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breathing problems, nothing is helping, please reply asap.


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Old 09-17-2014, 11:19 AM   #1
jhope116
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breathing problems, nothing is helping, please reply asap.

I'm a 31 year old male with a history of mild asthma. I've smoked on and off for about 15 years and have been around second hand smoke my whole life.
My problem started back around March when I started having chest tightness and problems breathing on and off and then in early August I got the chest tightness and shortness of breath and it has been constant 24/7 and still hasn't went away.
I've seen my Dr and he said my lungs sound completely clear, I've had blood work, chest xrays, and ekg's and everything comes back good. I did do a spirometry test in his office that came back with me having a mild obstruction, but he said he's not worried about it and told me it could be where I use to smoke. So he says its probably my anxiety and that he don't think its asthma because he don't here any wheezing and I don't have a cough. He's given me a proair inhaler that I take, and it does relieve the symptoms some but doesn't help a whole lot.

I wake up every morning woth bad chest tightness and having trouble breathing. I have to take my emergency inhaler 3 or 4 times a day. I haven't really been eating because every time I eat anything my breathing gets much worse. I'm just affraid that I have some interstitial lung disease or something just as serious.


Also I forgot to mention, I was given the prednisone where you taper off 6,5, 4, 3, 2, 1 and it didn't help at all. I'm really feeling anxious and worried. Can someone please help me out here?

 
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Old 09-17-2014, 01:14 PM   #2
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Re: breathing problems nothing helping. .please reply asap.

Stress won't help your breathing.

I would get a second opinion and relax a little.

At your age I'm sure your heart is good.

Best of luck.

 
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Old 09-18-2014, 08:44 AM   #3
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Re: breathing problems nothing helping. .please reply asap.

Quote:
Originally Posted by jhope116 View Post
I'm a 31 year old male with a history of mild asthma. I've smoked on and off for about 15 years and have been around second hand smoke my whole life.
There are over 100 different chemicals in cigarette smoke, any of which could be causing you asthma problems.

Quote:
My problem started back around March when I started having chest tightness and problems breathing on and off and then in early August I got the chest tightness and shortness of breath and it has been constant 24/7 and still hasn't went away.
Sounds like typical allergic and non-allergic asthma.

Quote:
I've seen my Dr and ... he says its probably my anxiety and that he don't think its asthma because he don't here any wheezing and I don't have a cough.
Unfortunately there are a lot of doctors lacking in basic analysis, evaluation and diagnosis skills. Doctors are just like any other profession. There are good doctors and there are bunches of bad doctors.

I've had asthma for over 50 years. Asthma manifests as many different levels, from wheezing and severely constricted breathing; to difficult breathing; to labored breathing; to slight tightness in the chest, etc. The bottom line is that Asthma causes restricted breathing, from mild to severe.

Quote:
He's given me a proair inhaler that I take, and it does relieve the symptoms some but doesn't help a whole lot.
I take Flovent, one puff twice a day. It prevents me from having a severe asthma attack, but it does not prevent me from having uncomfortable breathing episodes, where it takes more effort than normal to breath.

Quote:
I wake up every morning with bad chest tightness and having trouble breathing.
Asthma is always worse at night. When the body shuts down to facilitate sleep it also reduces the hormones that help to prevent asthma and sinus problems. Also... the bed is one of the worst places for allergens and non-allergenic chemicals.

Nighttime is a double wammy for Asthmatics.

Quote:
I'm just affraid that I have some interstitial lung disease or something just as serious.
You could have Asthma, and it IS serious!

Take care...
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Old 09-27-2014, 03:33 AM   #4
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Re: breathing problems nothing helping. .please reply asap.

I've had similar symptoms, and altho a non-smoker have a history of asthma also. A couple of months ago after a trip to the emergency room I was diagnosed with pluerisy. The shortness of breath continued, and I was having pain in my ribcage and behind my sternum as well, and finally my heart started to race. Another trip to the emergency room, I was told chest x-ray and ekg were all normal. They also took blood to test for blood clotting factors, which also came back normal. However, I knew something was not right. I am sure this emergency room doctor attributed my "symptoms" to anxiety. My primary care physician ordered a chest CT scan with contrast, which did show pulmonary embolism, in spite of the emergency room's negative test on blood clotting factors. Have you been tested for PE? The CT scan has to be done with contrast in order to show blood clots, if you have any. I hope this is not the case, PE, but if it is treatment can prevent further problems and more serious problems. Breathing well is not to be taken lightly! Good luck, and let us know if you find anything further.

