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Medical Forum / Diseases and Disorders / Asthma / November 2007

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Richard Evans - 13 Oct 2007 16:55 GMT
I am having breathing problems and asthma has definitely been ruled
out. Is this group appropriate for asking questions? If not, can you
recommend one that is?
Dragonfly - 14 Oct 2007 00:49 GMT
> I am having breathing problems and asthma has definitely been ruled
> out. Is this group appropriate for asking questions? If not, can you
> recommend one that is?

Were you given any alternative possibilities?  And I'm not entirely
sure, but could be way off on this; I wasn't aware that asthma can be
entirely, without doubt, ruled out when it comes to breathing
problems...

What has helped my breathing problem most is something I had to
demand, none of my doctors even mentioned this, much less suggested
it.  I got a nebulizer, with liquid albuterol.  I only mention it
because if asthma was ruled out by the asthma meds not having any
effect, then it might be worth trying to see.  But if that's not how
asthma was ruled out, then just ignore me...

I don't know of anywhere else breathing problems are discussed on
Usenet, but I'm not all that familiar with it and likely someone else
will know.

Good luck!

Dragonfly
Richard Evans - 14 Oct 2007 01:01 GMT
>> I am having breathing problems and asthma has definitely been ruled
>> out. Is this group appropriate for asking questions? If not, can you
[quoted text clipped - 4 lines]
>entirely, without doubt, ruled out when it comes to breathing
>problems...

It's been a recurring problem for about ten years, typically coming on
following a weight gain. I go through all the tests for congestive
heart failure, asthma, etc. with no results. I lose the weight, the
problem goes away. The last time it happened, I went to a
pulmonologist for a year before he gave up.

This time the shortness of breath is particularly severe. The
diagnosis du jour is "extrapulmonary restrictive lung disease." My
weight is restricting my ability to expand my lungs. I can exhale with
sufficient force, and my oxygenation is at 98%, but I can only inhale
short breaths. The constant puffing is wearing me out.

I'm working on taking the weight off, but in the meantime I'm
exhausted.

>What has helped my breathing problem most is something I had to
>demand, none of my doctors even mentioned this, much less suggested
>it.  I got a nebulizer, with liquid albuterol.  I only mention it
>because if asthma was ruled out by the asthma meds not having any
>effect, then it might be worth trying to see.  But if that's not how
>asthma was ruled out, then just ignore me...

I've been on inhalers before with no effect.
Jason - 14 Oct 2007 03:43 GMT
> >> I am having breathing problems and asthma has definitely been ruled
> >> out. Is this group appropriate for asking questions? If not, can you
[quoted text clipped - 28 lines]
>
> I've been on inhalers before with no effect.

Yes, your best option is to take the weight off ASAP. There is some sort
of operation where a doctor can place a strap around your stomach. The end
result is that you feel full after eating a small amount of food. There
are lots of negative side effects. Perhaps someone else can tell you the
name of the operation. It may be your best option if your diet plan and
exercise plan are not working.
Jason
TRN - 15 Oct 2007 12:52 GMT
Look into silent Gerd which can cause reflux to burn your respiratory tract.
If that is the case, the banding procedure would worsen your symptoms so you
have to lose weight the old fashioned way.
.

> >> I am having breathing problems and asthma has definitely been ruled
> >> out. Is this group appropriate for asking questions? If not, can you
[quoted text clipped - 28 lines]
>
> I've been on inhalers before with no effect.
Richard Evans - 15 Oct 2007 16:21 GMT
>Look into silent Gerd which can cause reflux to burn your respiratory tract.
>If that is the case, the banding procedure would worsen your symptoms so you
>have to lose weight the old fashioned way.

I do have GERD, but I had an endoscopy since this started and the GERD
is under complete control.
Jason - 15 Oct 2007 20:06 GMT
> >Look into silent Gerd which can cause reflux to burn your respiratory tract.
> >If that is the case, the banding procedure would worsen your symptoms so you
> >have to lose weight the old fashioned way.
>
> I do have GERD, but I had an endoscopy since this started and the GERD
> is under complete control.

What about liposuckion (spelling??) to remove the fat that is keeping you
from breathing the normal way? It's possible your insurance company would
pay for it since it will help you to breath.
Richard Evans - 15 Oct 2007 20:35 GMT
>> >Look into silent Gerd which can cause reflux to burn your respiratory tract.
>> >If that is the case, the banding procedure would worsen your symptoms so you
[quoted text clipped - 6 lines]
>from breathing the normal way? It's possible your insurance company would
>pay for it since it will help you to breath.

I'm not a good candidate for any kind of surgery.
TRN - 16 Oct 2007 10:03 GMT
> >Look into silent Gerd which can cause reflux to burn your respiratory tract.
> >If that is the case, the banding procedure would worsen your symptoms so you
> >have to lose weight the old fashioned way.
>
> I do have GERD, but I had an endoscopy since this started and the GERD
> is under complete control.

I am not certain the test to "prove" silent reflux has been perfected - did
you have a Bravo probe or do a 6 month trial of Nexium? There is research
activity on this front and perhaps that will help you exclude Gerd or not in
the future-both on the part of ENTs and Gastros so keep watching. But right
now I don't think you can say for certain that test clears you of having the
condition. I just don't want to possibly see you get worse by going for
banding.
Richard Evans - 16 Oct 2007 16:13 GMT
>> >Look into silent Gerd which can cause reflux to burn your respiratory
>tract.
[quoted text clipped - 7 lines]
>I am not certain the test to "prove" silent reflux has been perfected - did
>you have a Bravo probe or do a 6 month trial of Nexium?

