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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Heaviness In The Chest With Severe Cough?

I have had these symptoms 5 times in 2 yrs, while its a little better I still have the symptoms heaviness in chest which goes up into pain in my neck hard to lay down have gone several times to allergist inhalers +++ got it again, had echo cardiogram normal, steroids make neck better but not chest recently coughing and flem in the morning.
Tue, 27 Sep 2016
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General & Family Physician,  's  Response
Hi
Thanks for posting on HCM
The symptoms you describe could by of respiratory, cardiovascular or digestive origin.A normal echo cardiogram may exclude cardiac origin.
-Possible digestive cause may be Gastroesophageal reflux
-Possible respiratory causes may include asthma, bronchopneumopathy, chronic obstructive bronchopneumpathy.
I will suggest you see a Pneumologist for examination.Tests like a chest x ray, spirometry/peak flow, H pylori, full blood count may be requested.Your treatment will depend on the underlying cause.You may try the following measures in the meantime:
-Continue with steroid (sprays better as minimal side effects)
-Frequent sips of water
-An anti-histamine like benadryl
-A mucolytic like carbocysteine 5%
-If symptoms of acid reflux or heart burns, you add an anti-secretory like omeprazole
-Avoid environmental irritants like smoke, dust and cold
Your Pneumologist will take care of an etiologic management.
Hope this will help
Best regards
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What Causes Heaviness In The Chest With Severe Cough?

Hi Thanks for posting on HCM The symptoms you describe could by of respiratory, cardiovascular or digestive origin.A normal echo cardiogram may exclude cardiac origin. -Possible digestive cause may be Gastroesophageal reflux -Possible respiratory causes may include asthma, bronchopneumopathy, chronic obstructive bronchopneumpathy. I will suggest you see a Pneumologist for examination.Tests like a chest x ray, spirometry/peak flow, H pylori, full blood count may be requested.Your treatment will depend on the underlying cause.You may try the following measures in the meantime: -Continue with steroid (sprays better as minimal side effects) -Frequent sips of water -An anti-histamine like benadryl -A mucolytic like carbocysteine 5% -If symptoms of acid reflux or heart burns, you add an anti-secretory like omeprazole -Avoid environmental irritants like smoke, dust and cold Your Pneumologist will take care of an etiologic management. Hope this will help Best regards