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High Cholesterol, Chest Pain, Coughing Up Thick Fluid, Wheezing, During & After Running


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#26 kris90

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Posted 10 December 2015 - 09:57 AM

Have you had a thyroid panel? I believe Hypothyroidism can be linked to Hyperlipidemia. Something to consider.



#27 tx98z28

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Posted 10 December 2015 - 12:52 PM

Have you had a thyroid panel? I believe Hypothyroidism can be linked to Hyperlipidemia. Something to consider.

 

I should have had one done on my most recent blood work but I'm not 100% positive it got done. Tomorrow I see the specialist and i'm sure he will want to run a bunch of tests and more bloods. If I have to give 14 tubes of blood again I'll do it. Nothing like having them jiggle the needle around in my vain for over 5 slow minutes.

 

From what I have heard even if the thyroid panel comes back on the low end but not out of range most doctors still will not prescribe thyroid hormone. They don't realize though that not everyone is the same hormone wise, same with testosterone a guy that has a natural level of say 800 and it drops to 400 for whatever the reason may be and he feels not right, he's not going to get TRT or pretty much anything because their going to say "well it's in range".  

 

It was good you mentioned the thyroid, again as you have said, it is something that needs to be considered and checked. 



#28 WrkHrdPlyHrd9999

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Posted 10 December 2015 - 05:33 PM

Kris brings up a good thought but other than elevated cholesterol issues, you are not describing any other symptoms that would indicate the need for a thyroid function evaluation.

Given your family history of hypercholesterolemia and absence of familial thyroid pathology; there would be no reason for a Physician to even add hypothyroidism as a working diagnosis/consideration.

Any weight gain could be attributed to TX's diet and lack of exercise (like the rest of us) as he conveyed that he just began a more consistent exercise routine. Kudos for getting back on track brother.

In the event you suspect thyroid levels are low, request a comprehensive assay that includes rT3 (reverse T3), Free T3 and THBG to get an accurate analysis of your thyroid status. Most Physicians rely on the antiquated TSH to paint a picture of Thyroid health and it's beyond frustrating.

If you want to do a crude assessment at home, leave a thermometer by your bed and take your temp under your arm pit (for 10 minutes - while still in bed) at the exact same time daily upon rising for 3 days and if your avg is less than 97.5*; it is highly likely you're thyroid system is functioning sub-optimally. Some would even suggest less than 98* but that's much less conclusive.

Be sure to use an old-fashioned glass thermometer with mercury and not a digital version.

#29 tx98z28

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Posted 13 December 2015 - 01:00 AM

Got new blood work in an hour before my appointment friday, to my surprise heres the results

 

Cholesterol, Total 226, High 

HDL  51

Triglycerides 87

LDL 158, High

 

CHOL/HDLC Ratio 4.4

Non HDL Cholesterol 175, HIgh

 

AST 30

ALT 83, High

 

An overall improvement from 6 months ago.

 

I saw the cardiologist Friday, really nice guy, very passionate about caring for this patients. Asked me a lot of questions of course, did an EKG in office. He want's me to get an echocardiogram along with a stress test. He also wants me to get a chest X-ray. He said I can run lightly, so no going to the threshold trying to beat my old times.

 

Basically I got to get this stuff done before any more blood work or anything like that, he ruling stuff, conditions out.



#30 tx98z28

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Posted 14 December 2015 - 11:05 PM

Kris brings up a good thought but other than elevated cholesterol issues, you are not describing any other symptoms that would indicate the need for a thyroid function evaluation.

Given your family history of hypercholesterolemia and absence of familial thyroid pathology; there would be no reason for a Physician to even add hypothyroidism as a working diagnosis/consideration.

Any weight gain could be attributed to TX's diet and lack of exercise (like the rest of us) as he conveyed that he just began a more consistent exercise routine. Kudos for getting back on track brother.

In the event you suspect thyroid levels are low, request a comprehensive assay that includes rT3 (reverse T3), Free T3 and THBG to get an accurate analysis of your thyroid status. Most Physicians rely on the antiquated TSH to paint a picture of Thyroid health and it's beyond frustrating.

If you want to do a crude assessment at home, leave a thermometer by your bed and take your temp under your arm pit (for 10 minutes - while still in bed) at the exact same time daily upon rising for 3 days and if your avg is less than 97.5*; it is highly likely you're thyroid system is functioning sub-optimally. Some would even suggest less than 98* but that's much less conclusive.

Be sure to use an old-fashioned glass thermometer with mercury and not a digital version.

 

 

Thanks, it really means a lot. It's been a hard journey but I've come along way from where I was at and that was not a good place.

 

I go in for the echocardiogram tomorrow, will let you know how it goes. Stress test is the 23rd, trying to get it done sooner but they are all booked up, waiting for hospital to call to get x-ray scheduled for chest area.

