Conversation: The conversation between human and AI assistant.
[|Human|] I have been diagnosed with hypothyroidism (I also have 2 goiters/cysts) and a hiatal hernia w/ moderate reflux. I am on a thyroid medicine and prilosec...although I dont have/get heartburn. My question is that I have a constant fullness feeling and difficulty breathing or getting a deep breath....much worse during exercise and eating and laying down to sleep. Does this make any sense? Is it related to the hernia? By the way, Im in good shape, exercise 5x/week, so overweight is not a problem.
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. Yes, hiatal hernia with moderate reflux can cause bronchitis (inflammation of airways) and this in turn causes chest tightness, breathing difficulty etc. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.