Saturday, October 25, 2014

Sunday, October 12, 2008 pnod, Community Member, asks

Q: Can Athma Cause Only Chest Pain as Symptom?

Before I get started I do not feel I have any reason to belive my shest pain is cardiac related.  I have had multiple EKG's, Stress Echo, Blood tests and all have come back just fine.  My blood pressure is perfect, my cholesteral is at perfect levels as well, I have had a few chest X-rays and I am told all that is visiable is asthma, and I have no family history of heart diease...I did smoke for 12 years though Cry  I quit a year an a half ago when my asthma came back.  So that's good.  I also do have issues with GERD, but I know the difference between heartburn and this.

 

Now my problem is my real only symptom of asthma are chest tightness, pain and shortness of breath.  I never cough or wheeze like when I was a kid.

 

Sometimes it's just chest pain all day long.  I may have one to two attacks a year where I cough and wheeze, but a few extra puffs of albuteral and some relaxing has done the trick so far.

 

I am scared that pain usually means something is wrong.  Sometime it's tightness and congestion and other times it's just sharp pains in my chest all day and maybe for days at a time.

 

Thanks for any advice.  I am new to learning about asthma.

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Answers (16)
Ann Ritter, Community Member
2/ 5/09 12:54am

My daughter has chest tightness ( painful ) as of late.  She is 21 and has had asthma since 5th grade.  She recently asked her Pulmonary Dr. why does her peak flow meter score or number qualify as good ( 400-450 ) but yet she still has chest tightness. Also when this happens her emergency inhaler ( albuterol ) does not really help make the tightness go away.  He said that many of his patients express this to him but that he does not know what to say to that.  REALLY REALLY FRUSTRATED!!!!!!

 

7 weeks later after this talk with her Dr. she goes to the ER with an asthma attack they give her pregnisone-----------it helped it took like 12- to 14 hrs to really kick in but the tightness is gone

 

She had had the flu a month ago--------I feel that she was not given an antibiotic and pregnisone quick enough to clean up after the flu.  ( 3 weeks or so late)

 

To complicate things she had been tested for allergies  ( RAST testing ) and came up negative so she under 2 different Dr.s ( ENT and pulmonary) care went off flonase and allegra

 

Now we find out from these same Dr.s  way after the fact that negative does not always mean negative and that she does have allergies

 

So I think the day by day effects of these allergies  ( Fall seasonal ones) drained literally and figuratively her system which triggered her asthma only we did not put two and two together until way after the fact . We thought we were dealing with a new factor.

 

 I wish the Dr. had said even though you tested negative for allergies there still might be a chance that you have them so watch out.

 

Please COMMENT ANYONE

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eren89, Community Member
10/28/09 11:06pm

I was born with asthma, it was bad when I was a baby, but it stayed managed until 4th grade, and again until this past year. I had gotten a severe sinus infection, and for the first time in a decade, I had started wheezing again.

However, as controlled as my asthma is, I still have SEVERE chest pain. I have no idea what the problem is. Its in the same general area as what you guys report, left side of the chest, in the ribs, no pain in the arm usually, but always sharp and stabbing. It also felt like it was going into my tummy, but kept to the left side. I do the same thing when I exercise too. My mom always told me it was because I was getting stressed, but there's been times where I thought I was pretty "not stressed" and I still would have these pains. I cannot figure out what causes them, and my inhaler doesn't really help them. Like the pain stops after a few minutes, but my chest still feels heavy. And sometimes it doesn't help it all. I've found that if I lie down flat and exhale deeply for a few minutes, no matter how painful, it goes away.

 

Even though I've figured out how to get rid of the pain, I'd like to know what causes it and to make myself feel better that its nothing serious. It really keeps me awake at night because it freaks me out when it happens. That's another thing, it mostly happens at night. I also have severe allergies, thus the continually sinus infections.

 

I hope you guys know, because I seriously have no idea, and I don't like puffing on my inhaler that much because albuterol makes your heart race...and I've heard many more interesting side affects of inhaler. Its for emergencies only, and I'd like to keep those to an extreme minimum.