I don't know what a Bravo test is. As I said, I had an endoscopy. I've
been on Nexium for years. My last endoscopy three years ago showed
severe inflammation, scarring, and Barrett's esophagaitis. The recent
one showed zero inflammation. In fact, it was so clean that my GI doc
said that if he didn't know I had a problem he would not have been
able to tell by this examination.

As far as I'm concerned, that rules out reflux.
miles - 17 Oct 2007 04:41 GMT
> I don't know what a Bravo test is. As I said, I had an endoscopy. I've
> been on Nexium for years. My last endoscopy three years ago showed
[quoted text clipped - 4 lines]
>
> As far as I'm concerned, that rules out reflux.

A Bravo test involves inserting a small device in the esophagus to
measure acidity over a short period of time.  The device dislodges
itself eventually and passes through harmlessly.  The lack of
inflammation or scarring does not rule out reflux.  A Bravo test is a
very accurate method to determine reflux.

I have had reflux for years.  Bravo test showed high acid levels.
Endoscopy showed very clean, no inflamation, no scarring etc.  They then
performed a VCD test and found vocal chord inflammation (caused in part
by reflux) which can cause severe respiratory problems that appear much
like asthma.
Richard Evans - 17 Oct 2007 16:23 GMT
>I have had reflux for years.  Bravo test showed high acid levels.
>Endoscopy showed very clean, no inflamation, no scarring etc.  They then
>performed a VCD test and found vocal chord inflammation (caused in part
>by reflux) which can cause severe respiratory problems that appear much
>like asthma.

I also had a rhinolaryngoscopy that showed no vocal cord irritation.
TRN - 17 Oct 2007 06:32 GMT
So maybe you will help someone else here.  Not sure that is  a bad thing.

> >> >Look into silent Gerd which can cause reflux to burn your respiratory
> >tract.
[quoted text clipped - 16 lines]
>
> As far as I'm concerned, that rules out reflux.
Richard Evans - 24 Oct 2007 19:19 GMT
>It's been a recurring problem for about ten years, typically coming on
>following a weight gain. I go through all the tests for congestive
[quoted text clipped - 10 lines]
>I'm working on taking the weight off, but in the meantime I'm
>exhausted.

I started on oxygen last week, though not with much effect. I tried to
see my pulmonologist, but  he said he couldn't see me until December.
My GP pulled some strings and got me an appointment for this
afternoon.

Then, last night at quarter to eleven, the shortness of breath simply
stopped. Between one breath and the next.

I'm keeping my appointment with the pulmonologist, but at this point I
don't know what I can tell him.

As of this morning, I had lost 15 of the 20 pounds I gained before
this started. Maybe it truly was a matter of weight.
Jason - 25 Oct 2007 07:02 GMT
> >It's been a recurring problem for about ten years, typically coming on
> >following a weight gain. I go through all the tests for congestive
[quoted text clipped - 24 lines]
> As of this morning, I had lost 15 of the 20 pounds I gained before
> this started. Maybe it truly was a matter of weight.

Are you still on oxygen? If so, that may have played a role related to
preventing the shortness of breath.

If you have this same problem again in the near future, make sure you take
oxygen since it should help you get all of the oxygen you need without
having to take millions of "short breaths" each day. In other words,
oxygen may prevent you from having shortness of breath.

Of course, "doc" knows more about this subject than I know.
Richard Evans - 25 Oct 2007 16:46 GMT
>> As of this morning, I had lost 15 of the 20 pounds I gained before
>> this started. Maybe it truly was a matter of weight.
[quoted text clipped - 6 lines]
>having to take millions of "short breaths" each day. In other words,
>oxygen may prevent you from having shortness of breath.

It's hard to say if oxygen played a role. I had hoped it would
decrease the need to constantly take short puffs, but it did not. It
did make a difference in my fatigue level, though.  I work at home, on
a computer, and I found I could put in longer, more productive days on
the O. In fact, I'm going to keep using the O until they take it away
from me.
Jason - 25 Oct 2007 23:32 GMT
> >> As of this morning, I had lost 15 of the 20 pounds I gained before
> >> this started. Maybe it truly was a matter of weight.
[quoted text clipped - 13 lines]
> the O. In fact, I'm going to keep using the O until they take it away
> from me.

I am glad the O helps you. I suggest that you make a hard copy of this report:

http://www.emedicine.com/med/topic3470.htm
Richard Evans - 04 Nov 2007 17:14 GMT
>Then, last night at quarter to eleven, the shortness of breath simply
>stopped. Between one breath and the next.
[quoted text clipped - 4 lines]
>As of this morning, I had lost 15 of the 20 pounds I gained before
>this started. Maybe it truly was a matter of weight.

I saw the pulmonologist, but had no symptoms to show him, so he
couldn't say much. He tested my lung volume and it was OK this time.

Well, that remission (Oct 24) lasted all of 36 hours. As of this
morning (11/4) I'm back to my original weight but still puffing.

I guess it's back to the doc this week.
 
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