 
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Old 09-27-2014, 04:05 AM   #5
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Re: breathing problems nothing helping. .please reply asap.

I think your Dr. is dismissing how badly you feel, and not getting the point. If the Proair inhaler is helping some, a steroid inhaler added to it would probably help more. It works locally on the bronchial tubes to reduce inflammation and prevent the symptoms if used on a regular basis, not like a rescue inhaler that works right away on the bronchial spasm. I couldn't tell if you are still smoking, but that is strong trigger for asthma and can lead to COPD (emphysema). I would get on a smoking cessation program if you are still smoking, and see another Dr. like a pulmonologist if your PCP won't take this more seriously and help you.

 
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Old 09-29-2014, 04:06 PM   #6
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Re: breathing problems nothing helping, please reply asap.

I went to a asthma/allergist. I took a spirometer test and had perfect results. They gave me allergy test and it turns out that I'm allergic to just about everything. Tree's, weeds, grass, roaches, dogs, cats etc. The allergist told me that its weird that ny only symptoms is shortness of breath. She put me on qvar, but so far its not working at all and I'm on day 6. They also want me to start getting allergy shots every week.

I just don't know what to do. I truly feel like nothing is going to help me and I'm going to die from this. I'm very scared right now. If it was asthma or something that had to do with my lungs wouldn't the qvar started working by now?

 
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Old 09-29-2014, 04:41 PM   #7
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Re: breathing problems nothing helping, please reply asap.

You may be able to increase your dose of QVAR, with Dr's ok, if you are not already on the maximum dose. The allergist may also be able to prescribe an oral medication to help you in addition to the inhalers. I would call the Dr. tomorrow to see if there is any leeway in your doses, and what else they can do to help you. Keep in mind that anxiety can make bronchospasm worse, so it is important to stay calm about this and not give up, as there are many things that can be done to help. It is important to communicate with your Dr when a prescribed treatment is not working as expected. A pulmonologist (lung specialist) may be needed to get your symptoms under control.

 
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Old 09-29-2014, 06:58 PM   #8
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Re: breathing problems nothing helping, please reply asap.

Six days is not nearly long enough for an inhaler to be effective. It usually takes about a month to get it under control. If they haven't given you an Asthma Action Plan, asl for one. And they should have started you out on 2 puffs AM and 2 PM. If you are only using the Qvar once per day, it should be at night.

 
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Old 09-29-2014, 07:06 PM   #9
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Re: breathing problems nothing helping, please reply asap.

Quote:
Originally Posted by Titchou View Post
Six days is not nearly long enough for an inhaler to be effective. It usually takes about a month to get it under control. If they haven't given you an Asthma Action Plan, asl for one. And they should have started you out on 2 puffs AM and 2 PM. If you are only using the Qvar once per day, it should be at night.
I'm actually taking 2 puffs when I wake up and 2 puffs before I got to bed. Each puff is 40mg

 
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Old 03-22-2015, 11:49 AM   #10
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Re: breathing problems nothing helping, please reply asap.

Hello,

I wake up wheezing, with a tight chest and unable to inhale with my ‘full chest’, not getting enough air. My symptoms would normally hit me in my sleep at 4am and not allow me go back to sleep.
I am (almost) perfectly fine during the day most of the time, and only have mild symptoms on some days. I can exercise without having breathing problems.
I’m not getting any decent sleep for about a week now. This is not my first episode. They started about a year and a half ago, and this is my 4th of 5th.
I was going to bed last night knowing my body would be doing the same thing as the night before.
But this time I had a new mix in my body and it worked.
I went to bed with my air ways functioning normally on inhale and exhale and I slept very well, except just one brief moment when I coughed to push some mucus. I remember hearing some subtle wheezing just before I coughed, but it was gone after I coughed, went right back to sleep. I was able to breath freely, without any disruptions during my entire sleep.

Below is what I took.