 

I ran a little last night just took it real easy, honestley felt really well yesterday but following the doctors and your advice and not pushing it.  


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#31 WrkHrdPlyHrd9999

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Posted 15 December 2015 - 02:27 PM

Good to hear you are coming along well TX and in seemingly good hands.

Keep us posted on the echo today and stress test in a week ;)

#32 tx98z28

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Posted 15 December 2015 - 07:58 PM

Got the echocardiogram done today. I didn't realize it was an ultrasound of the heart its self. I feel weird being in the office there, a bunch of older people kept staring at me. I thought the technician said everything looks good but unsure if that was for my heart or her saying were good and the test is over. She moved the probe around everywhere even to the far left side of my chest. She said my heart is located a little more left than most people, don't know if that is a good thing or a bad thing or has no relevance at all.     

 

23rd is the stress test, I wish it was sooner but it is what it is. 8th of January is the over all follow up appointment to go over all tests with the doctor. Doctor is taking 2 weeks off for Christmas. Still waiting for hospital to call me for the chest X-ray scheduling.    



#33 WrkHrdPlyHrd9999

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Posted 17 December 2015 - 12:32 PM

Thanks for the updates man.

Also; there is no clinical significance whatsoever related to your heart being a few inches further left of center. Unless it is being compressed somehow as a direct result or if it is compressing other nerves, vessels, tissues.
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#34 tx98z28

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Posted 24 December 2015 - 12:34 AM

Had stress test today. First tech lady scrubbed different areas on my chest for the probes to stick on to, I mean damn she ruffed it up REAL good, I asked her if she was using sand paper, she said yes, I just laughed. After Probes were stuck on and plugged in she did another EKG, she said it was good.

 

Got on the tread mill machine hooked up wireless to the heart rate monitor I was wearing. Target heart rate for stress test was 166 over various speeds and inclines. Got to 166 without any problems, was a joke honestly. So we went further finally got to 210 blinking red rapidly on the computer screen and I had her cut the machine off, I was feeling it pretty good but could have gone further.

 

The problem I had with the stress test is not being able to move my arms as I would normally running (doctor requires hands on the safely bar for legal reasons) and the incline and overall width of the machine made it impossible to run correctly, normally, pissed me off honestly, felt the test was not as accurate as I was not actually able to run properly, I basically was power walking flat footed the whole time as fast as I could go with my calfs starting to pump, burnout on me.

 

With that said taking my heart rate to 210 had me breathing heavy but no where close to causing me any real symptoms that I experience when I go outside and run MY mile or more, depends on where I'm running. I really would like to be able to wear a heart rate monitor and do my style run, thats a real stress test IMO. I would not be surprised if I take my heart rate to 240+ when I do MY running routines. 

 

Also would like to add I took NO Vyvanse today for the stress test, I told the tech that so the test would be more accurate, Vyvanse is going to speed my heart rate up, well depends on how I feel, sometimes it speeds me up real good, other times just has me feeling focused, maybe just so sped up I can't even tell what the hell is going on.  

 

Blood pressure was checked various times during test have no idea what it was as I was focusing on trying to not fall off the damn piece of shit machine. Doctor looked at test results for 5 minutes or so and said it was good. Have no idea at this point what the hell is wrong with me. Maybe I just push myself to far to the threshold when running, I really don't know, I try to beat my times running and adding more here and there, maybe it's just more than my heart, body can handle, confused at this point, will see what doctor says January 8th. 

 

Also would like to add I was not feeling well today, I was feeling pretty depressed the whole day today then randomly agitated and theres not a damn thing I can do about it, just my cross I have to carry. I have been mentally stressed the fuck out for the last month too but don't believe any of this has anything to do with my original symptoms or heart rate, or high cholesterol.

 

I'm busting the Cooper Institute personal training manual out to look over somethings, heart rate in general. If I truly am going past 210 beats per minute and sustaining it for a couple minutes this could be the cause of damn near all my symptoms. Was told by an EMT that anything over 200 is pushing it, around 240-260 is where they see a lot of heart attacks, heart failure in most people.

 

Also spoke with my mother last night and she told me both my brothers have exercise induced asthma, wish she would have told me this months ago so I could be relaying this to the doctor and you guys reading my thread. 

 

I will be calling the hospital to get the chest X-ray scheduled, they are so post to call me but hasn't happened.

 

Merry Christmas in advance to everyone who is not offended by the words Merry Christmas! 



#35 bradray

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Posted 26 December 2015 - 10:47 AM

Bingo, work within your limits, everyone is different



#36 WrkHrdPlyHrd9999

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Posted 29 December 2015 - 07:11 PM

TX: I read this days ago but forgot to reply. Sounds like you are in good medical hands man! Get through these annoying tests and give us some good news soon ;)

#37 tx98z28

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Posted 05 January 2016 - 04:05 PM

I go in again Friday for the follow up. I am beyond sick of going to doctor appointments! Spoke with a doctor in my neighborhood while walking yesterday, his eyes got big when I told him about my heart rate speculation with it more than likely going above 210.

