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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Breath Shortness?

Hi thre Doctor, Im a male 49 years old, im experiencing suddenly shortness of brath, lower back pain sweaty cold palms, shaking and chilling, and my bp spiking from normal to 160/100 then goes down back to normal. sometimes with neck pain, and shoulder right pain.
posted on Fri, 14 Mar 2014
Twitter Mon, 21 Sep 2015 Answered on
Twitter Tue, 22 Sep 2015 Last reviewed on
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Cardiologist,  's  Response
Hello!

Welcome and thank you for asking on HCM!

I understand your concern, and would explain that it is necessary to perform a comprehensive differential diagnosis of different disorder affecting the chest structures (lungs, cervical column, acute coronary syndrome, aorta).

I would recommend consulting with your GP for a careful physical examinantion, a chest x ray, a resting ECG, respiratory function tests and some blood lab tests:

- complete blood count
- thyroid hormone levels
- cortisol plasma levels (adrenal gland function)
- PCR and sedimentation rate
- fasting glucose
- blood electrolytes,
- kidney and liver function tests, etc.

It is necessary to perform a cervical spine xray , possibly followed by a cervical spine MRI if suspicions about a cervical disk displacement are raised.

If all the above tests result normal, I would advise to perform the 24 hour urinary levels for metanephrines to investigate for a possible pheochromocytoma, which may be the cause of a similar clinical scenario.

Hope to have been helpful!

Feel free to ask any other questions, whenever you need!

Best regards,

Dr. Iliri
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How To Treat Breath Shortness?

Hello! Welcome and thank you for asking on HCM! I understand your concern, and would explain that it is necessary to perform a comprehensive differential diagnosis of different disorder affecting the chest structures (lungs, cervical column, acute coronary syndrome, aorta). I would recommend consulting with your GP for a careful physical examinantion, a chest x ray, a resting ECG, respiratory function tests and some blood lab tests: - complete blood count - thyroid hormone levels - cortisol plasma levels (adrenal gland function) - PCR and sedimentation rate - fasting glucose - blood electrolytes, - kidney and liver function tests, etc. It is necessary to perform a cervical spine xray , possibly followed by a cervical spine MRI if suspicions about a cervical disk displacement are raised. If all the above tests result normal, I would advise to perform the 24 hour urinary levels for metanephrines to investigate for a possible pheochromocytoma, which may be the cause of a similar clinical scenario. Hope to have been helpful! Feel free to ask any other questions, whenever you need! Best regards, Dr. Iliri