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Dr. Phil, MD
Dr. Phil, MD, Medical Doctor
Category: Medical
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Experience:  Medical Doctor Trained at a Top Academic Institution
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I am a 47 year old female, experiencing a short sensation of

Customer Question

i am a 47 year old female, experiencing a short sensation of difficulty breathing. It feels like pressure on my chest, like a sensation of being water-logged, and is accompanied by an increased sensation of my heartbeat in my throat. it passes within 30 seconds and only happens about once a day. I am not overweight, and it does not occur while I am exercising, but more often at rest.
Submitted: 11 months ago.
Category: Medical
Expert:  Dr. Thomas, MD replied 11 months ago.

Hello

If this is happening go to the ER.

First of all, angina must be ruled out.

This is underdiagnosed in women, and when that happens, there are worse outcomes than in men.

It does not matter that you are not overweight and that it does not happen while exercising.

You need an EKG. And exam.

Lung disease can do this, but would not tend to be so intermittant.

Broncospasm: sometimes intermittant problems can be caused by acid reflux.

A very small pulmonary embolus needs to be considered, as they can act like this initially.

Anxiety attacks can do it.

In any case, some possibilities are serious and you need to be checked.

I am a double board certified US doctor with over 20 years of primary clinical medicine specialty hands on responsibility for patient outcomes. See my profile.

Please click a positive rating [this is how we are paid].

Let me know if you have more questions.

Additional information> The brief and intermittent nature of this symptom does NOT rule out serious problems, albeit they might be early in their course. Angina must be ruled out first and foremost, and atypical symptoms are more common in women.

Please do not forget a positive.

Expert:  Dr. Phil, MD replied 11 months ago.

Let's not panic here. Let's get some more information to see if you really need to go to ER.

Can you give me more details?

What seems to trigger it?

Do you take any medicine?