I have breathing difficulty with increased pulse rate for the past three months. Why?

Q. I get out of breath even while brushing my teeth, and my pulse rate is high. What to do?

Answered by
Dr. Muhammad Zubayer Alam
and medically reviewed by Dr. K Shobana
This is a premium question & answer published on Feb 24, 2021

Hi doctor,

I am a 49-year-old female with a height of five feet four inches. I am taking Abilify and Advair. I have a hard time while breathing for the past three months. I get out of breathing at any time even while brushing my teeth to standing up. I have a pulse rate of 115 to 120 beats per minute and my normal pulse rate was 60 to 75 beats per minute in the past. I also have hot flashes in the day and night for a month. It can be due to menopause. Please suggest.



Welcome to icliniq.com.

I can understand your concern. According to the statement, you are suffering from breathing difficulties on little exertion with tachycardia and hot flashes. Your CT (computed tomography) scan shows abnormal supraclavicular or mediastinal or hilar lymphadenopathy. It can originate due to underlying lymphoproliferative diseases like lymphoma or leukemia, or sarcoidosis. Your CXR (chest X-ray) has revealed that there are prominent interstitial markings in both lungs. It reflects mild pulmonary edema or pneumonia. Your dyspnea on mild exertion, tachycardia, hot flashes results from various underlying health conditions like panic attacks, stress, anxiety, obesity, atrial fibrillation, or supraventricular tachycardia. Again obesity can also cause hot flashes and it relates to heart diseases or stroke.

According to your CXR, you can have mild pulmonary edema due to congestive cardiac failure. You need to undergo a biopsy or FNAC (fine needle aspiration cytology) from the supraclavicular lymph node, mediastinal lymph node, or hilar lymph node to rule out the diagnosis. Monitor your blood pressure regularly and keep your records. You can take Diuretics like Furosemide and it helps to subside pulmonary edema. You can also do some investigations like ECG (electrocardiography), ECHO (echocardiogram), HRCT (high resolution computed tomography) of the chest, hormonal tests, biopsy, or FNAC from the lymph nodes of the supraclavicular or mediastinal or hilar area to find the exact cause of your present sufferings and then treat them accordingly.

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