Basically told me I'm doing to much.

 

It's like this, how the fuck Am I so post to get back in shape and push my body further when my bodies fighting back big time! :cursing:

 

Chopped some firewood today with the maul and damn felt like my heart was going to beat out of my chest, barely did anything only a small tree 12in. diameters worth.  

 

Appointment is Friday, will just have to wait to see what he says.  



#38 bradray

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Posted 06 January 2016 - 10:40 AM

Confucius says, it no sprint, it a marathon. A lot of us just have to take our time and get results over a longer period of time than others. Work with what you have not with what you want
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#39 tx98z28

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Posted 07 January 2016 - 02:51 PM

Confucius says, it no sprint, it a marathon. A lot of us just have to take our time and get results over a longer period of time than others. Work with what you have not with what you want

 

 

Agreed.

 

Patience I'm lacking, but learning.  


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#40 tx98z28

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Posted 10 January 2016 - 10:48 PM

Ended up having to reschedule my appointment on the 8th, there was no way I could make it just one of those days where nothing goes as planned… now I have to wait till Feb 12 to see doc which isn't going to work. Going to call everyday and try to snag a cancellation appointment, receptionist said they have cancellations all the time so I"m not worried about it.

 

Will update when I see the doctor hopefully this week. 



#41 WrkHrdPlyHrd9999

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Posted 11 January 2016 - 09:00 AM

Sucks waiting. Sorry man. Hang in there.

#42 tx98z28

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Posted 15 February 2016 - 03:39 PM

No I didn't leave y'all hanging,

 

I finally got to see the doctor for my follow up to go over results the 12th as rescheduled. They had zero cancellations for the times I could make it so I had to wait a month.

 

Doctor said when I run he believes I have large lungs or they fill with air to the point they press against my ribcage muscles in return causing the chest pain I'm experiencing. He has me on the Ibuprofen regimen for 6 weeks total and I'm cleared to run my normal amount, 600mg's for 2 weeks then 400mg's for two weeks then 200mg's for two weeks.

 

I see him again in 6 weeks. If from now to the next appointment things get worse or don't get better he wants me to come and he's going to do a CT Scan with this dye shit injected into my vein/bloodstream and look at these 3 heart valve vessels or something like that. He said there could be a very very rare possibility of congestive congitis but has only seen it 3 times in his career in 25-27 year old males that had heart attacks and I believe he said 2 of them died.

 

So thats the latest on that. He said my wheezing, coughing shit up, etc is more than likely exercised induced asthma but said I would need to see a lung doctor/ specialist to confirm that…



#43 WrkHrdPlyHrd9999

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Posted 19 February 2016 - 05:42 AM

Man bro. Sorry to hear you going through all this man.

#44 tx98z28

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Posted 19 February 2016 - 02:09 PM

Man bro. Sorry to hear you going through all this man.

 

I swear man if it's not one damn thing its another with my over all health. Good news is this time of year I feel really well mentally! I get depressed around fall through winter and its hard to deal with, especially with these symptoms I'm experiencing and trying hard to get back in shape. 

 

To any doctors on this site please don't be offended by this but it seems every doctor I see theres 3 or 4 follow ups then when there done making enough money off me and raping the insurance company (debatable) it's " take some ibuprofen for a couple weeks and oh well you now need to see a lung specialist". I mean shit can I just get prescribed 1 inhaler to see if it makes a big difference if it is exercised induced asthma. It just pisses me off, they're seriously more worried about malpractice and lawsuits and shit for prescribing me one freaking damn inhaler just to see if it helps me any!

 

Theres going to be some very serious lifestyle changes this year guys! I mean everything diet, cardio, full 5-6 days a week breaking down and building back up the muscle!

 

Iv'e fucking had it! If I drop dead trying to improve my life then it's better that way than dying and failing to try, thats honestly the way I see it.

 

It's very very frustrating seeing a husband and wife with there 2 kids go running/jogging the same mile loop I do and do it 3 times none stop, where I struggle to do it once! I do go faster but still, that just a'int right. 

 

I got to get this straightened out, I shouldn't be mad at the doctors it probably routine procedure for all the damn follow ups but damn it's pissing me off! I don't have much time either in 1 month my PPO insurance plan is cut/over and is going to be a nightmare with my health issues finding a new insurance plan/company, doctors changing.

 

Going to clean the gym area up, greased, oiled etc. and cyclone rake the yard for the final time, it's 82 out in the shade, winters over and so is my rant.    



