Question: Hi Doctor,
I am XXXXX 28 YEARS old. I am suffering from shallow breathing(Improper Rhythm, Sometime Pause in the breathing) during night time especially during sleeping accompanied with Gastric problem from last month and during day time I am having a lump/congested feeling . I had consulted the cardiologist and he had taken all the test related heart(ECG, Tread mill, Echo) and confirmed my heart is normal condition and he also prescribed the medicine Takeform(Prior to Break fast) for the Gastric problem. I also had consultation with pulmonologist last week for the respiratory problem and he conducted breathing exercises and ensured the lungs functioning are good and suggested me the cause may be due allergy or Acid reflux and he also prescribed me a inhaler ( 2 puffs morning and night) for 30 days. I am currently using the above mentioned medicines(Inhaler-Started using 2 days and Takeform- Stated using 2 weeks). Now the Gastric problem got reduced , but the breathing problem still prevails. Kindly clarify me this breathing problem will be subsidized on due course or I have to consult with ENT or other specialist for the breathing /Respiratory problem, since I am also having Tonsils and dust allergy problem.
Regards
XXXX

Hai Dr XXXXXXX
Thanks for your prompt reply. As asked in your response,I am having some stress in my official work since i am a planning Engineer in UAE. My Role needs to be office based most of the time with less physical work. Sometimes I felt overstressed sometimes on continuous work, but not regularly. I am also having regular practices of doing exercises, playing, jogging etc and I am more consciousness on my diet. I also detailed below the issues what i am currently facing for your better understanding.

During sleep time my breathing pattern gets disturbed(Regular event) i.e Inhaling but not exhaling(pause in the breathing) & vice versa, hence i got waked from the deep sleep. This occurs during my initial lying down at bed, turning my neck towards left or right side .After some times it may automatically subsidized and i am felt good in the morning.Also in between the deep sleep i faced this issue a couple of times(Last month).

During regular day time also i am facing these issue from last two days, but able to manage the same.

I am having tonsil , Dust allergy problem for which i have taken earlier medication(Not currently taking any medicine for the same). Can these be one the causes for my respiratory problem currently i am facing?. I am not having smoking & tobacco practices.I am not sure i am snoring ,since i am staying alone.

Based on the above illustration, can u Pls state me the next step on my diagnosis/treatment procedure, changes required in my diet, special exercises prior to sleep?

Thanks & Regards
XXXX

Hai Dr XXXXXXX

My Current Weight is 105 kg and Height is 182 cm. For accessing excessive fat in my neck area, I hereby enclosed my recent photo for your immediate reference.

Regards
XXXX

I am feeling lazy and tiredness for the past two days after taking the inhaler prescribed by the Pulmonologist from 8/4/17.No morning headache. I am also having a good sleep during night time after the initial interruption.

Regards
XXXX