Pulmonary Embolism Support Group
By far the most common form of pulmonary embolism is a thromboembolism, which occurs when a blood clot, generally a venous thrombus, becomes dislodged from its site of formation and embolizes to the arterial blood supply of one of the lungs. Symptoms may include difficulty breathing, pain during breathing, and more rarely circulatory instability and death.
I have an inhaler (Albuterol) for non-chronic, allergy-related asthma (before the PE). Generally, I have only used my inhaler at night and after being exposed to the things to which I have allergies (dust, kitty dander, and sadly sometimes red wine!). For me, it's more of a comfort issue - being able to breathe a little easier - and not a life-threatening condition. I have definitely noticed a more "asthamtic" feeling since the PE ... maybe about 4-5 weeks after I just felt "wheezy" in the morning and for the first time ever I used my inhaler during the day (what I would have normally only done at night before). The only way I can describe it is comparing it to being really thirsty, but only being able to drink water through a swizzle stick with those tiny holes. I know I'll eventualy be able to draw the full breath in, but it just takes longer to do so. Does that sound similar at all? I also from time to time have the feeling like when you were a kid and just got the wind knocked out of you somehow. That really dull sort of ache in the center of the chest. I also sometimes have that tightness you describe - for me, it's a tightness in my throat.
My dad had a fatal PE about 8 years ago, and his inhaler was found next to him. At the time, the coroner said, "To make matters worse, it appears as if he used his inhaler right before he died." I was pretty freaked out to use my inhaler, but my hematologist explained to me that the reason the coroner said that was because inhalers may give a PE sufferer a false sense of comfort and then subsequently ignore the danger signs of a PE. That could be why a doc would be hesitant to prescribe an inhaler to a PE patient? For me, personally ... it is really important that I can make that distinction between a PE and asthma. With the PE, it was just a complete inability to take a deep breath, whereas asthma just feels like labored breathing. I know everyone's experience is different, so I'm not sure if this helps at all?
I also recently had this feeling of only being able to do a lot of upper chest breathing, and not being able to take those deep "belly breaths." Someone on here (I think rmb?) responded and said that, yes - it's normal and comes and goes.
Hope that helps! Take care!