#45 iceman99uc

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Posted 19 February 2016 - 02:29 PM

Do you ever have shortness of breath or feel like it's hard to draw air into your lungs? Exercise induced asthma is no fun. I get it from time to time. Mine is not a constant but if I get allergies bad (happens every couple of years), then I can get exercise induced asthma. It's difficult to do anything. It feels like there's no possible way you can get your lungs filled up or catch your breath.

That said, if u need an inhaler, a quick trip to a primary care doc or even an urgent care w your symptoms, you should be able to get a scrip written for an inhaler.

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#46 tx98z28

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Posted 23 February 2016 - 07:13 PM

Do you ever have shortness of breath or feel like it's hard to draw air into your lungs? Exercise induced asthma is no fun. I get it from time to time. Mine is not a constant but if I get allergies bad (happens every couple of years), then I can get exercise induced asthma. It's difficult to do anything. It feels like there's no possible way you can get your lungs filled up or catch your breath.

That said, if u need an inhaler, a quick trip to a primary care doc or even an urgent care w your symptoms, you should be able to get a scrip written for an inhaler.

 

Forgive me for the 4 day late reply, I just want this junk to go away so I don't have to post on this thread anymore.

 

I just ran so can tell you exactly how I feel. Shortness of breath is a yes, hard to draw air in is half in half, I'm getting air in to my lungs just feels like I'm not getting the oxygen I need from the air getting in, I huff and puff red in the face and sound like a train according to some of my neighbors. I'm coughing and coughing up the same white thick junk, the more I run the worse everything gets. I have chest pain as I'm typing this and more while running, seriously feel that my heart is beating so hard it's hitting the bone/ribcage over it. Feel my throat is tight, inflamed possibly.

 

I stopped 3 times today during the run, time was 12:30, a full 5 minutes from my best of 7:33. I could have gone faster just feeling off, I know the consequences if I do. Yes, today if I pushed to 8 minutes or under I would have had a heart attack know doubt in my mind about it.

 

I need to go in and get a damn inhaler can't wait to get the script filled. Got my Nasonex filled today which I'm on 24/7 for allergies……. first time with the new insurance plan…….It was $225 with a 20 off coupon!!! Just swell….. and my bottle of xanax was $3.00 I know right WTF!

 

Still coughing here and there and its been a solid 20 minutes sense finishing the run with walking cool down, and I'm not sick or have a cold I want to make that clear to anyone who is skeptical of my symptoms reading this.

 

I'm blaming the throat tightness on the allergies had to recently bump up the nasonex. 



#47 tx98z28

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Posted 23 February 2016 - 07:22 PM

When I get an inhaler I will fill y'all in with the effects/results. The ibuprofen regimen the doctor put me on is a joke, seriously only thing I feel it does is make me itch or maybe that was the advil I honestly don't know. I still need to get the chest x ray as well just to rule out a tumor or cancer from my younger years of smoking, wonder how much thats going to cost $200 or more with this new insurance plan….



#48 iceman99uc

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Posted 23 February 2016 - 10:55 PM

Get an inhaler and hopefully that will help you man. Hope any of your issues aren't really serious and that you can get past this.
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#49 trickykids

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Posted 24 February 2016 - 12:15 PM

I'm currently taking Lamictal 25mg's A.M & P.M a day Along with Klonopin .5mg A.M & P.M., Dapsone 100mg PRN, Xanax PRN, Vyvanse PRN, Nasonex twice a day.

I just started Paxil up again 5mg's P.M. for my mood, this time of year it goes down hill (my symptoms occurred way before I started the Paxil)

 

Hey brah, lots of other people who are more knowledgeable than me have already commented here, but I did have thing I wanted to contribute.

As I look at this list of rx meds here I can't help but think that they may be part of the issue.

 

Specifically, you are taking klonopin, Vyvanse and xanax.

Like I said, I am no expert but aren't those things sort of working in opposite directions?

I would think that klonopin and xanax both work to depress your CNS while Vyvanse is stimulating it.

Couldn't that combination be having an effect on your system's cardio output?

 

(Also, possible interactions with the Lamictal, Dapsone, nasonex and paxil- all of which I am less familiar with.)

 

Just a thought, best of luck.


..........................Best set/Projected max/1 Rep Max
Dead Lift.............. 475lbs x 3/ 528lbs/ 505lbs
Squat.................. 255lbs x 12/ 355lbs/ 335lbs
Bench Press......... 240lbs x 10/ 320lbs/ 310lbs
Military Press....... 140lbs x 8/ 177lbs/ 175lbs

fastest 10 miles...... 1hr 6min
standing box jump.... 46"


#50 Oper8

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Posted 24 February 2016 - 09:45 PM

I skimmed so I surely missed plenty but i would suggest a pulmonologist not a cardiologist or PCP if you haven't already pursued this


"You have to ask a doctor or google"




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