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Chest pain (smoke related), fatigue, joint pain
I am a 32 year old male with 16 years smoking experience. Around 20 days back i started experiencing chest pain after i smoke. Went to ER where they did X-Ray, ECG and blood test and all came as good(lungs clear). I was told that there was nothing to worry. I was then directed to GP who directed me to gastroenterologist and cardiologist. Both confirmed that i was fine. I went and met pulmonologist who asked to do a PFT. PFT results: Spirometry: Normal flow rate. FEV1 is 82% mildly reduced. FVC is 85% mildly reduced.
Midflow 73% mildly reduced.
3. Maximum voluntary ventilation: MVV is 80% mildly reduced.
4. Flow-volume loop: Suggests minimal restriction.
5. Lung volume study: The total lung capacity is 88% suggests minimal restrictive lung
disease. Residual volume 166% suggests air trapping.
7. Diffusion capacity: The DLCO is 88% and DLCO/VA 108%, both normal.
Was told that i have sort of a inflamatory. Wasn't happy with the doctor so i went to see another pulmonologist who said that i was totally fit. The chest pain, fatigue and pain in joints are still there. Based on all of this, is there anything that i have to worry about? Could this be any sort of cancer or COPD? Please help...
Midflow 73% mildly reduced.
3. Maximum voluntary ventilation: MVV is 80% mildly reduced.
4. Flow-volume loop: Suggests minimal restriction.
5. Lung volume study: The total lung capacity is 88% suggests minimal restrictive lung
disease. Residual volume 166% suggests air trapping.
7. Diffusion capacity: The DLCO is 88% and DLCO/VA 108%, both normal.
Was told that i have sort of a inflamatory. Wasn't happy with the doctor so i went to see another pulmonologist who said that i was totally fit. The chest pain, fatigue and pain in joints are still there. Based on all of this, is there anything that i have to worry about? Could this be any sort of cancer or COPD? Please help...
Best Answer
Unfortunately no one on the web can diagnose you. You do need to see a doctor for that but it sounds like COPD, lung and heart issues have been ruled out based on what you have said. As well if there was any sort of lung cancer that would have shown up as well. You might want to see a rheumatoid specialist since you mention joint pain. Inflammation in the body can cause all sorts of pain. Also consider trying to quit smoking. I smoked for 25 years and got motivated once it started to hurt to laugh. I have not had my lungs checked but I do suspect there is diminished lung capacity but quitting helped improve my lung function though yours sounds like it hasn't been affected yet so it might be wise to quit before it is. But this said, it seems a though you may need to see a different kind of doctor to deal with your joint pain. As well maybe go and see a general doctor to get a complete workup of your blood to see if there are any issues that show up there. Best of luck sorting this out and feel better soon.
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