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Suggest Treatment For Sleep Apnea And Asthma
Question: I have sleep apnea since 2005, diagnossed w/ asthma 2 1/2 years ago. Taken prescribed omeprazole for over 8 years, until I stopped earlier this year. Since approx. 2 years later, I have had increased urination (especially at night), whether I increase/decrease fluids, increased fatigue, shortness of breath. During this past year these have increased; along with muscle cramps, cold hands and feet, (historically warm),often foamy urine, and difficulty emptying bladder. Am concerned my kidneys are an issue; affecting my breathing(asthma attacks precluded by heavy coughing up phlegm), and since I stopped taking omeprazole, my urinary issues have improved until the last couple weeks, they have increased; along with decreased appetite and lower energy.
Brief Answer:
you need to get clinically examined and investigated thoroughly ..
Detailed Answer:
Hello XXXX, Welcome to HCM,
I've gone through your query and understand your concern,
There are multiple health concern which may or may not be inter-related ..
The sleep apnea, asthma is likely to make you more prone for allergic responses and environmental pathogens, which during seasonal changes, get periodically activated thus creating problems like acute asthma attacks but there's a possibility of secondary bacterial infection as suggested by those heavy coughing up phlegma..
The kidney concern can due to chronic retention of urine inside the bladder, which acts as a reservoir of infection as indicated by those periodic increase frequency, foamy urine and other symptoms..
At this scenario, i'd suggest you to please schedule an appointment with an Internal medicine specialist for a detailed clinical examination along with a battery of investigations(i.e. CBC, Electrolytes, Renal function test along with Urine routine microscopy and culture sensitivity , CRP, Chest X-ray and / USG whole abdomen with special focus in KUB and post void residual urine)..
This will give a clear picture of what is the underlying cause or is it a collective symptoms, management depends on the findings, however there is a strong suspicion of infection(respiratory vs urinary) so relevant antibiotics therapy is definitely warranted after the clinical examination..
Yes you may need to restart the PPI therapy again but this time I'd advice you to please discuss with your doctor regarding putting you on PANTOPRAZOLE/RABEPRAZOLE 40 mg once daily before breakfast for at least a month..
Let me know if your having any further queries, i'll be glad to clarify..
Let me know how you stay in the due course..
Take Care
Kind Regards
you need to get clinically examined and investigated thoroughly ..
Detailed Answer:
Hello XXXX, Welcome to HCM,
I've gone through your query and understand your concern,
There are multiple health concern which may or may not be inter-related ..
The sleep apnea, asthma is likely to make you more prone for allergic responses and environmental pathogens, which during seasonal changes, get periodically activated thus creating problems like acute asthma attacks but there's a possibility of secondary bacterial infection as suggested by those heavy coughing up phlegma..
The kidney concern can due to chronic retention of urine inside the bladder, which acts as a reservoir of infection as indicated by those periodic increase frequency, foamy urine and other symptoms..
At this scenario, i'd suggest you to please schedule an appointment with an Internal medicine specialist for a detailed clinical examination along with a battery of investigations(i.e. CBC, Electrolytes, Renal function test along with Urine routine microscopy and culture sensitivity , CRP, Chest X-ray and / USG whole abdomen with special focus in KUB and post void residual urine)..
This will give a clear picture of what is the underlying cause or is it a collective symptoms, management depends on the findings, however there is a strong suspicion of infection(respiratory vs urinary) so relevant antibiotics therapy is definitely warranted after the clinical examination..
Yes you may need to restart the PPI therapy again but this time I'd advice you to please discuss with your doctor regarding putting you on PANTOPRAZOLE/RABEPRAZOLE 40 mg once daily before breakfast for at least a month..
Let me know if your having any further queries, i'll be glad to clarify..
Let me know how you stay in the due course..
Take Care
Kind Regards
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
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