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hanno123, Community Member
10/15/08 11:48am

Hello, this is very good to read for me i have had exactly the same its a coincidence (or is it) that i have had GERD well i do seem to have it and am taking pills which have really helped only started two days ago my chest pains and shortness of breath are present still, have you had people say oh it must be anxiety and doctors give you stupid excuses ...its muscular/plueracy/skeletol go home a rest and in 2 day syou will feel fine 3 months later my chest pains are here, anyway my tests all came back perfect aswell im 22 perfect weight never smoke dont drink excessively etc etc, i do have asthma and i think GERD may flair this up and ive read Gerd can reproduce symptoms not disimalar to angina, my pain tends to be around the wall of the chest which does suggest more asthmatic related rather than heart also no left arm problems/dizziness etc,  

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George, Community Member
7/13/12 11:30pm

I can relate to this. I am a 59 year old male, who has asthma/lung disease with chronic Chest wall pain from time to time. In 2006 I had the complete cardiac work up from an eccogram,ekg, stress test, angigram where the caridologist looks at all the arteries to the heart and he said there very clean, keep doing what youre doing, which is take cayanne pepper with garlic. This still doesnt answer the question of chest wall pain, generally behind the pectoral muscles.

 

Thanks

 

George

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hanno123, Community Member
10/15/08 11:52am

Also ive never had heartburn noteven with the GERD but i can feel this is definately not heartburn i think we have the same thing definately other symptoms my doctor asked about are, excess burping, wheezing throat, dizziness this is my 11th doctor and i trust him,he is not a yesman and firstone to ask mesensible probing questions rather than think oh this is a stupid patient i am king doctor i will decide what you have and jump to the first conlusion

 

 

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Aydan1, Community Member
10/30/08 5:30pm

I am so happy to be reading this.  I have had chest pain/pressure for almost a year.  I have had all the same tests with everything coming back normal.  At first it was diagnosed at costochondritis.  The pain actually went away for about 2 months and after a night of partying (which I rarely do) and I had a couple of Cigerettes (which I technically quit, but cheat every once in a while), it came back FULL FORCE.  It's been about 2 weeks and I have gone to the doctor and hospital.  I feel like people think I am a hypocondriac, which I am not, this pain in real and it can be consuming when I start thinking about the problems that it could be. Anyway, I tried Nexium which didn't work and it actually went away when I started taking Zoloft for anxiety.  I quit zoloft to possibly try to have another child and now a month later it's back.  I asked my doctor if I could go back on Zoloft and she told me that I don't have anxiety.  I have a physical in 2 weeks, so I will let everyone know what she says.  Please keep me posted on your condition, I am sorry you are going through this, but's it's comforting to know that I am not alone.

 

Sincerely,

Megan Chrz

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pnod, Community Member
10/30/08 9:03pm

Thank you both for your posts.  They mean a lot.  I will say things are getting a little better since winter is coming and I have less symptoms here in the winter. 

 

FYZI I also have anxiety and only take Xanax when needed.  I take it often, but this pain is different and I am pretty sure is caused by asthma. 

 

I know how you feel and let us know how things go.  It;s always heloful to hear others in similiar situations

 

Best of luck :)

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S, Community Member
11/ 6/08 9:12pm

I too thought initially I had heartburn, but that went away, but my chest is still sore.  I usually have a terrible cough this time of year, but this time it is just the chest tightening, and my throat feels a bit closed.  At other times, my back, between the shoulder blades, hurts too.

 

I do not smoke, nor drink, and sleep well.  I thought it was aniexty, but for this long? It has been two weeks now, and has not eased up at all.

 

I used to take advair for the bad cough, but nothing of late.

