Lungs and Airway1 Comment

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I went to the drs yesterday because I could not get enough air, my chest felt like someone was squeezing it with a vice. This started in the evening the night before and got progressively worse through the night until i called the Dr’s. office and went in at 10:30am. I had a cough sounding like something was going to come up but nothing did. She listened to my chest and said there were no crackling sounds. The diagnosis was in her opinion bronchitis with muscle strain from coughing. I could not hold my shoulders back or sit up straight. I am not a complainer and rarely am in the drs office. I took 2 prednisone (20mg each) and one albuteral treatment through my son’s nebulizer machine. Then I began to pee. I am not lying when I say I believe I peed over 4 gallons of urine. I went into the bathroom when a commercial came on, we were watching “Bones” so it must have been around 8:30, and I came out long after the show had returned. Then not 10 minutes later I was back at it again. I did this until 11:30pm and again once through the night. I did not drink that much water. I had one tea from McDonald in the morning and then filled the cup with water twice through out the day. I am one of those people who go to work at 6am and work until 7pm and not use the bathroom, so this was very unusual for me. The more I peed the better my chest felt until I went to be in no pain whatsoever. Now this morning it is feeling like it is coming back again.
My question is: Does fluid on the lungs come out in the form of urine? Is Bronchitis a form of fluid on the lungs or around the lungs? As I sit here typing I can feel the tightness begin again and the cough is returning. Will this come back? What can I do to prevent it from becoming what it was, because that was very frightening for me?
Thank you for your time. Carrie Boyer I am 51 and in good health, I take no medications except for acidophiles for IBS.

1 Comment on this article

  • Dr. Chris January 21, 2011

    Yes, fluid in the lungs or accumulation anywhere in the body can be passed out through the urine since this is the main controlling point for water and electrolyte regulation in the body. Fluid is also lost through stool (bowel movements), breathing (water vapor) and perspiration. However these quantities are usually smaller than that passed out during daily urine output.

    Bronchitis means that your bronchus or bronchi are inflamed. These are the tubes that lead from the trachea to the lungs (breaks up into smaller and smaller tubes until it leads to the air sacs of the lung). From what you describe, it is most likely acute bronchitis (that is if it is bronchitis) and an infection is the more common cause. It does cause difficulty breathing, coughing and so on. You will notice a productive cough which is a result of excessive mucus production by the irritated bronchial lining.

    This however should not be confused with fluid in the lung (pulmonary edema) or around the lung (pleural effusion). While a case of bronchitis could complicate to cause pneumonia (inflammation of the lung) or pleuritis (inflammation of the lining around the lung, it is unlikely to have occurred so quickly to have caused such intense symptoms as you describe.

    Given your age and symptoms (respiratory plus the large volume of urine known as polyuria), a thorough cardiovascular and renal (kidney) examination should be considered. Please be very cautious about using your son’s nebulizer treatment if your doctor did not prescribe the treatment for you. Albuterol can aggravate cardiac conditions and actually lead to pulmonary edema.

    You need to return to your doctor and report your new symptoms and the events that occurred. Further tests may be necessary but your doctor will be in a better position to make that decision.

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