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What Causes Weakness, Difficulty In Deep Breathing, Lightheadedness And Kidney Pain?

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Posted on Wed, 27 Apr 2016
Twitter Wed, 27 Apr 2016 Answered on
Twitter Wed, 15 Jun 2016 Last reviewed on
Question : Hello, here is my brief history. I have an acute problem with tachycardia, weakness, and elevated cortisol and DHEA that started 3 weeks ago. I also have vertigo and an ENT evaluated me and concluded it was not inner related, but may be vascular in nature.

3 weeks ago, I went to St. XXXXXXX and had a "DMPS challenge test" done by an integrative MD in which I was given a DMPS IV and gave a urine sample before and after to see if any levels of heavy metals were excreted. I did perfectly fine with the infusion, but the next day (20 hours later) when I returned to get a routine Vitamin IV from the same doctor, I felt lightheaded and faint, my blood pressure XXXXXXX and heart rate elevated to 135. The next two days after returning to XXXXXXX I felt very weak, although my blood pressure was low (92 systolic).

Two days later, the weakness continued, although my heart rate elevated. My heart rate remained elevated from a range of 100-120 for the next two weeks, and my blood pressure was 140/80 in a bedridden state. My normal blood pressure is 115-120 (systolic)My endocrinologist did a thorough blood workup and the only abnormality was elevated cortisol, which she said could cause tachycardia but would not cause the profound weakness. During this entire time, I was so weak that I was unable to walk to the bathroom at my home. The tachycardia was preventing me from sleeping, so my primary care doctor put me on Popranolol 10mg – 3X/Day to decrease my heart rate and Clonazepan to help me sleep.

I've had a thorough endocrinologist workup, and we're following a micro adenoma lesion on my pituitary although it's not clear if it's the culprit.

Since that time I’ve regained a small amount of strength, although I am still very weak to where it is difficult to walk, and I still struggle with vertigo, but it has more turned into being lightheaded. My heart rate remains in the range of 85-100, although it is sporadic, and sometimes will be 111 when it is time for a dose, or as low as 74 when it is time for a dose. My blood pressure has come down to normal levels.

A new symptom I have had is that is difficult to fully expand my lungs and I find that I really have to use my diaphragm and push it out hard to expand my belly. I am not "short of breath", I just cannot seem to get a deep breath. I have had this problem on and off for 3 years, and it has gotten worse the past 3 months, being a problem for about a week, then going away, and now it is back again the last week.


I had a full pulmonology lung test in January and saw an Pulmonologist for an evaluation who said he thought everything was normal. A chest X-ray done in the ER didn't show anything. However, because of the difficulty just breathing normally, I thought I would inquire.

The four main symptoms are:

1) Profound Weakness

2) Difficulty taking deep breaths

3) Lightheaded

4) Kidney Pain


My two questions:

Is it possible for lung cancer to just sneak up like this if chest X-rays looked good two weeks ago?

Is there any imaging that doesn't require contrast that would give us a good look at my lungs? I don't do well with contrast agents.

Thank you,
Marisa



doctor
Answered by Dr. Drkaushal85 (5 hours later)
Brief Answer:
Possibility of lung cancer is very very less.

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
Thanks for your detailed history.

Answer to your 1st question.

No, lung cancer can not present like this. Earliest symptom in lung cancer is cough. This kind of breathing issue is not seen in lung cancer.
And chest x ray is good for screening of lung cancer. Chest x ray can miss very early lung nodules. And for this, you need to get done CT scan.

Answer to your 2nd question.

Yes, you can go for CT thorax without contrast.
This will show if any tiny nodule is there which might be missed on chest x ray.
If CT is normal then no need to worry for lung cancer.

Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 14994 Questions

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What Causes Weakness, Difficulty In Deep Breathing, Lightheadedness And Kidney Pain?

Brief Answer: Possibility of lung cancer is very very less. Detailed Answer: Thanks for your question on Healthcare Magic. I can understand your concern. Thanks for your detailed history. Answer to your 1st question. No, lung cancer can not present like this. Earliest symptom in lung cancer is cough. This kind of breathing issue is not seen in lung cancer. And chest x ray is good for screening of lung cancer. Chest x ray can miss very early lung nodules. And for this, you need to get done CT scan. Answer to your 2nd question. Yes, you can go for CT thorax without contrast. This will show if any tiny nodule is there which might be missed on chest x ray. If CT is normal then no need to worry for lung cancer. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.