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lady13, Community Member
2/ 9/10 2:47pm

I've had asthma since I was 13 years old. It's been pretty mild and only gets worse when the season changes, especially in the cold months. I started taking advair Mid Dec 09 to Mid Jan 2010. A few weeks after I stopped taking it, I started getting dizzy spells, my heart would race mostly at night while in bed and I also getting chest pains. I went to my doc, who never listens to what i saw. He just keeps prescribing more advair and albuterol and tells me eveything is ok. I read online that adviar has a side effect of irregular heart beats and nervousness (which i feel now).  I'm done with that doc and i've found a new docotor who i'm yet to meet with tomorrow. I hope he listens to me. My mom said I should pay attention to what my body is telli me. Pain is a good sign that something is wrong. I'm also going to look into natural remedies for Asthma ( like peppermind inhailer) because steroids (advair) and epinephrine (albuterol) can't be good in the long run. "Buteyko" is a method of breathing that helps to reduce asthma attacks. Something drug free that i'm going to try..

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Peaches, Community Member
4/11/09 2:13pm

I have been asthmatic all of my life.  For the past couple of years I have been suffering with pain in my chest that is exercise induced and is identical to angina but have been through every heart test known to man and they cannot find a thing wrong with my heart.  This is great but the what is causing my pain?

 

This pain is so bad it stops me dead in my tracks.  Pain and shortness of breath.  A couple of weeks ago I wore a holtor monitor (again) and this time I decided to experiment.  I walked until the pain started and recorded the time and described the pain, when it ended and such.  Rested and walked again until the pain started and recorded it.  Saw my cardiologist yesterday for the test results and he said the heart sounded great but when I recorded the pain in my chest the meter showed that the muscles in the chest area were going crazy.  He wants me to take one more test, a nuclear test just to be on the safe side (have had everything done from nuclear stress test to angiogram) and then he wants me to see a lung specialist because he said it may be asthma.

 

I have to say this.  You have to take the bull by the horns here because some doctors start to look at you like it is all in your head when they can't come up with a diagnosis.  Should this happen, it is time to find a new doctor.  And we have to take action.  I was doing 20 to 25 laps every day in an olympic pool until this happened and I will be darned if I will just sit down and rot and allow some doctor to tell me it is all in my head simply because he/she doesn't have an answer for the problem. 

 

Happy to have found this site because now I know that I am not alone nor am I crazy.  Good luck to all and please lets keep posting information, results and diagnosis to help each other out.

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Getnitrite, Community Member
2/11/10 11:13pm

I'm 48 years old and I've had fairly frequent and painful chest pain (leaning toward left - upper side) on and off for about 3 years.  I let it go far too long because my doctor told me she thought it was probably a rib that was going in and out of place.  But, the pain is bad enough (exercise induced or stress induced) that I know checking my heart has got to happen.  

Now my doctor is running all the right base-line tests for heart issues, but she really doesn't think it's my problem.  She mentioned that she thought she noticed me wheezing (I have clearly been this way long enough, it was my "normal", so it wasn't apparent to me).  Sure enough, once she mentioned the possibility of asthma, I remember 3 very recent coughing episodes where my lungs felt locked-up and wouldn't take in air... Duh!... How could I cruise through my busy life and miss such huge clues?  Anyway, this pain in my chest is usually and all-day deal.  It's better in the morning when I am rested, but any stress and it's worse.  

I know myself well enough that if I am lucky enough to be heart safe, but in chronic pain thanks to asthma, I will likely not approach it with pharmaceutical inhalers or drugs.  I will go with all kinds of other healthy living (trust me... at my age, I can only benefit by it), before I would try anything else.  

The EKG and initial x-rays looked fine.  Tomorrow is a heart test, and stress test, along with cholesterol and blood sugar checks.  I've actually gone as long as 6 months without this chest pain, so I KNOW if it is asthma, it was due to something I was doing right at that time in my life.  The trick will be to figure it out.  If my body improved before, it can do it again.

Best of luck to all of you here.

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Peaches, Community Member
2/23/10 12:02pm

Thanks for your reply and I wish you luck on finding a natural way to deal with your asthma.  Drinking plenty of water is one of the most critical things because it keeps the mucus in your lungs thin but it may also be a good idea to carry an inhaler with you at all times "just in case", it may save your life.  Asthma is a serious disease and should you ever have a full blown attack you will not have time to go buy an inhaler.

