Hi. I am a 31 year old female and mother of one 15 month old little boy.
In March I had a really bad asthma episode and missed 6 weeks of work. I've had asthma my whole life. I've never been this sick. My PFTs show "mild" asthma. Nevertheless, I was short of breath for weeks. There was no wheezing, just dry coughing. During April (during the episode) I had a normal chest xray and normal ekg. There were no pulmonary embolisms.
I'm on all the appropriate asthma meds and I feel like my asthma is under control.
However, I'm am still having shortness of breath. Sometimes episodes of shortness of breath and sometimes all day. I told my pulmonologist this and he sent me to a vocal cord dysfunction expert, who says I have VCD/an non-organic breathing disorder and chronic hyperventilation. I have been doing exercises for these issues. The exercises only mildly help me.
Additionally, I am being treated by a psychiatrist for anxiety as a result of all of this. I feel my anxiety is under control.
I can accept this diagnosis of the VCD/non-organic breathing disorder, however I want to make sure I'm covering all my bases. I was a CNA in a cardiac unit for years. I know what pulmonary hypertension is and its the only thing that makes me nervous. My question for you is do you think I need to get a second opinion? Do you think that part of that second opinion needs to be with a cardiologist? I'm a mother. I do not want to miss something - its too important. However, please feel free to let me know if you think I'm just really nervous about something that is not likely.
I appreciate your help.
The chance that you have pulmonary hypertension is EXTREMELY unlikely. However, I understand your concern. It think it is indeed reasonable to get a 2nd opinion with a cardiologist (mostly as a 2nd opinion for your shortness of breath not for PH). In the process, however, you can mention PH to him and I suspect he will be able to reassure you that you do not have this.
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