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Breathlessness After Exertion, Pain In Arm While Coughing. Am Overweight. Had Aortic Valve Narrowing Since Birth. What Could This Be?

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Posted on Sun, 17 Jun 2012
Question: I can only walk about 20 mtrs before I am very out of breath, I then get into a cough which slowly calms as I catch my breath back. When I cough I carry on until i bring up phlem. My right arm has a sharp pain while coughing.

I am very overweight but never had a problem this bad.

I had aortic valve narrowing from birth and was operated when 10 yrs old. Original valve kept. I feel my condition is getting worse.

what could this be, I have hospital appointment end of december can this wait?
doctor
Answered by Dr. Prabhakar C Koregol (10 hours later)
Hello.

Thanks for posting your query.

You have provided a good information regarding your illness. But, there are few things which are not clear from your history. I would like know more about it, as it will help me suggesting you better.

Do you have these symptoms started recently or it is long standing?

If these symptoms are present since longtime then, I don't see any reason to rush immediately.

However if these symptoms are of recent onset then, you need to see your doctor as emergency.

Your symptoms could be due to some respiratory infection or cardiac problem per se. But, it is difficult to predict without a clinical evaluation.

Please revert back with the answer to my question, so that I can provide more specific suggestions.

Regards.


Above answer was peer-reviewed by : Dr. Jyoti Patil
doctor
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Follow up: Dr. Prabhakar C Koregol (30 minutes later)
thankyou for your reply, I have had shortness of breath before.

I have a history of gaining and losing weight.

Once I have lost weight I am generally fine, it is once I have gained weight to say 140kg that this could start.

I would get out of breath but not this easily and definitely not with the extensive coughing.

I would still be able to do my day to day activities.

This is the worst it has been by far.

I have an appointment with Dr Kapetanakis at Guys Hospital on 21st December and asked if that could be brought forward and they said no.

please come back to me as I am very worried that this is bad.

doctor
Answered by Dr. Prabhakar C Koregol (4 minutes later)
Hello.

Thanks for reverting back.

If you have this problem as ongoing, I don't see any major danger in waiting and also your symtoms look combination of multiple problem.

You could be having sleep apnea, obstructive as well in view of such obesity. It is worthwhile consulting pulmonologist and speech therapist.

Hope, this helps to solve your query. Please accept my answer in case you do not have follow up queries.

Wish you good health.

Regards.
Note: click here to Consult a cardiac surgeon online. to know the best treatment option for your heart-related issues

Above answer was peer-reviewed by : Dr. Jyoti Patil
doctor
Answered by
Dr.
Dr. Prabhakar C Koregol

Cardiologist, Interventional

Practicing since :1998

Answered : 427 Questions

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Breathlessness After Exertion, Pain In Arm While Coughing. Am Overweight. Had Aortic Valve Narrowing Since Birth. What Could This Be?

Hello.

Thanks for posting your query.

You have provided a good information regarding your illness. But, there are few things which are not clear from your history. I would like know more about it, as it will help me suggesting you better.

Do you have these symptoms started recently or it is long standing?

If these symptoms are present since longtime then, I don't see any reason to rush immediately.

However if these symptoms are of recent onset then, you need to see your doctor as emergency.

Your symptoms could be due to some respiratory infection or cardiac problem per se. But, it is difficult to predict without a clinical evaluation.

Please revert back with the answer to my question, so that I can provide more specific suggestions.

Regards.