Dear Doctor,
I need advice for a chronic breathing issue ongoing for 2-3 years.
Every morning, I experience heavy pain, severe difficulty breathing, heavy chest congestion, and a blocked nose. I pass slippery, transparent-to-whitish, sometimes stringy mucus that feels impossible to clear completely. This used to last 1-2 hours, but over the past few days, it has worsened and now lasts 3-4 hours before returning to normal for the rest of the day.
I also have long-standing sneezing fits (at least 3 sneezes in a row), triggered by dust/blankets and occasionally occurring randomly. I do not have sinus pain or headaches.
I live in a high-pollution, heavy-traffic area and tend to feel cold easily, preferring to keep my torso covered.
Could this be allergic asthma, severe allergic rhinitis, or pollution-related airway inflammation? Please advise on diagnostic tests, appropriate prescription treatments, and management strategies.
For the last 1 month, I have recurrent throat dryness and irritation with an urge to cough or clear my throat. Coughing gives temporary relief, but the irritation returns. During daytime it happens around 10–12 times, but at night after lying down it becomes much worse, sometimes every 5–10 minutes, making it difficult to sleep.
I have allergic rhinitis and regularly stay in an AC room (26°C) with a fan. My AC has not been serviced for a long time. I have also used Foracort 200 inhaler.
Could this be due to post-nasal drip/allergy, sinusitis, silent acid reflux/LPR, asthma, or dust/mold from the AC?
What tests may be needed to identify the root cause, and what treatment/medicine would be appropriate?
My B12 was 118 pg/mL. I received Casinerve Plus (methylcobalamin 1500 mcg IM) in my buttock on Friday evening. From Saturday afternoon, I developed intermittent shortness of breath/air hunger. Last night it became quite severe with chest heaviness. Sometimes when I take repeated deep breaths, I feel dizzy. My SpO₂ and pulse have been normal, and BP has generally been normal, sometimes slightly low. I want to know whether this could be a reaction to the B12 injection or another cause, and whether I should avoid another injection and consider oral B12 or another formulation.
If any person has a bronkitis issue, can she take Montair LC or relevant medicine during pregnancy? Please suggest.
Greetings sir my name sandya today chest pain shortness off breathing radiating back ECG done plz check sir 🙏🙏
