Hello Shubhasis, I understand your concern. Keeping on mind your multiple issues, it’s better to get evaluated well. So kindly consult your doctor with the following test reports - Repeat Chest X-ray PA view, ECG, CBC, ESR, CRP. The doctor might also do a systemic examination to understand your issues better.
Feel free to reach out again.
Regards, Dr. Nirav Jain MBBS. DNB D.Fam.Med
Its good to consult again! Do breathing exercises morning and evening everyday this helps in relieving chest congestion!
Hello dear See as per clinical history the test reports says viral or bacterial infection. Since the pain is migrating towards heart so there can be chances of myocardial infarction which has cough also. So I suggest you have consultation in person with pulmonary surgeon and cardiologist also for confirmation There may be requirement of following tests Serum troponin Serum cpk mm Serum LDH Fevi1/2 Spirometry Cbc Rbs Please share the result with the concerned physician only Regards
Hello,your chest pain can be due to past inflammation and issues For this you need to revisit your pulmonologist as winter are approaching too This can be also due to opportunistic infection like tb or fungal infection Kindly get a chest xray or chest ct
1. After asthma, chest congestion and mild chest pain are common due to airway inflammation and muscle strain.
2. Continue inhaler and breathing exercises as advised to keep lungs clear and strong.
3. Drink warm water, do steam inhalation twice daily, and avoid cold air or smoke.
4. If chest pain feels deep or near the heart, get an ECG and review with your pulmonologist to rule out any cardiac strain.
5. Recovery takes time, but regular followup and good sugar control help prevent recurrence.
Hello Subhashis,
Yes, you should consult your pulmonologist again for persistent chest pain . It can be due to inflammation or muscle strain due to cough. But since you are diabetic and asthmatic, it is wise to consult your pulmonologist/cardiologist.
Thank you
Hello After your hospitalisation, you are experiencing similar complaints. You must visit your treating doctor. Chest pain can be due to various causes and it needs proper evaluation.
Take care
Hello Shubhashish
Assessment: • Likely post-inflammatory chest pain or musculoskeletal pain due to prolonged coughing or residual airway irritation. • However, in a Type 1 diabetic, chest pain must also rule out cardiac causes (especially if pain is central, persistent, or associated with exertion, sweating, or breathlessness).
Advice: 1. Yes, consult Pulmonologist again for review — to assess lung recovery and repeat chest exam, X-ray, or PFT if needed. 2. If chest pain is pressure-like, radiating, or worsens with exertion, cardiology evaluation and ECG + cardiac enzymes should be done to rule out cardiac causes. 3. Continue good diabetes control — poor glycemic control can delay recovery and worsen inflammation. 4. Avoid exposure to dust, smoke, perfumes, cold air. 5. Maintain regular breathing exercises and hydration.
Re-consulting a pulmonologist might be a good idea given your ongoing chest pain, especially considering your recent history of lung inflammation and asthma. Chest pain can arise from different issues, but it’s important to rule out any potential complications or other conditions that could be contributing, such as an evolving lung issue or cardiac concern, particularly in the context of your type 1 diabetes which can involve additional cardiovascular risks. While the previously prescribed treatments such as deflazacort and inhalers like Combihale are effective for controlling inflammation and asthma symptoms, ongoing chest pain should be evaluated further to ensure that it’s not an indication of something more serious.
Since you’re experiencing pain that seems cardiac, it’s crucial to also consider cardiovascular evaluation. You could schedule a follow-up for detailed analysis including repeating the pulmonary function tests or possibly further imaging. Meanwhile, keep track of any other symptoms that accompany the chest pain like shortness of breath, palpitations, or dizziness. These could offer further clues.
In general, managing any form of chronic inflammatory condition in conjunction with diabetes does require vigilant monitoring and sometimes adjustments in medication. Making sure your blood glucose levels are well-controlled is equally important as high blood sugar can contribute to inflammation and pain. Additionally, aim to avoid irritants like smoke or allergens which may exacerbate lung troubles. Lastly, keeping your healthcare team informed of all symptoms is the key - they can coordinate to adjust treatments to best suit your combined medical needs.
Hello Shubhashis Nothing to worry dear… Yeah its better to visit your pulmonologist again and done with your chest x ray once again… Treatment is going fine dear… nothing to worry about… And please add some ayurvedic treatment too with that… it will help you to get better results soon
Thank you
