Post-nasal Drip Causing Breathing Problems

Question:
Breathing Problemsmr_lamouche wrote: > I have a mild and quite dry cough sometimes, and an occasional wheeze, > the last time I remember a really noticeable wheeze was a night after I > attended a wedding and had some alcohol, I’ve pretty much given up > alcohol other than that. > When I do have the chest issue, it’s like a kind of heavy feeling in my > lungs, like getting the air in and out isn’t a free and easy movement.

This may be far fetched, but have you  had a CT scan of your lungs and pulmonary function tests? A dry cough and a heavy feeling in the chest could indicate something like hypersensitivity pneumonitis.  Do you work in an occupation that would expose you to large amounts of mold, pigeon droppings, bacteria, etc. This doesn’t always show up on a chest XRay and sometimes not even a CT scan between exposures.  It can also contribute to  sinus problems especially if the drainage is clear. You could at least mention this to your pulmonologist, if you’ve had any of these types of exposures.  He/she can also order a hypersensitivity pnemonitis panel. A positive test doesn’t confirm that you have HP, but does show abnormal exposure, and coupled with symptoms and diagnostic tests can be very suggestive.  HP is sometimes hard to diagnose especially if it is the chronic or subacute type and can slowly cause irreversible lung damage.if not caught in time. Kathyw

Response:
have asthmaAt the moment I’m waiting for an appointment with an ENT in March, just very hard to stop asking questions with these problems sometimes. I don’t have asthma, an asthma specialist gave me the all clear on that front, and I had a lung x-ray etc, no problems there. I also got the all clear as regards allergies. I have a mild and quite dry cough sometimes, and an occasional wheeze, the last time I remember a really noticeable wheeze was a night after I attended a wedding and had some alcohol, I’ve pretty much given up alcohol other than that. When I do have the chest issue, it’s like a kind of heavy feeling in my lungs, like getting the air in and out isn’t a free and easy movement. The reason I suspect PND is that the symptoms in my nose are often different when I suffer in the chest, when my nose becomes runny and severely problematic, and my sinus pain increases, I don’t feel I have trouble in my chest as much, just the fatigue. Does this make sense or is it a total red herring? If I had PND would this mean less mucuous draining through my nose? Also would I notice PND happening? I definitely often feel phlegm in the back of my throat, and tho I don’t notice pain in my throat my dr said it seemed quite red and raw when he looked at it recently. As ever I appreciate peoples experiences and advice.

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Response:
asthma specialist– Hide quoted text — Show quoted text -mr_lamouche wrote: > At the moment I’m waiting for an appointment with an ENT in March, just > very hard to stop asking questions with these problems sometimes. > I don’t have asthma, an asthma specialist gave me the all clear on that > front, and I had a lung x-ray etc, no problems there. I also got the > all clear as regards allergies. > I have a mild and quite dry cough sometimes, and an occasional wheeze, > the last time I remember a really noticeable wheeze was a night after I > attended a wedding and had some alcohol, I’ve pretty much given up > alcohol other than that. > When I do have the chest issue, it’s like a kind of heavy feeling in my > lungs, like getting the air in and out isn’t a free and easy movement. > The reason I suspect PND is that the symptoms in my nose are often > different when I suffer in the chest, when my nose becomes runny and > severely problematic, and my sinus pain increases, I don’t feel I have > trouble in my chest as much, just the fatigue. Does this make sense or > is it a total red herring? If I had PND would this mean less mucuous > draining through my nose? > Also would I notice PND happening? I definitely often feel phlegm in > the back of my throat, and tho I don’t notice pain in my throat my dr > said it seemed quite red and raw when he looked at it recently. > As ever I appreciate peoples experiences and advice.

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Have you tried any means to raise the phlegm out of your lower airway, like expectorants, inhaling steam thru your mouth, or nasal irrigation?   If you inhale steam for a half hour or so, it may liquefy that phlegm in your airway, enabling you to cough it up.  Then you can get a good look at it and see if it’s discolored. Nasal irrigation to flush out secretions from your upper respiratory tract can also help identify if those secretions are discolored. — Steven D. Litvintchouk Email:  sdlit…@earthlinkNOSPAM.net Remove the NOSPAM before replying to me.

Response:
On 1/9/06 5:27 PM, in article d236s1tm51o38tv7dv2731hph01oj5n…@4ax.com, “Don Brady” <dbr…@pobox.com> wrote: > irrigation but find it very difficult, I >> find I get a very heavy headed fuzzy feeling after I irrigate, tho to >> date I have only used saline nasal sprays.

saline spraySaline spray is not irrigation. The fuzzy feeling may be due to the preservatives in the saline spray.

Response:
mr_lamouche wrote: > how substantiated is the above theory? Is it common for this to happen > with chronic sinusitis?

My infected PND causes me regular attacks of bronchitis.  By now, it wouldn’t surprise me if I’m headed for chronic bronchitis, which can happen thru repeated infections down there. > what are the best ways to avoid this?

First of all, you have to either get your sinusitis cured or get it under the best control. Then you can try seeing an asthma specialist to be tested for asthma. If that’s ruled out, then the other thing that infected PND can cause is bronchitis, in which case a pulmonologist can help you. For either asthma or bronchitis, an inhaled bronchodilator (such as albuterol or Maxair) can be helpful. Here’s a simple test you can perform yourself in the meantime:  Stand up, take a very deep breath, and then blow out thru your mouth as hard as you can.  Keep doing it till your lungs are empty.  The only sound you should hear is the “whoosh” of the air coming out.  If you hear a high-pitched whistling sound as you’re doing this, that’s wheezing, a possible sign of either asthma or bronchitis. — Steven D. Litvintchouk Email:  sdlit…@earthlinkNOSPAM.net Remove the NOSPAM before replying to me.

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Response:
On 9 Jan 2006 14:11:15 -0800, “mr_lamouche” <RonanFitzger…@gmail.com> wrote: >how substantiated is the above theory?

cause asthmaHave you seen it advocated somewhere as a theory?  It can trigger them. Whether it can cause asthma is another question.   The two are correlated but exactly what the causal sequence is is hard to say they both could have a common cause.)   I suppose it *can*, by spreading infection downward, but whether this is > Is it common for this to happen >with chronic sinusitis?

Not necessarily. >what are the best ways to avoid this?

Try to keep your sinuses as clear as possible, >I keep reading the praise for irrigation but find it very difficult, I >find I get a very heavy headed fuzzy feeling after I irrigate, tho to >date I have only used saline nasal sprays.

I do not irrigate.   It is just one approach….

Response:
how substantiated is the above theory? Is it common for this to happen with chronic sinusitis? what are the best ways to avoid this? I keep reading the praise for irrigation but find it very difficult, I find I get a very heavy headed fuzzy feeling after I irrigate, tho to date I have only used saline nasal sprays.

Response:
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