hello Doctor. i'm a 41 yr old male, dont smoke, never had asthma, not overweight.
in the middle of July i developed a cough where i felt like something wanted to come up but rarely did, and when it did it was yellow. after about a week of that i started to feel/hear some movement in the bottom of my chest at the end of my inhales and some shortness of breath. also, i was getting mild, short fevers and cold sweats a couple of nights along with tightness in the chest and feeling weak and fatigued. i went to the DR, he prescribed me Z-pack (3 days) and told me to get a chest xray if it doesnt go away after about 6 days (he was going on vacation the following week). i also started taking robitussin DM which i should have been doing from the beginning. anyway, the fevers and cold sweats went away but the cough and the lung 'movement' remained. also, the phelgm changed it's color to white. i went for the x-rays and they came back negative - "everything's normal". a week later, the cough pretty much went away but i still had the movement in the lungs (which i assumed was residual phelgm), although it seemed to had lessened.......but was still there so i went back to the DR. i'm not sure if the shortness of breath went away or not but i havent really felt it since the onset. but then i'm not really 'active', i just walk a lot. anyway the DR seems to think it's asthma even though i took the spirometry although i didnt do too good on it it didnt show the usual asthmatic pattern/curve (his words). he gave me a Dulera inhaler and told me to use it once a day, before bed. the next few days i didnt feel the movement so i didnt use the inhaler. unfortualely it came back like 4 days later. since then some days i feel it and some days i dont. it's been a week and a half later now and i still havent used the inhaler. i dont like taking/using medicine unless i really have to and i'm not sure if this 'movement' will go away on it's own or not. please give me your opinion. any advice/insight will be much appreciated. also, i dont have insurance at the moment.
Your symptoms could be due to Asthma. Cough, chest tightness and breathlessness the three symptoms mentioned by you are the triad of symptoms for Asthma. It is a disease affecting the lungs causing narrowing of the airways, usually due to an allergic reaction to triggering factors. Therapy is with bronchodilators which cause the airways to dilate. If there is evidence of bronchospasm on lung function tests, then it is Asthma. Continue with your inhalers, and as they are locally acting, you need not worry about systemic effects. Also, try to take warm oral fluids and do steam inhalations prior to your meals. This helps to loosen up and bring out the secretions.
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