HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Having Wheezing And Breathlessness During Winter Season. Suffer Cough And Congestion And Yellow Phlegm. Suggest Treatment?

default
Posted on Mon, 7 Oct 2013
Question: I am British and registered with the NHS. I have ongoing respiratory problems, mainly when weather is wet or cold it seems - during the winter. This is wheezing most of the time, breathlessness sometimes so severe I cannot sleep and cannot walk easily or climb any steps; cough from the chest, congestion and yellow phlegm. If someone sniffs on public transport I immediately get a fever and severe breathlessness. I am not happy with the service from my GP - this illness started three years ago when I had pneumonia, it took the nurse two weeks to realise something was wrong and I was immediately sent to hospital and given oxygen for most of my stay. Afterwards I continued to complain of my symptoms and was given no advice. Eventually one doctor prescribed antibiotics which helped a lot and an inhaler which nobody explained to me how to use. On another occasion, after my breathlessness had forced me to sit outside in the garden half the night, a doctor told me it was probably a panic attack. They give me the breathing into a tube test and accuse me of not trying. They send me for chest xrays but they never show anything. The last time I visited in May (before the summer) after I had been off sick and unable to sleep because of breathing difficulties for three nights the nurse said I was not an emergency. At my insistence she prescribed antibiotics and a new inhaler which I have now found out how to use. In the summer I had a private consultation with a private health company which reported to me that I am at stage 2 of GOLD COPD standard. Once again I am ill, worried about having to have time off work and really not knowing what to do when the breathlessness starts. Changing my GP isn't really an option I think and making a complaint won't help but is there somewhere I can get proper advice and treatment for a condition that isn't improving and seems to get worse please.
doctor
Answered by Dr. Kerry Pottinger (1 hour later)
Brief Answer:
Seek referral to specialist centre.

Detailed Answer:
Hi,
Thank you for using Healthcare Magic.
You clearly have a complex chronic respiratory disease that appears not to have been fully diagnosed so that you have been unable to receive appropriate treatment.
I suggest you consider discussing with your GP the possibility of referral to a tertiary (specialist)centre for complex respiratory conditions. I note where you live and therefore I would expect that a large centre would be relatively accessible to you.
It appears that you have tried all first line management of your condition with no long-lasting improvement.
It would be impossible to offer detailed suggestions for your care on a forum such as this as it would be important to carry out a physical examination and various investigations before making worthwhile suggestions. I assume you have been investigated for chronic obstructive sleep apnoea. Your symptoms do not exactly fit this condition but there are some similarities.
I hope this has been of help. If you have any further questions, please do not hesitate to contact me.
Regards,
Dr K A Pottinger,
MBChB FRCA

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Kerry Pottinger (54 minutes later)
Thank you for your advice and I understand that I need further investigation. I think my concern is if the doctor (the GP) still fails to take my condition seriously, is there some sort of specialist that I could locate privately? I mean in general terms only as I am in the UK/Europe.
doctor
Answered by Dr. Kerry Pottinger (20 minutes later)
Brief Answer:
Some suggestions.

Detailed Answer:
Hi,
Thank you for your further question.
There are a number of routes to access private healthcare. If you are wishing to contact a private GP then an internet search for your area will provide results. Alternatively, some private hospitals have GPs associated with them. Contact your favoured private hospital to make enquiries. I cannot recommend any particular hospital in this circumstance.
You could also consider contacting a respiratory specialist in the same way via your local private hospital. You would book an appointment through the relevant secretary.
A different doctor looking at your case from the start could be what would be best for you in the long-term.
I hope this has answered your question. If you need further advice, please do not hesitate to contact me.
Regards,
Dr K A Pottinger
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Kerry Pottinger

Pain Medicine & Palliative Care Specialist

Practicing since :1983

Answered : 1337 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
People also viewed
Having Wheezing And Breathlessness During Winter Season. Suffer Cough And Congestion And Yellow Phlegm. Suggest Treatment?

Brief Answer:
Seek referral to specialist centre.

Detailed Answer:
Hi,
Thank you for using Healthcare Magic.
You clearly have a complex chronic respiratory disease that appears not to have been fully diagnosed so that you have been unable to receive appropriate treatment.
I suggest you consider discussing with your GP the possibility of referral to a tertiary (specialist)centre for complex respiratory conditions. I note where you live and therefore I would expect that a large centre would be relatively accessible to you.
It appears that you have tried all first line management of your condition with no long-lasting improvement.
It would be impossible to offer detailed suggestions for your care on a forum such as this as it would be important to carry out a physical examination and various investigations before making worthwhile suggestions. I assume you have been investigated for chronic obstructive sleep apnoea. Your symptoms do not exactly fit this condition but there are some similarities.
I hope this has been of help. If you have any further questions, please do not hesitate to contact me.
Regards,
Dr K A Pottinger,
MBChB FRCA