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Pain in lungs and throat/mouth after maximal effort

 
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PostPosted: Fri Sep 24, 2004 10:47 am GMT +0000    Post subject: Pain in lungs and throat/mouth after maximal effort Reply with quote

Hey Doc,
I am wondering if you can shed some light on what is happening here.

Sometimes when I do my first interval of a session I get a burning/aching sensation in my throat and lungs after the interval that fades after about 5-10 minutes. My performance on subsequent intervals does not seem to be impaired, and the sensation does not come back. A couple of hours later there is still some discomfort and I feel like I have something caught in my throat. The next day I am fine. This seems to only happen when I perform my first interval at maximal effort, even after a good warmup. If I do my first interval at 80% and my second at 100%, it is less likely to occur. It also seems to be worse on cold days.

I suspect that my problem is that I am not warming up properly prior to the maximal effort, and I am 'searing' my lungs somehow. I can deal with the pain, but I am worried that I am damaging my lungs in some way.
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The Bike Doc
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Joined: 08 May 2003
Posts: 1371
Location: Corpus Christi and Warda, Texas

PostPosted: Fri Sep 24, 2004 12:25 pm GMT +0000    Post subject: Reply with quote

Guest:

Your symptoms are consistent with exercise induced asthma. Sometimes individuals with this can have an initial bronchospasm that abates and then excercise can continue without serious problems. Sometimes the symptoms can progressively worsen as exercise is pursued.

Another diagnostic consideration is vocal cord disfunction. With this disorder, the vocal cords abnormally spasm partially closed and cause a tightness in the throat and loud wheezing or stridor noise on inhalation.

Get to a doctor for further evaluation and get a referral to a lung specialist (Pulmonologist) if your doctor is not familiar with assessing and managing these problems. There is no reason for you to have the respiratory problem limiting your performance with the therapies that are now available.

Thanks,
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Paul K. Nolan, MD
AKA: The Bike Doc
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