Your Breathing Issues: Possible Causes and Solutions - Pulmonology

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I don't even know what illness I have?


Hello Dr.
Yang: I have been experiencing difficulty breathing for several years.
Two years ago, I was diagnosed with asthma, so I didn't pay much attention to it.
However, in the past few days, my condition has worsened significantly.
I feel dizzy all day, have severe difficulty breathing, a sensation of something stuck in my throat, chest pain, and notable soreness in my upper body (especially in my spine and shoulders).
I also feel like there is something lodged in my ears.
Could you please tell me what this might be?

Zhang Xiaomei, 20~29 year old female. Ask Date: 2008/08/27

Dr. Yang Wenda reply Pulmonology


Hello, Ms.
Zhang: You have a past diagnosis of asthma, so it is recommended that you visit a pulmonology clinic.
As for the other symptoms, it is not immediately possible to determine which organ may be involved.
However, for dizziness and a feeling of ear fullness, you may want to consult an otolaryngologist.
Best wishes!

Reply Date: 2008/08/27

More Info


It sounds like you are experiencing a complex set of symptoms that can be quite distressing. Your description includes difficulty breathing, a sensation of something stuck in your throat, chest pain, upper body soreness, and a feeling of fullness in your ears. Given the duration and severity of your symptoms, it is essential to consider a few potential underlying causes and solutions.

Firstly, asthma is a chronic condition that can cause breathing difficulties, especially if it has been diagnosed in the past. Asthma can be exacerbated by various triggers, including allergens, respiratory infections, cold air, and even stress. If your asthma has not been well-controlled, it could lead to the symptoms you are experiencing. It is crucial to have a follow-up appointment with a pulmonologist or an asthma specialist to evaluate your current condition and adjust your treatment plan accordingly.

Another possibility is that your symptoms may be related to anxiety or panic attacks. The sensation of not being able to breathe, feeling lightheaded, and having chest pain can often be associated with anxiety disorders. Stress and anxiety can lead to hyperventilation, which can cause a range of physical symptoms, including dizziness and a feeling of tightness in the chest. If you suspect that anxiety may be a contributing factor, consider speaking with a mental health professional who can help you develop coping strategies and possibly recommend therapy or medication.

Additionally, the sensation of something stuck in your throat could indicate a condition known as globus sensation, which is often related to anxiety or gastroesophageal reflux disease (GERD). GERD can cause acid to irritate the throat and esophagus, leading to discomfort and a feeling of fullness. If you have not been evaluated for GERD, it may be worth discussing with your healthcare provider.

Your upper body soreness, particularly in the spine and shoulders, could be related to muscle tension, which often accompanies stress and anxiety. Poor posture, especially if you spend long hours sitting or working at a desk, can also contribute to musculoskeletal pain. Engaging in regular physical activity, practicing good posture, and incorporating relaxation techniques such as yoga or stretching may help alleviate some of this discomfort.

Lastly, the feeling of fullness in your ears could be due to Eustachian tube dysfunction, which can occur with allergies, sinus infections, or even changes in pressure. If you have a history of allergies, managing them with antihistamines or nasal corticosteroids may help relieve this symptom.

In summary, your symptoms could stem from a combination of asthma, anxiety, potential GERD, and musculoskeletal issues. It is essential to follow up with your healthcare provider to discuss your symptoms in detail and possibly undergo further testing, such as pulmonary function tests, allergy testing, or imaging studies, to rule out any serious conditions. A multidisciplinary approach involving a pulmonologist, an ENT specialist, and possibly a mental health professional may provide a comprehensive understanding of your symptoms and lead to effective management strategies. Remember, it is crucial to communicate openly with your healthcare team about all your symptoms and concerns to receive the best possible care.

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