American Academy of Family Physicians: “Acute Bronchitis.”
Tight Chest, Congested Feeling no Cough, Discomfort Taking Deep Breath
Hi. This is my first post. I hope that someone can provide some insight. I’ve read several posts but cannot pinpoint the exact forum to be in.
I am 49. Quite fit. Normal blood pressure. Normal lab work. Low CT scan number (which I had done in the middle of all this). Chest x-ray normal.
Suddenly in April of this year, my chest started feeling a little tight like I could not take a full deep breath. It was intermittent and mild. Later it developed into what felt like chest congestion but I had no cough. My doctor thought that I might have a mild infection and prescribed antibiotics which seemed to help. It later returned and we discussed if I may have asthma (which I never have had). I have no trouble exhaling or other asthma-like symptoms. However, we tried an asthma-allergy medication for a couple of weeks which made no difference.
I consulted a friend (who is a primary care doctor), and he suggested that I may have silent-reflux (LPR). I’ve never had any digestive issues or anything to even hint at reflux. My diet was already healthy but I cleaned it up even more, cut back on coffee, alcohol, and tried PPIs (prilosec and pantaprozole) for a month. It really made no difference.
I visited an ENT who used the scope and saw “some” swelling around larynx and agreed with the LPR diagnosis. He encouraged me to keep on the PPIs for another month or so (which I did, along with diet changes), but in the end has made no difference.
My primary doctor suggested that I visit a pulmonologist for their opinion and breathing tests (if required). He thought that I was fine, agreed with LPR diagnosis. We scheduled breathing tests just in case my condition did not improve. After a month of the same, I had the breathing tests done. I was told that my lungs were “pristine” and I should consider a gastroenterologist.
I visited a gastroenterologist and he disagreed with the LPR diagnosis and said that I really have no symptoms of reflux. He offered to do an endoscopy (just to cover the bases) but implied that he did not think it was necessary. I told him that I had been taking the PPIs and he asked if I felt better. He said I should be feeling “like a new man” if it were reflux. I told him that my symptoms had remained constant. He suggested that I stop all PPIs and see if my symptoms change. He even suggested that I may want to see a pulmonologist (which I had already done). I hate taking unnecessary meds, so I stopped. Sure enough, my symptoms have not changed. Still the same daily chest discomfort, tightness.
So here we are nearing the end of September and I still feel the same. I’m not sure where else to turn. My wife thinks that I should get the endoscopy done just to be sure, but to me it really feels like a lung issue. When I take a deep, I feel resistance. It feels like bronchitis without the typical symptoms.
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Remedies for Chest Congestion
If you’ve ever been diagnosed with the common cold or bronchitis, you’ve likely experienced chest congestion. Chest congestion is the result of inflamed air passages, or bronchi, in the lungs. A chest cold results from the same virus as the common cold and usually presents as a runny nose, sinus infection, or sore throat before settling into your lungs.
When the bronchi in your lungs are exposed to a virus, they swell and fill with a thick fluid called mucus. This excess fluid constricts the airflow, making it difficult to breathe.
Symptoms of chest congestion include:
- Hacking cough with clear, green, or dark yellow mucus
- Chest tightness
- Sore throat
- Body aches and chills
- Headache
- Fever
- Shortness of breath or wheezing
The majority of these symptoms often fade in a few days, but a cough can last for weeks as your bronchial tubes heal. If you have a cough that lasts longer than 14 days, you should see your doctor. This symptom could be a sign of another illness that needs medical attention, such as pneumonia.
Remedies and Treatments for Chest Congestion
The common cold and chest congestion are the result of a virus. The only cure for this kind of virus involves resting and waiting for the virus to clear. Antibiotics are only helpful in treating diseases like pneumonia and whooping cough. However, some home remedies and treatments can soothe your aching chest and relieve your symptoms.
Doctors suggest these home remedies for chest congestion:
- Drink plenty of clear fluids to keep your body hydrated and thin the mucus inside your throat and lungs.
- Place a cool-mist vaporizer or humidifier in the room to soothe any lung irritation.
- Sleep with your head propped up on several pillows to make breathing easier and prevent mucus from accumulating in your chest overnight.
- Take a hot shower and breathe in the steam to ease congestion.
- Try an over-the-counter pain reliever like ibuprofen or acetaminophen to ease body aches and reduce fever.
- Use saline drops or nasal spray to alleviate congestion.
- Use lozenges to keep your throat moist.
- Use bronchodilators, which relax the muscles in your lungs and widen your bronchi to make breathing easier. Bronchodilators are often used to treat long-term conditions where your airways become inflamed and narrow, such as asthma.
Symptoms usually start to go away within seven days to two weeks if you don’t have an underlying condition like chronic pulmonary disease. Medicines like decongestants may also loosen mucus and ease other symptoms.
When to See a Doctor
In some cases, at-home remedies might not do the trick. If you aren’t feeling better after a few days, have a fever that isn’t going away, are wheezing, or can’t seem to shake the infection, make an appointment with your doctor. Chest congestion may indicate a condition more serious than the common cold or bronchitis.
Remedies for Children
Children will benefit from many of the same home remedies for chest congestion, such as resting, drinking clear fluids, and breathing in cool air from vaporizers or humidifiers. Some chest cold remedies in children should be treated with caution.
Consider these home remedies for children with chest congestion:
- Some over-the-counter pain medications with ibuprofen or acetaminophen are designed for kids. Follow the label’s instructions, and check the active ingredients to ensure your child isn’t taking more than the recommended amount. You should also discuss the dosage with your child’s doctor.
- Cough syrup may help ease chest congestion symptoms in children. Cough syrup is available at drug stores or by prescription. Like pain relievers, read the label to ensure your child doesn’t take too much at one time.
- Lozenges may be given to children older than four years, but don’t give them to children younger than four years.
- If your child is older than one year, give them a teaspoon of honey or mix the same amount in a cup with warm water. Honey helps thin mucus and loosen a cough. Some research suggests that honey is more effective at reducing a severe cough than store-bought cough syrup. However, do not give honey to infants younger than one year because it can lead to a sickness known as infant botulism.
- Try squeezing saline drops in your child’s nose to loosen mucus, then insert a rubber bulb syringe to gently suction the nostrils and remove excess mucus.
The Food and Drug Administration doesn’t recommend over-the-counter cold medications for children younger than four years. You should also avoid giving children aspirin, which can cause a rare but life-threatening condition called Reye’s Syndrome.
Show Sources
American Academy of Family Physicians: “Acute Bronchitis.”
American Academy of Pediatrics: “Coughs and Colds: Medicines or Home Remedies?”
Centers for Disease Control and Prevention: “Chest Cold (Acute Bronchitis).”
Johns Hopkins Medicine: “Bronchitis.”
Mayo Clinic: “Common Cold.”
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