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Unable to take deep breath, histrory of pneumonia, taken albuterol - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   I was diagnosed with pneumonia 2 months ago, given antibiotic, albuterol and had a normal chest xray a month ago. But I am experiencing inability to take deep breath, usually after only short periods of exertion.
Doctor :   Hi
Doctor :   do u have any cough, thats persisting ?
User :   No, none, no phlegm, etc.
Doctor :   may i know your age ?
User :   59 years old, in good health, a runner
Doctor :   any chest pain ?
User :   a tiny bit, intermittant
Doctor :   ok
Doctor :   What other tests were done ?
User :   just the chest xray, spirometry (on a "good" day, which was 97%) and the little finger test (don't know the name).
Doctor :   did you have similar issues before the pneumonia ?
Doctor :   were all the tests normal ?
User :   no, only shortness of breath if I exerted myself too much.
User :   Yes, tests were normal.
Doctor :   ok
User :   Would a CT of the chest be helpful? Also, what about chiropractic treatment to relax the muscles?
Doctor :   this could be a sign of inflammation and pneumonia associated reduction of the respiratory reserve
User :   How is this diagnosed?
Doctor :   yes, physiotherapy to relax the chest musculature as well as deep breathing exercises can help to relieve these symptoms
Doctor :   A CT can help to know if there is any form of lung membrane damage ( interstial lung disease) etc
User :   Is it normal to experience this after 2 months? Also, I went through a normal schedule last week for the first time, and felt great, until Saturday morning, when I was exhausted throughout the entire weekend and experienced much shortness of breath.
Doctor :   usually its less severe in normal adults, but it is more common in elderly patients due to reduced immune status
User :   I still use the albuterol inhaler and sometimes the xanax (low dosage.) Does this really help?
Doctor :   you might also consider to get a exercise stress test, to check for cardiac evaluation
Doctor :   yes, albuterol inhaler opens the lung passages, due to bronchoconstrition
User :   Is it possible I could have asthma? Never have had symptoms before, but I know albuterol is used for this.
Doctor :   and helps to have safe and effortless breathing
Doctor :   pneumonia can reduce the lung reserve, and this can present as asthma
User :   What can usually be done about this "reduction of the lung reserve?"
Doctor :   but such test repeated with bronchoprovocation tests , help to differentiate the condition and allow proper treatment.
User :   Not sure what test you're referring to...
Doctor :   physiotherapy, lung expansion exercises *deep breathing) will be helpful
User :   What about a power-lung type of product?
Doctor :   this is a pulmonary function test, to detect lung disorders like asthma, COPD, etc
Doctor :   yes they can be used ,
Doctor :   they are similar to devices used during chest physiotherapy , to aid chest expansion
User :   What would you recommend at this point that I do? Going to my primary doesn't seem to do any good, as my chest xray is normal, pulmonologist thinks it's all "in my head."
Doctor :   take ibuprofen for a few days to reduce the inflammation
Doctor :   then do chest physiotherapy to aid in chest expansion
User :   I can't tolerate it, old ulcer issues.
Doctor :   ok,
User :   Do you do check physiotherpay yourself, or at a clinic?
Doctor :   in that case, tylenol may be ok, as it does not hurt the gasttitis or ulcers
User :   OK, what about staying "down" vs a more normal schedule?
Doctor :   you need to see a physiotherapist at the office , or arrange someone to come at your home
Doctor :   you mean taking rest ?
User :   OK, sounds good. Yes, I mean resting more.
Doctor :   taking rest for a week or two, would be perfect
Doctor :   as rest allows proper healing
User :   Nice idea, but work doesn't allow. Too much time off from the acute pneumonia phase!! This has been very helpful, thank you.
Doctor :   you are most welcome
User :   How is a "physiotherapist" found?
Doctor :   your doc can help to get one
User :   OK, any way to save all of this chat?
Doctor :   or you can find one on the internet , via home health services
Doctor :   yes
User :   How?
Doctor :   contact at YYYY@YYYY
User :   OK, thanks!
Doctor :   they will send you a transcript
Doctor :   you are most welcome
Doctor :   bye for now
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