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Breathing Problem Started After Spinal Surgery. Diagnosed With COPD. Started Gaining Weight. Treatment?
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Thanks for your query
See you are suffering from exertional dyspnea. You were a smoker. You have wheezing. Wheezing is always suggestive of obstructive airway diseases like asthma or COPD. Asthma is rare possibility because you dont have such symptoms previously though there is an entity called adult onset asthma. The chance of having COPD is more in your case because you were a smoker and you have dyspnea along with wheezing. You didnt mention about your cough and expectoration. You need to have a spirometry with bronchodialator reversibility dont to diagnose COPD conclusively.
Another possibilty is there. Because of your spinal surgery you may have some nerve injury which are causing weakness of your respiratory muscles that is causing exertional dyspnea and most notably it can be unilateral diaphragmatic palsy or paresis. You need to have undergone measurement of maximum inspiratory pressure and fluoroscopy or USG-B scan of your thorax to visualise diaphragmatic movement to diagnose repiratory muscular problem.
So visit an eminent chest specialist, get yourself locally examined and go through the investigations mentioned by me to have a diagnosis because proper diagnosis and management can give you relief.
Hope, my information will be of help to you. If you have further queries you can write back to me.
Wishing you a quick recovery.
Regards,
Dr Arnab Maji
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I have been avoiding going on this Zoloft medication for anxiety just to get to the pulmonologist/chest doctor out of fear. I occassionally have a serious anxiety attack in regards to this and the wondering of what it is that is wrong but I don't want to take any drugs if I can help it. I am trying to be strong about it and deal with it because I have learned that this is more of a fear thing than anything. Do you think it is necessary to get through this? This may be a hard question to answer and I respect any advice you may give. Thank you so much for your time and answers. I very much enjoyed your response and quick reply. My regards, I was very pleased. I would like to eventually let you know the outcome if you would like after seeking help for this problem. I also wanted to comment to your comment in regards to the fact you mentioned to me that I didn't mention anything about a cough or expectoration or coughing up stuff. I do not have a cough and never really ever did have a cough and I also very rarely coughed up anything when I did smoke nor do I now cough or otherwise cough up anything much. What I do cough up now is very very little sputum that is yellowish and very very sticky, so sticky that it is indeed hard to get it coughed up. I relate it to the Albuterol that I inhale by an inhaler. I don't do this if I don't use the inhaler but when using it occassionally but very little do this cough up sputum and not much either. I also have to use my inhaler every 3-4 hours as I said now and am scared what would happen if I didn't have it. I have to have it. If at rest though I don't need it like i SAID JUST like the O2. Thanks so much Dr. Maji I look forward to your response.
Thank you a lot for your queries.
I am referring you to a pulmonologist. All the tests prescribed by me are non-invasive.
If your diagnosis is proved to be COPD then yes, effective treatment is there to control your disease. You need to have then not only albuterol rather long-acting bronchodialator, inhaled corticosteroids and anticholinergics by inhalers in a proper dosage schedule along with pulmonary rehabilitation and non-invasive ventilation if needed to enhance your quality of life.
Again if its the disorder of respiratory muscles there are pulmonary rehabilitation programmes and several other means which are usually available in a good pulmonology set-up to improve your daily living standard undoubtedly.
Therefore you should not be afraid, rather you should go for these investigations first followed by appropriate treatment to enhance quality of life.
If you have futher queries dont hesitate to write back to me. If you are happy with my answer then kindly write a review on this answer.
Wishing you quick recovery.
Regards,
Dr Arnab Maji
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I am setting an appointment up with a pulmonologist to seek medical help for my problems. You have made it seem as if there is definitley some help available for my condition. I have never been a person who suffered from any kind of depression until this problem and all awhile I was feeling so full of life yet on the other hand I was becoming so depressed at the thought that there was no hope for my condition and that I was facing a downhill struggle for the rest of my life. Basically the negative feeling was killing any positivity that I was having and that downright saddened me. I am glad that I sought you out and paid for this review as your advice has certainly given me so much more hope. I will if you would like me to get back with you to let you know of what it is that I learn from my experience as I feel when working together with others there is much more communication involved this way and much more to be learned or something learned by someone that may be beneficial to someone else who is experiencing similiar problems or such. COMMUNICATION is KEY! I am a firm believer in this!
I feel confident enough to seek out the pulmonologist now and in time will get back with you with word of my journey and findings. Thank-you I am most grateful for your help. Good day.
Thanks for your appreciation.
Yes, communication is the key.
Keep me posted and let me know about the Pulmonologist's consultation and about anything that you wish to discuss here with me.
Wish you good health.
Regards,
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