Is labored troubled breathing/panting necessary to have dyspnea on exertion?

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benny07
New Member


Date Joined Jul 2010
Total Posts : 3
   Posted 7/24/2010 8:56 AM (GMT -7)   
I am not sure if my sudden chest pain and anxiety is dyspnea or something else because my breathing seems ok... here's the story:
 
I would like to know if my symptos can be considered dyspnea on exertion. I had a bronchoscopy a year ago. I would develop chest pain and extreme anxiety when walking on level or uphill for 2-3 months and these symptoms went away. Echocardiogram was normal, arterial blood gas normal, and stress/arterial test was normal with somewhat deconditioning which reflected on my lactic acid level while exercising.

I had had the bronch for an unexplained 2 year cough which revealed LPR reflux, a little atelectasis and a little bacteria. All of these were treated successfully. I went back salsa dancing 6 months after for about 2 months and regained physical confidence. I also lost about 40 lbs and lowered my triglycerides so I stopped going and felt perfect afterwards until today when i walked around up and down a huge college building.

I had also stopped taking nexium about 3 weeks ago and seemed to have been managing reflux well until last week when I went into a fast food spree. I got back in track on my diet this week but some of the reflux symptoms kicked in but did not worry as I have had a couple of ugly 1 week episodes in the last 10 months. Today though I walked these long 500ft college hallways and up and down the stairs along with a friend who is fast walker. The nightmare chest pains along with an extreme anxiety suddenly reappeared and now I'm clueless... someone help me... tnx

stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 7/24/2010 1:56 PM (GMT -7)   
Denny,

DOE or dyspnea on exertion is usually a term you will see professionals use so wondering if you have a medical backgroud?

DOE also called shortness of breath (SOB) or air hunger, is a debilitating symptom that is the experience of unpleasant or uncomfortable respiratory sensations. It is a common symptom of numerous medical disorders, particularly those involving the cardiovascular and respiratory systems; dyspnea on exertion is the most common presenting complaint for people with respiratory impairment. With your GERD do you by any chance have asthma or breathing problems associated with that dx?
When shortness of breath is caused by anxiety, it may be because you are breathing incorrectly and therefore not taking in an adequate supply of oxygen. Deep breathing is needed to give your body the oxygen it needs. When you hyperventilate (take shallow breaths, breathing short, quick breaths), you are limiting the airflow to your lungs. This can contribute to shortness of breath.

A good place to start may be with a visit to your Dr. to rule out any medical reason for your dyspnea.

Kindly,
Kitt

benny07
New Member


Date Joined Jul 2010
Total Posts : 3
   Posted 7/24/2010 4:31 PM (GMT -7)   
thank you. I prefer to use medical terms to make sure ppl are on the same page. This is the weird thing about my gerd; before the bronch I would choke on my coughing spells because of the silent reflux. After the bronch the cough went away ( I'm guessing because of the lung lavage rinsing) but for a good 30 days or so I developed what the doc said 'hypoxemia'... he thought at the time that it was due to the biopsies injuries, left over lavage fluid from the bronch, and my lung/brain receptors triggering these episodes due to the lack of oxygen..

I regained my oxygen levels on exertion and thought until yesterday this was a thing of the past. At this time I'm clueless on what might have caused the relapse: recent silent aspirations, lack of physical endurance, the small atelectasis on my left lung, or my lungs not being the same after the bronch.

Here is my logic though: I had aspirated for 2+ years with only the chocking cough but no chest pain/anxiety on exertion. I had had little exercise before the bronch and when the circumstances had required it I'd run or do vigorous stuff with no issues. Same with atelectasis, was there before the bronch and had not given me issues...

Could it be now that with my lungs having been 'touched' they do not tolerate reflux aspirations, etc as good as they did???
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