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Does chronic chest tightness at 23 mean bronchial asthma?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a 23-year-old female. For almost a month, I have been experiencing tightness in my chest, itchiness in my throat, and I feel there is something stuck in my throat. I am currently taking Zykast for throat itchiness. I also have a health history of asthma and allergies.

Please help.

Thank you.

Answered by Dr. Gadge Gauri Narendra

Education:

MBBS

Professional Bio:

Dr. Gadge Gauri Narendra is a highly experienced Pulmonologist with expertise in diagnosing and treating respiratory conditions such as asthma, COPD, interstitial lung disease, tuberculosis, and sleep apnea. She is skilled in performing pulmonary function tests, bronchoscopy, and managing critical care respiratory cases. Dr. Gauri is committed to delivering patient-centric, evidence-based care to improve lung function, enhance breathing, and promote long-term respiratory health and well-being.    

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your concern.

As you have mentioned, you are worried about your symptoms. Considering your history and previous symptoms, you may be having asthma as well as pharyngitis at present. I would still advise you to conduct some investigations to confirm the diagnosis. If you have asthma, I will prescribe you inhalational medication because they are the best possible medication available for the treatment of asthma. Also, I would like to know if there are any factors resulting in an increase in your symptoms.

The investigations to be done are X-ray chest posteroanterior (PA) view, spirometry with bronchodilator reversibility testing. The probable diagnosis is bronchial asthma. The treatment plan includes (Formoterol 6 mcg + Budesonide 200 mcg) Inhaler with spacer, two puffs twice daily, and can be taken up to four times daily if required. Continue Zykast. The preventive measures include avoiding exposure to allergens and smoking. Take a nutritious diet and adequate rest. PEFR (peak expiratory flow rate) monitoring. Follow-up to be done with investigations, and then whenever required.

I hope this helps.

Kindly follow up if you have more concerns.

Thank you.

Medically reviewed by Dr. Sneha Kannan
Published At May 19, 2020
Reviewed At November 26, 2025

Education:

MBBS

Professional Bio:

Dr. Gadge Gauri Narendra is a highly experienced Pulmonologist with expertise in diagnosing and treating respiratory conditions such as asthma, COPD, interstitial lung disease, tuberculosis, and sleep apnea. She is skilled in performing pulmonary function tests, bronchoscopy, and managing critical care respiratory cases. Dr. Gauri is committed to delivering patient-centric, evidence-based care to improve lung function, enhance breathing, and promote long-term respiratory health and well-being.    

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Gadge Gauri Narendra is a highly experienced Pulmonologist with expertise in diagnosing and treating respiratory conditions such as asthma, COPD, interstitial lung disease, tuberculosis, and sleep apnea. She is skilled in performing pulmonary function tests, bronchoscopy, and managing critical care respiratory cases. Dr. Gauri is committed to delivering patient-centric, evidence-based care to improve lung function, enhance breathing, and promote long-term respiratory health and well-being.    

This doctor is not available for online consultations on the platform anymore.

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