Dear patient, I'm really sorry to hear about the distress you're going through, and I understand how frustrating it can be when you're dealing with ongoing health issues without clear answers. Based on your description, it seems like your symptoms have varied over time and affected multiple systems in your body.
1. Gastroesophageal Reflux Disease - Blood in vomit and chest discomfort can sometimes be caused by acid reflux or esophagitis (inflammation of the esophagus). Even if the endoscopy didnât reveal much, itâs possible that a minor issue could have been missed or developed afterward.You might benefit from a 24-hour pH monitoring test or esophageal manometry, which can measure acid levels and muscle function in the esophagus
2. Chronic Pulmonary or Respiratory Condition - You mentioned that a pulmonologist diagnosed you with a mild lung infection and prescribed an inhaler, but it seems to have worsened your symptoms. If you're experiencing breathing difficulties, discomfort, and trouble speaking, it could be related to an underlying respiratory condition like asthma, chronic bronchitis, or vocal cord dysfunction
3. Psychological or Neurological Component - Stammering and feeling of chest heaviness could also be linked to stress, anxiety, or panic disorder. Anxiety can manifest in physical ways, including chest pain, difficulty breathing, and even speech difficulties (such as stammering).
Test suggestion: A neurological exam could help rule out any underlying issues with the nervous system that might be contributing to your symptoms. If anxiety or panic attacks are suspected, seeking a consultation with a doctor could help identify or manage these symptoms
I hope this helps guide you in the right direction. Please donât hesitate to reach out if you have more questions or need further clarification.
Next Steps
Itâs important to keep working closely with your healthcare providers and specialists. Given that your symptoms involve multiple systems (chest, lungs, speech), a multidisciplinary approach might be helpful. Additionally, if you are experiencing stress or anxiety from your symptoms, it might also help to include mental health support as part of your treatment plan, since emotional factors can influence physical symptoms.