Hi doctor,
I am a 29-year-old male. My height is 5 feet 7 inches, and my weight is 150 lbs. I have had the following symptoms for the last eight months- difficulty in deep breathing. It feels very tight in the middle of my chest when I try to take a deep breath, sometimes along with tightness in my upper nose (I think you call it the sinus area). I burp quite frequently with some farts. I observed that my breathing issue is worse in the morning when I wake up. If I take my breakfast late, it makes it even worse, also especially when I am hungry. I can feel my throat also getting tighter, along with breathing difficulty in deep breathing. Sometimes when I feel sleepy, it is challenging to take a deep breath. If I start to eat more, then it gets worse again, so I have been eating less food every day recently. While eating also, it can get worse, especially with solid food like dry rice with meat or chapati (wheat). It feels more difficult to breathe while eating solids. I often get sudden severe pain in my arms, sometimes in the left or sometimes in the right, for two minutes, but it stops after taking Statin. I have been experiencing the above symptoms for eight months now, and I am really stressed. I have stopped Statin medication, and I noticed that my symptoms got significantly better, but I am still on Warfarin.
All these symptoms started a few months back. Before that, I never had any problems. I had a stroke due to PFO in my heart, and PFO closure surgery was done (Doctors in the hospital said my problems were not related to surgery). I started my medication with Warfarin 5 mg and Atorvastatin 20 mg. I personally think I have side effects from medication, but doctors said it is not related to the medication. I went to the hospital and saw some specialists check and did some tests as follows-
The X-ray test is normal. The blood test is normal (detailed blood test to check my diabetes, liver, etc.). The oxygen level is normal. ECG is normal. COVID test is negative (many times and recently). The lung test is normal (the respiratory specialist said it did not seem like asthma and gave me the asthma puff to see if my condition gets better, I tried it for seven days straight but did not have any relief). Endoscopy for nose and throat- ENT doctor said there is a lot of mucus accumulated in my nasal path due to allergy or change of environment. I never had an allergy issue in my whole life or nor has there been a change in the environment. An endoscopy for my stomach shows mild inflammation in my stomach, which the doctor said will require two months to completely heal and gave me Famotidine 40 mg to take two times a day and Gascon 40 mg to take three times a day. The doctor said there is no particular reason why it happened. They are not sure why it happened. The dietician also checked my diet and said my diet was fine. Whole my life, I never had any stomach problems or food allergies, and all the problems started after medication.
My usual diet for the last six months is as follows
- Breakfast includes dosa (pancake) or chapatti (Indian bread) with one banana with two large dates and green tea two hours after eating.
- Lunch includes rice with chicken, mushrooms, and a banana.
- Dinner includes rice with vegetables or chicken or fish, bananas, and dates.
- I never had a history of asthma or gastritis.
- I do not smoke or drink.
- I never drink aerated drinks (sugary drinks).
- I hardly eat junk food, especially since last year. Due to my work, I need to walk a lot, so I walk for more than one hour each day.
Please let me know if you recommend any tests, and also, do you think with the above medication prescribed, it will be fine in two months? Also, what do you think about the whole situation? I am really very stressed, not breathing like a normal person every day, cannot relax, cannot sit, walk, eat, or sleep well. I will not be able to provide you with any reports because, at my place, reports are not given to the patient, and if I really need the reports, then I need to pay a lot of money per the report, but if you really require any, I can pay and get the report. Thanks.