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    Do home surroundings play an important role in aggravation of COPD?

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Posted on Fri, 3 Jun 2016 in General Health
Question: I am dealing with accounts being locked so I will go for a third. The previous discussion for my health issue was how long i had been in the house with cats and all the other stressors. To answer this is I have been here for 2 years. and that is about the time my issues amplified. Prior to that I was in my own House up north. There I was just dealing with the recent loss of my mother to copd and other life stressors.

So in your opinion this home is an aggrevator to the small airway inflammation, and should come down once i exit it?

Please answer the following also.Just Curious
Inhalers, long term corticosteroid and rescue short term. To a person with MILD copd or MILD asthma. When used as prescribed do they fully open airways or just make airways relaxed but not fully open.
After prolonged use do they lose their effectiveness to open airways?
doctor
Answered by Dr. Kaushal Bhavsar 2 hours later
Brief Answer:
This is pathetic from HCM. Seriously.

Detailed Answer:
Thanks for your question on Healthcare Magic.
This is pathetic stuff from HCM.
I was worried again that I lost you. Honestly speaking, I was thinking whole day that you might have hurt and felt bad by my questions.
Now I am relieved.
Yes, I think this house, surrounding environment and your current wife and children etc are aggravating your symptoms.
For your COPD and asthma query, both need different kind of controller medicines which act differently.
Asthma needs inhaled corticosteroids(ICS) because they are anti inflammatory. No need for regular inhaled bronchodilator if asthma is controlled with only ICS.
For COPD, mainstay treatment is inhaled bronchodilator (formoterol or tiotropium).
In both cases, rescuer inhaler is short acting bronchodilator (SABA - levosalbutamol).
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. Kaushal Bhavsar 2 hours later
Oh you wont lose me but what is ICS that you speak of.
doctor
Answered by Dr. Kaushal Bhavsar 3 minutes later
Brief Answer:
ICS means inhaled corticosteroids.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Thanks for your reassurance. You are real gem.
ICS is inhaled corticosteroids.
I have written full form in previous answer. Didn't I?
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. Kaushal Bhavsar 36 minutes later
Yes you did but I missed it until after I sent the previous response.

Just for your info , I may be off in my thinking but the rate my issues increase as if they were lung issues, COPD issues or what ever seem to move at a quickness that seems opposite what I've read about symptoms gradually moving along.

This then has to be dealt with in a stress reduction process that I am guessing will take some time and will have some setbacks along the way.

Your thoughts
doctor
Answered by Dr. Kaushal Bhavsar 3 minutes later
Brief Answer:
Sorry to say but I don't understand what you want me to answer.

Detailed Answer:
Thanks for your question on Healthcare Magic.
Sorry dear friend, I am not able to understand what you want me to answer.
So please ask in more understandable way.
I am always ready to help you. Please cooperate.
Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 35 minutes later
My complaints and breathing sensations seem to get worse faster than I believe they should. I have read materials that was given to me from drs when my mother was diagnosed with COPD. Those Materials/info suggested that generally all symptoms will occur gradually. not fast as i said above.

With PFTs that have changed little in 15 years, the breathing issues have to be stress related. Now I have to find a way to rid the stress and i believe it will take time and there will also be set backs when i feel it is not helping.

Over the Past month, I have accepted that there is no copd or lung damage.
Over the past few days I have been trying to accept without doubting that i have stress causing breathing.
I am thankful for your info regarding that stress aggrevates inflamed airways and makes it worse. That smoke or odors and pets and whatever else can make it worse. I have realized that my work agrevates it too.

Your thoughts on my acceptance and percevied view of my stress?
doctor
Answered by Dr. Kaushal Bhavsar 7 minutes later
Brief Answer:
Yes, your thinking is absolutely right.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Now I am able to understand what you were trying to ask in previous question.
Yes, your understanding and acceptance towards your condition is absolutely right.
Your current situation makes it worse, so you are more symptomatic nowadays.
Please let me know
1. Age what age your mother passed?
2. Since what age she was suffering from COPD?
3. Were you more symptomatic as compare to now when you stayed your second wife in your own home?
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. Kaushal Bhavsar 38 minutes later
Mom started smoking at age 13. She quit at age guess of 81. She was diagnosed with COPD 81. Died at 91. Mom started really suffering around 88

When I was with second wife I never noticed a thing. Oh once in a while I might get a panic attack but it left fast
doctor
Answered by Dr. Kaushal Bhavsar 5 hours later
Brief Answer:
See, you are happy and asymptomatic with your second wife.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Now, I am getting your problem in depth.
You were happy and asymptomatic in your previous house with your second wife (whom you still like).
So you should definitely move on with her (second wife) in previous house (if possible) or to some other place.
Please let me know
1. What is she doing?
2. Is that house still yours?
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. Kaushal Bhavsar 34 minutes later
The house is still mine. No one is residing in it but I have personal belongings there. What is she doing? As in work or life. She is just working and spending time with our daughter and granddaughter. I think she is waiting for my return
doctor
Answered by Dr. Kaushal Bhavsar 6 minutes later
Brief Answer:
Yes buddy, she is waiting for you.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Yes, buddy she is waiting for you.
And believe me, you will be alright once you start living in that house with her and your children.
Have you ever talk about our conversation with her?
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. Kaushal Bhavsar 9 hours later
Our conversations...... No. She and I have talked in the recent past. It was during the time I was having breathing issues before last pft. She was already aware that I was going to divorce and move back. In the conversation I asked her if she really wanted to be together regardless if I had copd She said she was ok with it. So that's why I think she is waiting. The only real hold up is finding employment there before I leave here. This does double on the stress. Stressed to get out. And stressed to get back up when stress can leave

doctor
Answered by Dr. Kaushal Bhavsar 8 minutes later
Brief Answer:
Don't worry, you will definitely get job there.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Why you think that you won't get job there?
Where is she living?
It must be morning there.
Is it?
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. Kaushal Bhavsar 7 minutes later
I'm not worried about getting job. I just want one when I get there. I don't want to move back and spend time searching. She is living in her apartment in same town.


You asked about my mother. Any reason? My local pulmonologist heard her age and said she had good immunity system to fight off copd till 91
doctor
Answered by Dr. Kaushal Bhavsar 41 minutes later
Brief Answer:
COPD and allergy can run in families.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
So, you should start applying for the job. Right?
It's great that you both living in same town.
Why you don't meet her? Why you only talk and text her?
Regarding your mother, I was just finding connection if at present between her illness and yours.
COPD can be familial. Sane is true for allergies.
So if she was allergic then there is high likelihood of you being allergic.
Do you have itching or skin rashes or coughing or sneezing during episodes of breathlessness?
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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Dr. Kaushal Bhavsar

Pulmonologist

Practicing since :2008

Answered : 14646 Questions

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