Sob not improving

2025-11-29 09:38:16
I have mild sob since 2 weeks- I have to take shallow, deep breath frequently- I was evaluated by medicine n ENT doctor- ecg chest xray bloodwork normal- spo2- 98/99% Ent gave me nasal spray n anti allergen for 1 week but I don't have much relief. Within normal basic test and normal saturation, what could be causing this sob?
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.

Answered2025-12-05 17:50:40

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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion

Answered2025-12-02 10:48:23

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Get a PFT done and if you want to discuss your problems, pls text me on whatsapp on seven two seven eight nine two 7six three eight, i will guide you step by step.

Answered2025-12-01 05:39:23

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Please get a ‘ Spirometry’ test done. At your age unlikely it would be to do with your heart and with blood work/CXR fine unlikely to be infections. With rising levels of air pollution, people are developing various kinds of breathing problems like asthma etc. Wear mask when you are outside and avoid smoking. All the best. J G S R (Online) Clinic

Answered2025-11-30 08:01:39

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Consult superspecialist.  Sob??

Answered2025-11-30 05:48:37

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Good day to you sir I understand your concern and it's good to read the detailed account of your condition, it immensely helps us as physicians to get to the diagnosis efficiently. I am sure this must be distressing causing a hindrance in your day to day activities. I shall try to the best of my abilities to consult you SOB has an exhaustive list of causes such as TB, Heart disease, lung disease, obesity, hypoxia, toxic exposure etc. Before I proceed I would like you to answer a few questions # Do you smoke any form of cigarettes/e devices? If yes, for how many years, at what frequency and how many packs per day? # Can you walk up a flight of stairs without gasping for breath?
Next Steps
I kindly urge you to book a one to one consultation with your family physician or any physician you are comfortable with so that a workup (history, investigations) can be done followed by designing an appropriate treatment plan
Health Tips
If you feel I can be of better service to you Feel free to book a one to one consultation via practo app Note: I am sorry for not providing WhatsApp contact henceforth due to issues pertaining to Medico legal protection of both client and the doctor One time consultation fee = Rs 200 Follow up consultation= Rs 100 Hope this advice provides you the much needed insight Wishing you a speedy recovery

Answered2025-11-30 05:11:15

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Cardiac causes still needs to be ruled out...go for DSE/TMT

Answered2025-11-30 02:43:03

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Breathing difficulty could be due to anxiety related psychogenic hyperventilation, obesity, anemia, reactive airway disorders.Consult a pulmonologist in your area for a clinical examination and appropriate management

Answered2025-11-30 01:11:46

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You can consult me directly on Practo, or reach out via WhatsApp: Eight Seven Six Two Seven Four Nine Nine Seven Four I’ll guide you step-by-step with easy-to-follow treatment plans. Early consultation helps avoid complications — feel free to connect. Only whatsapp message no calls

Answered2025-11-29 13:54:32

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“Since your ECG, chest X-ray, blood tests and oxygen saturation are all normal, persistent mild breathlessness with a need to take deep breaths is most commonly related to non-cardiac causes such as anxiety-related hyperventilation, GERD-related throat irritation, post-viral airway sensitivity, or nasal/upper airway congestion rather than a lung or heart problem. These conditions can cause a sensation of ‘air hunger’ despite normal tests. Continue the nasal spray as advised, avoid caffeine and heavy meals, practise slow breathing exercises, and ensure good sleep. If symptoms persist beyond a few weeks or worsen, a pulmonary function test (spirometry) and review by a physician/pulmonologist may help identify any subtle airway issues.”

Answered2025-11-29 13:02:00

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When ECG, chest X-ray, blood tests and SpO₂ are normal, most long-lasting mild shortness of breath is due to non-dangerous causes, commonly: 1) Anxiety / stress-related breathing pattern – Very common when basic tests are normal – Causes frequent need to take deep/shallow breaths, chest tightness, “air hunger” 2) GERD / acidity-related airway irritation – Can cause throat tightness, frequent deep breaths, mild SOB – Often worse after meals or lying down 3) Post-viral airway hypersensitivity – Even after a mild viral infection, breathing can feel difficult for 2–6 weeks 4) Nasal congestion / post-nasal drip – Already being treated by ENT but sometimes needs 2–3 weeks 5) Muscle tension of chest / poor posture – Can restrict chest expansion, especially if you sit long hours 6) Mild asthma / allergic airway disease – Normal X-ray; needs spirometry to confirm

Answered2025-11-29 12:40:48

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Start taking steam inhalation

Answered2025-11-29 11:06:42

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Lots. Kindly consult with me on 94 two six 86 seven eight 96.

