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What Causes Chest Tightness And Breathlessness When Missed A Dose Of Advair?

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Posted on Fri, 30 Sep 2016
Question: New thread
Asthma was talked about but since he had it for some time, he discussed his symptoms. Seems he has to take a couple meds for it. Advair and singulair, He said that if he forgets to take one or runs out he has very tight chest and cant breath till he gets his albuterol.

I just reread your earlier answer. Was the answer on copd and time of months not weeks for a person who is still smoking? or one who is not. or does it not matter
doctor
Answered by Dr. Drkaushal85 (1 hour later)
Brief Answer:
Yes, decline is rapid in active smoker.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Yes, decline is more rapid infection active smokers then non smokers or past smokers.
But if patient is having recurrent viral infection, chemicals and fume exposure then he /she will also have rapid decline.
Rapid decline in COPD is usually in months not in weeks.
If person with COPD decline in weeks then possibility of pulmonary embolism, cor pulmonale, pneumothorax etc is more.
Are you thinking in this direction?
Hope I have solved your query. 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 (10 minutes later)
Boy I thought you left me.

No, I'm not thinking that direction. In the conversation with the musician, we discussed the Actor XXXXXXX Nemoy who quit in 1983 and lived until 2013 when symptoms hit, then they hit quick and he died in 2015 We wondered how he lived so many years until something happened. maybe it was the age and you just said viral infection may have hit.

If Rapid is Months, what is not rapid. say to go from light breathless XXXXXXX to moderate to then breathless on just sitting or moving from room to room.

Sorry if its confusing and the conversation is not about me but you now have my curiosity. I have talked of my ex wife many times. She once smoked and quit 20 years ago. She is fine, But i think of her 3 brothers and a sister who are heavy heavy smokers. Their father died from COPD in 2009 Was diagnosed in 2003-2004 Seemed to go fast, compared to my mother who lasted about 11 years. Anyway the kids have SOB somewhat.

But continue the question above answer please

doctor
Answered by Dr. Drkaushal85 (14 hours later)
Brief Answer:
Why you thought that I left you?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Why you thought that I left you?
I will never leave you unless you stop from your side. I feel happy and joyful when I recieved your message. So no point in leaving you.
And yes, you are right.
This question confused me a lot.
I mean do you want to ask why your mother died after more years of diagnosis as compare to your ex wife's father?
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
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Follow up: Dr. Drkaushal85 (6 hours later)
I was teasing on you leaving

I was discussing how quickly a smoker declines and that my ex family is susceptible to it

But you said a smoker can go quickly in months but you didn't approximate the non smoker or long term ex smoker
doctor
Answered by Dr. Drkaushal85 (16 minutes later)
Brief Answer:
You are having fun out of me.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Ha ha. You are having fun out of me.
Don't mind if you tease me.
How's your health now?
And how's your exercise going?
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Drkaushal85 (24 minutes later)
I am exercising more each day. But still wake up early and still have problem breathing in through mouth

I will assume that non smoker and ex smoker progresses at a very slow rate ?
doctor
Answered by Dr. Drkaushal85 (3 hours later)
Brief Answer:
Your problem is different.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
See, your problem is different.
What I have written is for COPD decline in smokers, non smokers and past smokers.
Don't correlate with your self.
COPD patients have abnormal PFT which you don't have. So don't think about COPD and correlate with you.
Your symptoms are due to stress and only stress.
No need to worry for COPD.
Is this clear?
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (21 hours later)
Ok Dad,

I have found that I enjoy questions and responses from others on HCM. I saw one from you about COPD, and your comment about it worsens when you get a virus or have an exacerbation. Is this true?. Does it still worsen on its own but less than if you had an exacerbation? HMMM that explains MOM
doctor
Answered by Dr. Drkaushal85 (37 minutes later)
Brief Answer:
Why dad?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Why dad? Are you teasing me?
I am not your dad. I am much younger than you.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (1 minute later)
You were reprimanding me like a father would.

Yes, You are very much younger than me, I could be your father by my age
doctor
Answered by Dr. Drkaushal85 (2 minutes later)
Brief Answer:
And what about other questions?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
If this gives you good feeling then I won't mind being your dad.
Ha ha ha ha.
And what was that other thing, other questions?
Are you reading my other patient 's question also?
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (7 minutes later)
On the main page of HCM, they give questions that others have asked and have been answered by Dr's. There were a few by you, I peruse the list to see if any have interesting questions. Saw some you answered, One asked something to do with the FEV changing so much and your comments discussed his continued smoking, and having illness or exacerbation would increase the progression.


Let leave that for a moment.

I am assuming it is my inflammation in my airways. but I still have limited inflow/inspiration. I still have anxiety though not as bad, but would it be worth my time to talk to the rehab pulm to see if he thinks I should try a different inhaler for inflammation to see if that will help the inflammation to go down enough so that I can relax enough to get rid of it.
When I was cleaning up Moms house, I spent long hours in her house. she had many noxious chemicals in a cellar type room and lots of dust and stuff that I had to breath while cleaning. I wonder how much of this began the inflammation and damage and then anxiety took over.
doctor
Answered by Dr. Drkaushal85 (5 minutes later)
Brief Answer:
Inhalation of chemicals can definitely cause inflammation.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I didn't knew this. This should not be allowed. Actually these are doctor patient personal talks and should not be disclosed on open forum like this.
What do you say?
And yes, noxious chemical inhalation can definitely cause inflammation which is worsen by stress and anxiety.
So better to wear mask, keep all windows open while cleaning such things.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 15005 Questions

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What Causes Chest Tightness And Breathlessness When Missed A Dose Of Advair?

Brief Answer: Yes, decline is rapid in active smoker. Detailed Answer: Thanks for your follow up question on Healthcare Magic. I can understand your concern. Yes, decline is more rapid infection active smokers then non smokers or past smokers. But if patient is having recurrent viral infection, chemicals and fume exposure then he /she will also have rapid decline. Rapid decline in COPD is usually in months not in weeks. If person with COPD decline in weeks then possibility of pulmonary embolism, cor pulmonale, pneumothorax etc is more. Are you thinking in this direction? Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.