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What Do My Lab Test Results Indicate?

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Posted on Wed, 1 Jun 2016
Question: I am looking for another opinion I quit smoking 15+ years ago. I have had 7 PFTs taken since 2001. All are similar with exception of fef25/75. It has gone up and down over and over. The high was 99 after bronchodilator test with out it was 62 The lowest was 49. Otherwise it has hung around 69 all these years. The last pft was 3 weeks ago. Those result are the following. Fvc. 112. Fev 98. Fev/Fvc. 72. Fef25/75 62. After bronchodilator it was 99. Fef 50 was 70. After bronchodilator 94. Rv 103. Tlc 117. DLCO 99

As I have said they all have been about the same. The pulmonologist commented no copd but possible very mild asthma. Over the past few years I wake with a tight chest which seems to limit air inflow. I do not have mucus in lungs and until. Started using qvar for treatment I did not cough. Now I go into a coughing spell in the morning after taking it.
I have been diagnosed with GAD anxiety and the pulminologist said that does not play well with asthma and makes the inflammation worse. My anxiety has been very continuous over the past few years with a number of deaths in my family and a bad marriage etc.
if the PFTs have been same percentages excluding fef which did improve with bronchodilator have been similar would you think I should be in same condition as I once did. And any current symptoms are age related changes, possible asthma, and gad

I also have issues with running out of breath when talking including talking while walking
I was told that anxiety can be a cause for that

Oh the flow curve is just slightly curved not much but still curved. I get out over 5 liters Fvc and 3.44 fev

Give me an opinion
doctor
Answered by Dr. Drkaushal85 (4 hours later)
Brief Answer:
Sorry to say bit anxiety appears more in your case.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Your question is directed to me because it is pulmonary question.
And I am still thinking that you are having anxiety related issue only.
Avoid stress and tension, be relax and calm.
Do things what you are liking.
Don't worry, you will be alright.
Hope I have solved your query. I am always ready two help you.
Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (7 hours later)
You know I have to say generalized anxiety disorder plays havoc with body and mind. Always has you questioning why. Why you feel this way. Why this. Why that. So thanks I'll keep working at it. Maybe my breathing will go back to normal.

doctor
Answered by Dr. Drkaushal85 (7 minutes later)
Brief Answer:
I am here to help you my friend.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
I am worried and concerned about you. This is the reason I am asking this.
You sounds low. Are you?
I am here two help you my friend.
I am worried about you so I asked.
Sorry if I hurt you.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wish you good health always. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (5 minutes later)
No you haven't hurt me. I am in a quandary, I get up everyday and maybe it's my mind acting immediately but I'll try to take a deep satisfying breath and get a small amount. I know my airways are inflamed and I wonder if I do have an asthma component or not
doctor
Answered by Dr. Drkaushal85 (6 minutes later)
Brief Answer:
No, you are not having asthma.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
No, need to think that you are having asthma.
How can you be positive and negative at the same time?
I like your positive attitude because you said I will try to take deep satisfying breath.
In the same question, you though negatively and said I wonder if I have asthma.
Sorry my friend but I have to ask WHY. Why you are thinking like this?
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (1 hour later)
My turn to say it. "I can understand your concern" ha ha

Generally speaking, i am always positive. I have a negativity that arises when my body reacts differently than usual. I come to accept that the pft and you along with all the other dr's agree that there is no LUNG disease (COPD) but when it reacts with tight chest, hard to take a deep breath, Short of breath on simple actions, I wonder if I have inflamed airways or what,

To understand the physiologic and psycho actions of stress and anxiety keep me from accepting my health. How something so simple can cause this. To think back and recall events that I had breathing problems, i look for an anxiety moment to that and do not see it.

I hope I havent offended you with looking for another opinion, GAD causes such questioning of the body that I guess I am looking for another answer of agreement so I can feel more assured. You, I believe are a very knowledgeable and wise man to your profession. I am thankful that you are a concerned and caring friend. I guess its easiest said that I am just an anxious and scared person. Scared because I wish to live and enjoy gods gift of life and not suffer as I have seen.