 

I did go back to my cardiologist and since I had already gone through all the tests including an angiogram and they all came up negative it seemed hopless.  Then he gave me a holter monitor to wear for 24 hours.  It records what is going on in the heart.  I took several walks with it and each time I got the pain in my chest I recorded the time it happened so the doctor would be able to go right to that place on the monitor.  Here is what he discovered.  The heart muscle is beating fine, no problem there but, for some reason the muscles in the heart wall around the heart go into wild spasms and that prevents the heart from pumping enough blood when exercise calls on it to work harder, thus the pain.  He gave me a calcium channel blocker which helps to a degree but I still get the pain when I try to work out or do any lifting.  I think the combination of the spasms in the heart wall and my asthma walk hand in hand and stress plays a big part in this as well.  I have also noticed when I eat a heavy meal it happens more frequently so it is important that I eat several small meals a day to keep the acid from backing up into the esophagus which, by the way, also affects my asthma.  Body and breathing relaxation exercises work well too.

 

Hope your test all come out negative.  Good luck.

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Getnitrite, Community Member
2/11/10 11:20pm

I'm 48 years old and I've had fairly frequent and painful chest pain (leaning toward left - upper side) on and off for about 3 years.  I let it go far too long because my doctor told me she thought it was probably a rib that was going in and out of place.  But, the pain is bad enough (exercise induced or stress induced) that I know checking my heart has got to happen.  

Now my doctor is running all the right base-line tests for heart issues, but she really doesn't think it's my problem.  She mentioned that she thought she noticed me wheezing (I have clearly been this way long enough, it was my "normal", so it wasn't apparent to me).  Sure enough, once she mentioned the possibility of asthma, I remember 3 very recent coughing episodes where my lungs felt locked-up and wouldn't take in air... Duh!... How could I cruise through my busy life and miss such huge clues?  Anyway, this pain in my chest is usually and all-day deal.  It's better in the morning when I am rested, but any stress and it's worse.  

I know myself well enough that if I am lucky enough to be heart safe, but in chronic pain thanks to asthma, I will likely not approach it with pharmaceutical inhalers or drugs.  I will go with all kinds of other healthy living (trust me... at my age, I can only benefit by it), before I would try anything else.  

The EKG and initial x-rays looked fine.  Tomorrow is a heart test, and stress test, along with cholesterol and blood sugar checks.  I've actually gone as long as 6 months without this chest pain, so I KNOW if it is asthma, it was due to something I was doing right at that time in my life.  The trick will be to figure it out.  If my body improved before, it can do it again.

Best of luck to all of you here.

Reply
kr, Community Member
10/17/09 12:51pm

In the last year, i have had many episodes of suddenly feeling exteme exhaustion...along with chest tightness....like a weight on my chest

These were usually exacerbated by exertion...had to sit or lie down...

but that would help only temporarily

Kept quiet about it until one day I was sure something was wrong with my heart...symptoms resembled angina...got demoralised ...couldn't understand why this was happening at a young age....I dont smoke...but my workload can get really stressful...was my stress so much so as to cause the beginning of a heart failure?

Went to the doc.....BP ,pulse ,auscultatory findings......all normal

He was convinced that i was hypochondriac...willing to send me for counselling on how to stop worrying or whatever..

UGH! The lack of faith that the doc had in me demoralised me even more..

 

Then suddenly one day my mom remembered that she had similar symptoms when she was young..and it had turned out to be asthma!

 

2 puffs of the inhaler and wow what relief!!

 

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cmd, Community Member
12/ 3/09 5:34pm

I'm 47, have had asthma all my life but it has gotten worse after I turned 40.  advair daily has made a difference but, once or twice a year I get this terrible flare up and I end up at the doctors with the chest pain and pain between my shoulders feels like someone is standing on my chest. 