1. Claritin-D. I took my 24-hr pill at 8pm. Sold over the counter in most states, but you need to ask the pharmacist and show your driver license. Caritin-D tells your immune system not to go up in arms (cause air ways inflammation, thus narrow them) against something that is not a threat.
2. Ibuprofen. Nothing else in the tablet, just 250 mg Ibuprofen, anti-inflammatory.
3. Liquid “Tussin Mucus + Chest Congestion” (guaifenesin, USP) non-drowsy. Helps evacuate mucus when you cough.
4. Equate “Flu & Severe Cold & Cough” Nighttime packet. You dissolve it with hot water and drink while it’s hot. Read the directions. Helps evacuate mucus when you cough.

I hope it helps. However, keep in mind it does not address the cause, just relieves the symptoms. But that is a great break through for everyone suffering from these symptoms.

 
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Old 03-23-2015, 07:09 AM   #11
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Re: breathing problems nothing helping, please reply asap.

If the 40 mg puff inhaler doesn't work at 4 puffs a day, maybe you need the 80mg/puff dose. The dose would have to be changed by your Dr. of course, since it is Rx. It's good you are getting some additional relief with the OTC meds you've added. Let's hope that continues.

 
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Old 04-19-2015, 04:00 AM   #12
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Re: breathing problems, nothing is helping, please reply asap.

I am not mo imizing Asthma; it can be scary, but I would encourage you to look beyond the asthma, just to make sure. I, too, have a history of mild asthma, with no significant impairment. One day, like you, I began to have breathing problems. I was diagnosed with Bronchitis, but it did not improve. I was then diagnosed with pleurisy, but no treatment helped, and I continued to get worse for two months. My Dr. then did a VQ test (now they use CT), and a Pulmonary Embolism was found. I was young and otherwise healthy; nobody suspected, so no one looked. I then went on blood thinners for one year (saved my life), and was ok. Twelve years later I was again diagnosed with bronchitis, and then with pneumonia. I was sick for over two months & nothing seemed to help. One night I went to the ED due to breathing difficulties that we're getting worse, and an odd pain in my back. I had another pulmonary embolism. RARE. Again, it was never suspected so no one looked for that. X-Rays can be misleading; they can show what looks like pneumonia, pleurisy, Atelectasis and other problems, but not really PE's. Your symptoms are concerning and I'd definitely have your Dr or ER check it out. I agree with the earlier post, they need to use the contrast with the CT. They can also do a D-dimer test (blood test) at the ER to see if shows positive, which shows a blood clot. But definitely the CT!
As a psychotherapist, I am familiar with anxiety & panic disorders; this sounds different. Difficulty breathing can bring on anxiety...hey! It's scary when you can't breathe well. Sorry this is so long; I wanted to share my story in case it helps, & encourage you to check it out. BTW, I then had to do full genetics testing, & they showed I have 3 genetic factors (1 rare) for blood clotting & DVT's. Blood thinners for life. Good luck!

 
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Old 04-19-2015, 04:14 AM   #13
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Re: breathing problems, nothing is helping, please reply asap.

Quick note to the Flovent user; it is a steroid inhaler, and though it can help to manage asthma, it sounds like you need a rescue inhaler like ProAir, etc. You would use the rescue to help right away with asthma problems. & keep the symptoms from getting worse.

 
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Old 04-19-2015, 04:46 AM   #14
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Re: breathing problems, nothing is helping, please reply asap.

interstitial lung disease is serious I do have it. Mine was caused by RA and the medication they have put me on. Have they done a lung capacity test on you. You almost need to be on the prednisone for 2 weeks. Get an allergy test. How is your oxygen levels. How is your thyroid? have they scoped your throat and stomach. How do your blood read. Have they scanned your lungs. Did they do a biopsy on your lungs ?????. if they didn't then they are assuming you have copd because you smoked. I don't trust my Pulmonologist. Ask questions and if it doesn't make since to you and they can't explain it to where you can then you have a problem....One last thing have you had a stress test done on your heart.???

 
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Old 07-17-2017, 05:43 AM   #15
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Re: breathing problems nothing helping, please reply asap.

And I hope you have quit smoking. Smoking never helps asthma, it irritates it more, since it affects the lungs and the heart. Please say you have quit smoking. Your lungs and heart deserve you to take better care. Hugs for today.
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