33 yr old female - smoker since 16. Went to the doctor with chest pain - generalized aching rather than stabbing pain. Headaches. Tiredness + pain on left side when lying on left. Doctor ordered a chest + sinus x ray which shows hyperinflated lungs and fairly prominent basal bronchovascular markings + dorsal spine osteophystes. Also sinus infection. Doctor first said it was emphysema and now says its asthma?! Never had asthma in my life - please help....is it pointing to a COPD disease or what is it....
You are actually asking 2 questions: 1) about your acute symptoms; and 2) about chronic lung disease due to smoking. Generalized aching chest pain, headaches and tiredness suggest influenza or a flu-like syndrome. The lung hyperinflation and “…prominent basal bronchovascular markings…” could be signs of the effect of smoking on your lungs; that is, signs of early chronic lung disease, such as chronic obstructive pulmonary disease (COPD). The question of asthma vs COPD is not one that can be resolved by chest x-ray, but one that will require a careful history and pulmonary function tests (PFTs).
While still young, you have smoked for a long time and these x-ray changes may well be a sign of COPD. If so, and if that diagnosis is confirmed by PFTs, you should take that as a sign that cigarette smoke is damaging your lungs and, should you continue to smoke, the COPD will only get worse and relatively fast, with clinically significant COPD by the age of 50, which is still young.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.