 

It is as you ll have described and once I get my predisone meds after about 2/3 days things get better, pain eases up, shoulder pain get better, the coughing takes a little longer but I have a nebulizer machine and use that as soon as the chest pain starts. 

 

It used to take me a week or more to improve, I've got it down to 3/4 days. 

 

I don't smoke, I have GERD, I don't drink, I'm over weight and I don't think much of that really matters when it comes to asthma, it just hurts and some doctor's don't want to admit that asthma is the culprit.  They look for something more complicated or brush it off as a simple cold.

 

Be insistent, get your prednisone.  You will feel better.

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Argle Bargle, Community Member
12/24/09 2:53pm

I'm a 40 year old, male sufferer of chronic sinusitis who developed Asthma at age 29. A few years later GERD developed, and a few after that I was diagnosed with Diabetes. I don't smoke, and eat reasonably well. I go to the gym 3-6 times a week. Just last week I started getting chest pain symptoms and as a result we went to the hospital. The heart checked out okay.

 

For the last 5 days I have been at my wits end trying to figure out what I can do to get the chest pains to cease. I am presently battling a sinus infection (which is being treated) and hope that if this gets under control maybe the pains will taper off-- because they are freaking me the hell out!

 

It has been suggested that I reduce my caffeine intake-- which I have done (not happily). In the next couple of days I'm going to try different GERD meds to see if that helps. I'll keep you updated on what results I get.

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DANWC, Community Member
9/29/10 2:04pm

I am 49 and am having similar symptoms. I am on symbicort, albuterol and nexium. My doctor recently put me on advair which was great for a weak but then I developed chest pain. It feels like a fever and pain in my airways at first then I start coughing up mucous that is white and foamy. I have had this flareup for two and a half weeks. Advil helps make the pain bearable. I belive my doctor thinks I am crazy. He will not do a bronchoscopy or challenge test for asthma and I cant see him for almost a month. The pain and shortness of breath makes it hard to function. He gave me nystatin and told me I may have a  yeast infection in my airways. Prednison makes me so sick while I am taking it but does seem to help after 3-4 weeks.

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LauraLouAnnie, Community Member
10/15/13 11:04pm

Are you still having the chest pain?  Have you tried heat or an anti-inflammaratory?  

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D, Community Member
2/22/10 4:48am

I have the same symptoms. I moved to Colorado in 2009 and have seen my asthma escalate. Beginning of this year I was so frustrated because I had the

pressure of where heartburn is but eat healthy. Since October 2009 I was put

on Singulair in addition to using Symbacort and my regular albuterol inhaler. I

thought maybe I should go back to the chiropractor because it helps tremendously. If you have only pressure between your shoulder blades a good adjustment will release that verses taking a puff of an inhaler.

 

Tonight I had pressure again of heartburn (no reflux) and tried my inhaler but nothing. I haven't been to the chiropractor in a month and the last time I went

he told me I have ribs out of place that are pressing against my lungs. Dr. Higgins in Fort Collins, CO is the first chiropractor that told me this. I am going to see him today and then see my asthma specialist (Dr.Krishna).

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D, Community Member
2/22/10 4:54am

I have had asthma my entire life and as an adult only surfaced with exercise. Lately, I have been experiencing the same symptoms. I moved to Colorado in 2009 and have seen my asthma escalate. Beginning of this year, I was so frustrated because I had the pressure of where heartburn is but eat healthy. Since October 2009 I was put on Singulair ( this month I had to stop Singulair because that actually caused problems with heartburn/reflux/constipation) in addition to using Symbacort and my regular albuterol inhaler. I thought maybe I should go back to the chiropractor because it helps tremendously. If you have only pressure between your shoulder blades a good adjustment will release that verses taking a puff of an inhaler.

 

Tonight I had pressure again of heartburn (no reflux) and tried my inhaler but nothing. I haven't been to the chiropractor in a month and the last time I went

he told me I have ribs out of place that are pressing against my lungs. Dr. Higgins in Fort Collins, CO is the first chiropractor that told me this. I am going to see him today and then see my asthma specialist (Dr.Krishna).

