Tight Chest, Congested Feeling no Cough, Discomfort Taking Deep Breath

Posted by tinyelvis @tinyelvis, Sep 18, 2020

Hi. This is my first post. I hope that someone can provide some insight. I've read several posts but cannot pinpoint the exact forum to be in.

I am 49. Quite fit. Normal blood pressure. Normal lab work. Low CT scan number (which I had done in the middle of all this). Chest x-ray normal.

Suddenly in April of this year, my chest started feeling a little tight like I could not take a full deep breath. It was intermittent and mild. Later it developed into what felt like chest congestion but I had no cough. My doctor thought that I might have a mild infection and prescribed antibiotics which seemed to help. It later returned and we discussed if I may have asthma (which I never have had). I have no trouble exhaling or other asthma-like symptoms. However, we tried an asthma-allergy medication for a couple of weeks which made no difference.

I consulted a friend (who is a primary care doctor), and he suggested that I may have silent-reflux (LPR). I've never had any digestive issues or anything to even hint at reflux. My diet was already healthy but I cleaned it up even more, cut back on coffee, alcohol, and tried PPIs (prilosec and pantaprozole) for a month. It really made no difference.

I visited an ENT who used the scope and saw "some" swelling around larynx and agreed with the LPR diagnosis. He encouraged me to keep on the PPIs for another month or so (which I did, along with diet changes), but in the end has made no difference.

My primary doctor suggested that I visit a pulmonologist for their opinion and breathing tests (if required). He thought that I was fine, agreed with LPR diagnosis. We scheduled breathing tests just in case my condition did not improve. After a month of the same, I had the breathing tests done. I was told that my lungs were "pristine" and I should consider a gastroenterologist.

I visited a gastroenterologist and he disagreed with the LPR diagnosis and said that I really have no symptoms of reflux. He offered to do an endoscopy (just to cover the bases) but implied that he did not think it was necessary. I told him that I had been taking the PPIs and he asked if I felt better. He said I should be feeling "like a new man" if it were reflux. I told him that my symptoms had remained constant. He suggested that I stop all PPIs and see if my symptoms change. He even suggested that I may want to see a pulmonologist (which I had already done). I hate taking unnecessary meds, so I stopped. Sure enough, my symptoms have not changed. Still the same daily chest discomfort, tightness.

So here we are nearing the end of September and I still feel the same. I'm not sure where else to turn. My wife thinks that I should get the endoscopy done just to be sure, but to me it really feels like a lung issue. When I take a deep, I feel resistance. It feels like bronchitis without the typical symptoms.

Thank you.

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@trishia67

Hi there
Your description of your symptoms is exactly the same as mine
Im relieved to finally discover there are others out there with same condition
Mine started over three weeks ago

Tightness in right lung when deep breathing
Moderate pain
No cough
I also sometimes feel a radiation up to my neck when deep breathing.
It’s worse at night when I lie down in bed
I sleep on my left side and I felt it
Turned to my right dude and had some relief
Otherwise no pain or tightness with shallow breathes
I’ve tried pain killers NSAID
I’ve tried inhaler but no effect

I wondered if something happened at the time of the onset

These are the things I noted:

I had been playing pickleball regularly maybe a little too much, but never breathlessness during that matches
I had to stop PB abruptly because I hurt my lower back, over extending
Another thing I changed before onset was I quit drinking alcohol. I didn’t drink large volumes in one sitting but I did have a few drinks every day

I see my doctor tomorrow for annual physical so will discuss with her

I feel I’m going to have a similar run around which no diagnosis
I just can’t afford to pay for all those tests I have terrible insurance

It now leaves me wondering if it has something to do with a COVID variant 🤷‍♀️

Anyway I wanted to share my experience to see if perhaps any others had similar life changes before onset

Welcome comments and advice

Thank you

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@trishia67, Your mention of “ I also sometimes feel a radiation up to my neck when deep breathing” caught my attention. I’m chasing a different issue unrelated to the discussion here, but I have recently learned there is a nerve called the ‘phrenic nerve’ which stems from the cervical spine, C3 C5…and this nerve has something to do with the function of the diaphragm, which of course is part of breathing. My shortness of breath gets better when I lay down (so it is positional) and I do have known issues in my cervical spine. No answers for me yet but I felt better just after finding the connection between these 2 dots. Best to all who read this…I hope it helps someone!

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What about pulmonary hypertension? Some of your symptoms sound similar to some I have had and I do have diagnosis of pulmonary hypertension. Good luck!

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@lautwell

@trishia67, Your mention of “ I also sometimes feel a radiation up to my neck when deep breathing” caught my attention. I’m chasing a different issue unrelated to the discussion here, but I have recently learned there is a nerve called the ‘phrenic nerve’ which stems from the cervical spine, C3 C5…and this nerve has something to do with the function of the diaphragm, which of course is part of breathing. My shortness of breath gets better when I lay down (so it is positional) and I do have known issues in my cervical spine. No answers for me yet but I felt better just after finding the connection between these 2 dots. Best to all who read this…I hope it helps someone!

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Yes, C3, 4 and 5 keep the diaphragm alive. Christopher Reeve when he broke his neck had to be on ventilator to keep breathing. This is an extreme example on how nerves from the neck fire their impulses for us to breathe, but you are on the right track that any issues in cervical area can pose problems with breathing. Good luck !

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