Hello. Thanks for writing to us with your health concern.
So from your history what i can summarize in a nutshell is that you have difficulty in breathing or more of a labored breathing. There are lots of causes of increased work of breathing, mostly due to obstructive ventilatory defects such as COPD, Emphysema, Asthma, Bronchiectasis, Cystic Fibrosis, e.t.c.
Certain other conditions restrict the mobility of the lung, not letting it expand, such as Sarcoidosis, Alveolitis, Connective tissue disorders. Even enlarged liver as you have mentioned can lead to breathing difficulties, because it does not let the lung expand properly on the right side. I understand this is obviously causing you a lot of distress. So it is better to get yourself evaluated properly before coming to a conclusion. You have not mentioned in history - Are you a smoker/ alcoholic/ exposed to passive smoking ? Did you ever experience asthma in childhood? Are you allergic to dust and have sneezing episodes while exposed to dust. I will also advise you to get an CT-Thorax done, which will give us a much better picture. If you already got it done, kindly upload the reports. If possible also get an Ultrasound- Whole Abdomen done, which can give us an idea of how enlarged your liver is.
For the time being you can try taking Tab. Montelukast 10 mg, once daily in the evening for the next 5-7 days and see if there is an improvement in your symptoms. Also additionally you can discuss the possibility of chest physiotherapy with your Pulmonologist.
Once you get the reports kindly upload them, and I can assist you further.
Regards

Thanks for writing to us again.
Since you're not a smoker and also have never been an alcoholic, it reduces the chances of any liver damage, or any restrictive lung disease. So continue Montelukast and also once you have the CT- Thorax reports ready, get back to us and we will assist you further.
Regards

Hello. Thanks for uploading your reports.
I went through all your reports. The first one you uploaded is a series of blood tests. I went through your values and the reference range. However, the second one is probably the CT ( i didn't understand anything because i believe it is in Spanish and i sincerely apologize since i don't know and understand the language ). If there is an impression column, you can read it and translate it in english and put it up in the follow up query.
As far as i noticed, you got these tests done on 30.04.2014. Your CK values are very high which indicates some sort of muscle injury or myositis. CK is also found in heart but the heart component ( CK-MB ) is normal, so your heart is fine. But i am a little worried about your CK values and your muscles. Did the doctor mention anything after you gave you the reports? If you remember him, mentioning the cause to you, then you can share with me and i will assist you further.
Regards

Hello. Its perfectly alright and there is no need for an apology. Please relax. The CK values are very high even at levels of 3000. -Did your doctor perform any urine tests on the same day? Was the urine very dark? -Do you have any muscle pain anywhere? -Any pain in front of the chest? -What is your occupation? Does it involve strenuous work? -Are you taking any drugs beside the Montelukast? Please reply to the above in the follow up at your convenience, after you get the other test results. The "bronco provocación" test is to test for asthma. You will have to stop the Montelukast tablet before this test as it can interfere with the results. You can get the pending tests done and upload the results. Montelukast can be re-started after the test and continued for 7 more days. I hope this addresses your concern. Please get back with the test results. Kind regards.