My husband was diagnosed with bronchitis 7 days ago and given Kerflex every 6 hrs. His symptoms were flu/cold like and shortness of breath. Patient is 61 yr old black male, 5’8″ 185 lbs ex-smoker (1yr). Seven days ago he experienced shortness of breath while taking out 2 garbage bags (not very heavy apx 100 yrds) he made it to the garage and had to stop to catch is breath. Yesterday, he came from the basement (apx 10 stairs) couldn’t catch his breath, sweating profusely, skin cold to the touch, burning pain in chest on mid right side and rapid heart beat. Again this morning, coming from basement same problem. He says it is not shortness of breath, he “just can’t get enough air when I breath, the burning feels like, when you’ve been running for a while,and you stop, it’s the burning you feel in your chest after running.” When he has these episodes he has lost of energy, rapid heart beat and cold sweats. Please advise what you think.

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    The symptoms like shortness of breath and sweating suggest that there is involvement of the cardia along with the lungs. This condition is known as Cor-Pulmonalae. With this, he might be undergoing congestion of the heart. Treatment is directed at the underlying illness. Supplemental oxygen may help to increase the level of oxygen in the blood.
    There are many medicines available to treat cor pulmonale. Calcium channel blockers are often used to treat early cases. Prostacyclin may be given through injection or inhalation. Bosentan or sildenafil may also be given by mouth. Blood thinning (anticoagulant) medications will also help. Therefore, I would suggest you to consult your physician at the earliest.

    Answered on May 11, 2014.
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