Q. I am having difficulty breathing from the last four months. Why?

Answered by
Dr. Sugreev Singh
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Sep 08, 2020 and last reviewed on: Mar 08, 2021

Hi doctor,

I am having difficulty breathing for the last four months. My CT scan, pulmonary function test, and x-ray reports are normal. My immunoglobulin E value is very high. I am smoking from starting of this year. My breathing problem is deteriorating. There is no sneezing, neither any cold nor watery eyes.



Welcome to

As you mentioned, your reports were normal. This could be allergies like dust or pollen, or smoke. So when we get in contact, it triggers asthma, and breathing difficulties occur.

  1. Sir, are you still smoking? If yes, then quit it as soon as possible.
  2. Is there a family history of asthma?
  3. Is it the first time you are experiencing such?

For now, take a Salbutamol (Ventolin) inhaler two to three puffs when you feel difficulty in breathing. Other treatments include steroids and mast cell stabilizers. But for that, I need complete history.

  1. Can you tell me is breathing difficulty throughout the day?
  2. Do you have nose blocking? Is it the same even if you breathe from your mouth?
  3. Do you feel weaknesses?
  4. Is it the same since it started, or were there any fluctuations?

It will be better if you attach your reports.

Thank you doctor,

I do feel weakness. I feel the same difficulty from my mouth as well. It never happened before nor in my family.



Welcome back to

There are changes in your lung volumes. The capacity has decreased. And there is a small tiny fibrotic nodule in the lower left lung. So that has to be monitored regularly. Check if it is increasing or not. Because sometimes it can spread. So regular check-up is needed. Do not take Salbutamol because that is short-acting. I suggest:

  1. Foracort inhaler (Formoterol budesonide) one to two puffs two to three times a day.
  2. Tablet Deriphyllin (Etofylline+Theophylline) 150 mg two times a day after meal for five days.

Deep breathing exercises should be done. If you feel the same or difficulty breathing, please go to a nearby clinic because we have to give oxygen to patients in some cases.

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