I've been dealing with wheezing for 25 years, initially using an Asthalin inhaler and now Foracart 400 rotacaps. I don't take any oral medicines for it. The past couple of weeks, I've started feeling chest tightness, breathlessness, and fatigue. I've also had mild hypertension and Type 2 Diabetes for 15 years. For my BP, I take Teleact AM 40 at night, and for diabetes, I take Amaryl 1 mg twice a day. My diabetes seems to be under control, but I'm worried about what might be causing these new symptoms. Could it be related to my wheezing or COPD, or maybe my high BP, CAD, or diabetes? What do you think?

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Dr Shubham Chauhan

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Answered 04/07/2025

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Medical History Summary:
- Wheezing: 25 years, treated with Asthalin inhaler, now using Foracart 400 rotacaps.
- Hypertension: Mild, managed with Teleact AM 40 at night.
- Type 2 Diabetes: 15 years, controlled with Amaryl 1 mg twice daily.
Current Symptoms:
- Chest tightness, breathlessness, fatigue.
Possible Causes:
- Wheezing/COPD: Could be exacerbating symptoms.
- Hypertension/Diabetes: Less likely but monitor for complications.
Recommendations:
- Consultation: See a healthcare provider for evaluation.
- Tests: Consider spirometry or chest X-ray.
- Medication Review: Ensure current treatments are optimal.

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