Answered2025-11-29 10:28:16

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Sir, there lot of causes for SOB , but if the ecg is normal , it almost rule out cardiac causes Take a cbc , since decrease in heamoglobin may cause sob Or allergy  and mild seasonal asthma may cause sob
Next Steps
need more information sir , if symptoms persist consult an nearby pulmonologist

Answered2025-11-29 09:50:09

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Hello Need more details,  kindly attach the bloodwrokup done for further evaluation and management Causes :- it might be lung related , Heart related and also due to Anemia , Thyroid disorder and due to Anxiety

Answered2025-11-29 09:49:49

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Kindly do connect and consult

Answered2025-12-08 12:00:04

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Needs evaluated

Answered2025-12-07 14:00:46

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Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Answered2025-11-30 07:54:34

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If rest everything is normal, need to go for Lung function test
Next Steps
Unti you can tab deriphyllin 200 mg twice for 3 days

Answered2025-11-30 03:20:10

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Your weight and bmi can be the reason, explain more

Answered2025-11-29 18:54:04

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SOB can be due to many causes. * Is there any particular time period you feel these symptoms. (Any increase during early morning time or late night) * Is there any associated symptoms - i.e nasal discharge, throat irritation, pain in chest during deep breathing, cough, Body ache. * Better if you could share your CXR, and Blood reports. * Any sort of allergy to dust particle. Kindly share these informations If SOB is turns out to be so severe kindly visit Emergency department if needed.
Next Steps
kindly share your reports, CXR and ECG. I would love to have a chat about the present symptoms.
Health Tips
For time being - Continue the anti allergic medicine adviced by the ENT specialist. if symptoms persist consider doing Serum IgE too.

Answered2025-11-29 16:00:07

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Your basic tests are normal ECG normal Chest X-ray normal Blood work normal SpO2 98 to 99 percent When all these are normal, it almost always means the lungs and heart are functioning normally, and your shortness of breath is coming from non dangerous, functional causes. Here are the most common explanations. First. Anxiety related breathing (the most common) Even if you do not “feel anxious”, your body can still stay in a mild fight or flight state. This causes a feeling of tight chest need for deep breaths frequent yawning incomplete breaths air hunger This is the most common reason in young adults when all tests are normal. Second. Breathing pattern disorder Some people start taking shallow fast breaths from the upper chest instead of from the diaphragm. This leads to frequent sighing feeling you cannot fill lungs properly mild shortness of breath This is harmless but annoying and lasts for weeks. Third. Post viral airway sensitivity After a mild cold, viral infection or allergy flare, your airway becomes more sensitive. Even if your nose and throat look normal, the small airways can stay irritable for two to four weeks. This causes mild shortness of breath without any abnormal x ray. Fourth. Gastritis or acid reflux Acid irritation can cause breathing discomfort tight feeling in upper chest need to take deep breaths Since you were given allergy spray but not anti reflux, this may be contributing. Fifth. Mild allergic rhinitis or post nasal drip When mucus trickles down the throat, it irritates the airway and makes you feel you cannot breathe fully. This is why ENT gave nasal spray. If symptoms are only slightly improved, you may need a longer course. Sixth. Poor sleep, stress, dehydration These worsen breathing pattern symptoms and make you more aware of your breathing. Very unlikely causes because your tests are normal Heart disease Asthma attack Lung infection Pulmonary embolism These would show abnormal x ray, abnormal oxygen level, cough, fever or clear symptoms.
Next Steps
Continue nasal spray for at least two to three weeks. ENT medicines often need time. Add an anti reflux medicine if you have acidity Pantoprazole or Rabeprazole once daily for 10 to 14 days. Start breathing retraining Slow breathing Inhale for four seconds Exhale for six seconds Do this for five minutes twice a day This resets your breathing pattern. Box breathing also helps Inhale four seconds Hold four seconds Exhale four seconds Hold four seconds Reduce caffeine and late night heavy meals. Light daily walking and yoga type breathing exercises help tremendously.
Health Tips
Only if you develop worsening breathlessness chest pain persistent cough fever spO2 dropping below 95 percent If not, this is likely functional and reversible.

Answered2025-11-29 13:27:51

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