accompanied by other respiratory symptoms. However, it is also important to consider other factors that could contribute to this sensation.

One possibility is that the tightness could be related to muscle tension or strain in the area surrounding the collarbone. This can occur due to poor posture, stress, or even physical activity. Additionally, if you have been experiencing nasal congestion or post-nasal drip, this could lead to throat irritation and a sensation of tightness in the upper chest and collarbone area.

Given that you have a history of asthma and have been monitored by a pulmonologist, it is wise to return for a follow-up, especially since your symptoms have persisted for an extended period. When you see your doctor, it would be beneficial to discuss the following:
1. Pulmonary Function Tests (PFTs): These tests measure how well your lungs are working and can help determine if there is any obstruction or restriction in airflow that could be contributing to your symptoms.

2. Peak Flow Monitoring: This involves measuring how fast you can exhale air, which can help assess the severity of your asthma and whether your current management plan is effective.

3. Allergy Testing: If you suspect that your symptoms may be related to allergens, discussing allergy testing could be helpful. Allergies can exacerbate asthma symptoms and contribute to respiratory discomfort.

4. Imaging Studies: If your doctor deems it necessary, they may recommend a chest X-ray or CT scan to rule out any structural issues or other lung conditions that could be causing your symptoms.

5. Assessment of Post-Nasal Drip: Since you mentioned having post-nasal drip, it may be worthwhile to evaluate this further. Sometimes, treating underlying sinus issues can alleviate respiratory symptoms.

6. Medication Review: Discuss your current asthma management plan with your doctor. If you have not been using your rescue inhaler regularly, or if your symptoms are not well-controlled, adjustments may be needed.

In summary, while your symptoms could be related to asthma, it is essential to consider other potential causes, including muscle tension and post-nasal drip. Your upcoming appointment with your pulmonologist is a great opportunity to address these concerns and undergo any necessary evaluations. Keeping an open line of communication with your healthcare provider will help ensure that you receive the appropriate care and management for your symptoms.

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