Reply
cheeze0face, Community Member
7/17/10 7:06pm

I realise I'm fairly late with this, but, this morning, I woke up really early with severe"stabbing" pains in my chest. They're in the left side, almost as though it's on the top rib. Lying down seemed to make it worse, so I sat up, and have not moved for a few hours, and yet, the pain continues. I was really freaked out at first, because even though I do have family history of heart disease and high BP, I'm 15, and healthy, I play a tonne of sport, and have never suffered any pains like this before. I have recently been suffering some chest tightness during sport, and my dad has made an appointment to go and see a GP to check up for asthma. I'm really worried, though. There's no pain in my left arm, and the pain hasn't moved at all, but I'm worried as to if it could be a blocked ventricle or something causing this pain. Any help or advice would be fantastic, as it's really freaking me out.

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grl28, Community Member
10/21/10 9:41am

I am glad to be reading this because I am having a similar problem.  I normally work out three to four times a week without any problems.  Then October arrived and I've had two instances where I've used my inhaler in the morning and felt fine.  Then at the gym I'm good for about 10 minutes on the machine and then my heart rate sores to 180+  (typically I shoot for a heart rate of 169 while working out).  I get the pain in my mid left chest (which is also present at times with a resting heart rate).  In the past when I've gone to the ER my heart is fine.  I Do have a history of heart disease in my family and now that I'm 30 the pain freaks me out!!  I'm going to the doctor this week to have my cholesterol checked.  I guess I'll just do light workouts until then.

 

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cheeze0face, Community Member
12/11/10 1:47am

Ok, so I went to the GP after this bout that I had, and it turns out it was a bit of asthma. The doctor tested me, and I had a bad wheeze, etc, and I have since been given a ventolin puffer and since then, I've never had chest pain again, except while playing sport, in the case of suffering a minor asthma attack (Exercise Induced Asthma is what I've been diagnosed with). I'd recommend that anyone that is freaked out by something to just go and talk to your doctor (even though I am actually scared of my doctor...)

 

Hope that clears something up!! :) 

cheeze0face

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Mike, Community Member
5/ 3/12 7:57am
Be sure and research Eosinophilic Eosaphagitus (EoE). This condition can also cause chest pain and it is very common in patients to also have asthma. Reply
Breeze, Community Member
10/19/14 10:36pm

Hello everyone (in this answer chain),

I've read all the posts and I feel that they are extremely close to my own symptoms. Last October (2013) my chest started feeling tight, which indicated to me that I was having asthma symptoms. Went to my doctor, got Prednisone (which always helped me in the past) and took 6 days of it expecting the chest pressure/tightness to go away. It did, but only until I stopped taking prednisone. It soon came back. My new doctor (since I just moved where I currently live) wanted to do a medical workup to eliminate the chances that it was something serious. After taking 5 blood samples, chest x-ray, CT scans of my chest and sinuses, EKG, ECHOcardiogram, pulmonary function test, TB test, nasal endoscopy and seeing three different pulmonologists, ENT, and allergy/asthma specialist, no one can tell the what this chest pressure is due to. I've aldo taken two different GERD meds, Advair HFA, Dulera, abuteral, prednisone, and several other inhalers that I can't remember what they were. I still have this extremely annoying chest pressure. (PS I would never ever describe this chest pressure as "pain"... just a generalized chest tightness or pressure that constantly sends signals to my brain that I'm having asthma issues). I'm less inclined to believe that this is asthma because every time I go to the doctor and do my peak flow meter - I'm completely fine (blowing 170+). I also get the finger clamp thingy that shows me my blood oxygen levels and I'm always at/around 98%. I'm so confused. Can anyone explain this? At times my rescue inhaler (albuteral) relieves close to 50-60% of the pressure but 4-8 hours later it's back in full effect. It's now been 1 year and the chest pressure is almost constant across weather, season, time of day, location, etc. I'm at my wits end. HELP?!?

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By pnod, Community Member— Last Modified: 10/19/14, First Published: 10/12/08