I wonder how much it will take to bring my anxiety down and to come to 100% acceptance so that I will stop imagining my breathing issues and will let the body work normally. I know that watching my mother and another die from COPD has not made my thinking go as it should and I wonder how many other factors contribute. I need to stop thinking and relax easier said than done.

I will have to continue some of this later so you can get a better picture.
doctor
Answered by Dr. Drkaushal85 (8 minutes later)
Brief Answer:
No, don't worry. I am not offended.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Now, I will definitely write 'I can understand your concern'. Because my reaction would also be same if I am having all these symptoms.
It's human nature to think and care about ourselves. So no worries, I am not offended.
May I ask you some personal questions, if you don't mind.
All these are related to stress and anxiety.
So if you permit me, I want to discuss some personal things.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (1 minute later)
You may and you are welcome to ask. I shall answer, sometimes more is said than needed but i will answer
doctor
Answered by Dr. Drkaushal85 (2 minutes later)
Brief Answer:
Thanks for allowing me.

Detailed Answer:
Thanks for your follow up question on Healthcare.
Thanks for allowing me.
Tell me something about your family.
Do you have wife?
Do you have children?
Are you sexually active at present?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (6 minutes later)
Presently married I am Considering a divorce, very stressful in this marriage
Have been married before have grown kids from this.
Sexually active, occasionally, this relationship does not give me that much pleasure


doctor
Answered by Dr. Drkaushal85 (25 minutes later)
Brief Answer:
You should definitely divorce her as soon as possible.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Thanks for sharing your personal information.
Thanks for keeping faith in me.
In my opinion, you should definitely divorce her as soon as possible.
This relationship might be the reason for your more stress and anxiety.
Sex is natural stress reliever. When you are less sexually active, stress is bound to increase.
Why you had second marriage?
Do you masturbate?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (16 minutes later)
Ok,
First I hope to divorce ASAP
Second, This is my 3rd marriage. The first two divorced me. I have had some time with this marriage to see what my failures were and realize that I am better off not married. now..... follow carefully..... my second wife wishes she never divorced me. Also, we have been best of friends since the divorce. I had a hard time with the divorce, very stressed but got through it.. Miss her alot. She is looking forward to me getting back to my old house/home after this divorce takes place. I have decided to be very careful with relationship so not to cause stress to come back.
Third, I have had several fantasy thoughts and arousal outside of this marriage. Those of past relationships include exwife.
doctor
Answered by Dr. Drkaushal85 (42 minutes later)
Brief Answer:
You are confusing me.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Oho. You had 3 marriages.
Sounds great.
Sorry to say but you are now confusing me more.
Are you still in touch with your second wife?
Are you guys still meeting?
What do you mean by 'I have had several fantasy thoughts and arrousal outside this marriage'?
Sorry for being personal.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (24 minutes later)
My second wife and I have children together and grand children. We divorced but we never stopped talking. She lives in another city 526 kilometers away. We talk via email and text. We are friends not enemies.

Fantasy thoughts would be best said as daydreams, thoughts of times spent that were sexual and great. ones that still can get my heart racing just by thinking of them. ha, personal, yes but fun.
doctor
Answered by Dr. Drkaushal85 (8 minutes later)
Brief Answer:
Is she still single?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Thanks for considering me someone with whom you are sharing your personal things.
I am truly obliged by this gesture of yours.
Thanks dear.
Is she still single?
I find that you are still emotionally attach with her.
Do you guys talk about sex?
If not then you should start because this will definitely relieve stress.
And why you are having fun while we are talking?
Is this because you are thinking of her?
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 14999 Questions

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What Do My Lab Test Results Indicate?

Brief Answer: Sorry to say bit anxiety appears more in your case. Detailed Answer: Thanks for your follow up question on Healthcare Magic. I can understand your concern. Your question is directed to me because it is pulmonary question. And I am still thinking that you are having anxiety related issue only. Avoid stress and tension, be relax and calm. Do things what you are liking. Don't worry, you will be alright. Hope I have solved your query. I am always ready two help you. Wish you good health. Thanks.