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A member asked:
Dyspnea/at rest and activity, pitting edema in my legs. mri/ x-ray of my lungs/heart. kidney and liver tests. lung function test. every test 100% normal. no fluid in lungs. have chunky phlegm as well. drs cant figure it out??? 22yr old male?
4 doctors weighed in across 3 answers
Dyspnea can be a psychosomatic symptom but pulmonary secretion (phlegm) and leg edema are not. You definitely have a physical impairment (disease) and congestive heart failure is top of the list but it is easily diagnosed with physical exam and echocardiogram. Please continue to follow with your doctors and a second opinion should be considered if there is still no answer with persistent symptoms.
Answered 3/17/2022
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A sputum test is indicated, Pulmonary Function test with and without a bronchodilator. The edema should be evaluated and a pulmonary embolism ruled out. A D Dimer test is recommended. Evaluation of pulse oximetry with exercise recommended. A virtual consultation with Healthtap is available. Please follow up.
Answered 4/24/2023
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Has cardiomyopathy & congestive heart failure been definitely ruled out by EKG & echocardiogram? Has a urinalysis & microscopic examination of the sediment and low serum albumin been checked to check for heavy proteinuria, glomerulonephritis & nephrotic syndrome? If no cardiac or kidney cause, consult a pulmonologist for evaluation for chronic pulmonary pathology& cor pulmonale.
Answered 3/18/2022
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