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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes shortness of breath and anxiety?

Answered by
Dr.
Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3614 Questions

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Posted on Mon, 25 Sep 2017 in General Health
Question: You have answered a Pulmonary question for me sometime back and it related to shortness of breath. anxiety and niumerous PFT test that are basically normal except for the FEF 25/75. That is not terrible but not great, it responds well to nebulizer but very little to a inhaler. I have been informed that I have no COPD but do have Small Airway Disease, had it since first PFT 17 years ago. Oh I quit smoking in 2000. What might I expect with SAD/, do i just need a good LABA and still to quell the anxiety?
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Answered by Dr. Shafi Ullah Khan 51 minutes later
Brief Answer:
Supportive care

Detailed Answer:
Thank you for getting back to me
Small air way disease is a broad term and there are hundreds of etiologies behind it. Usually infections and insulting environmental pollutants like smoke and allergens are the cause. Less rare are autoimmune disorders and connective tissue diseases. Treatment is mostly dilated. The main problem behind it is smaller sizes of 8th generation of airways ( 8th time division of main stem bronchus) that level size should be more than 2 mm but in SAD, the sizes are low and easy obstruction is the result. In other words we call it bronchiolitis.

You need good long acting bronchodilator, a very good anxiolytics as anxiety triggers the symptoms as well, FEF of 25 / 75 are not that bad. Take some anxiolytics, avoid allergens, and try to keep your symptoms managed supportively as the work up road to find the cause behind it is long and very hectic and not worth it when treatment is just supportive with efforts to keep the airways patent.

I hope it helps. Consult your pulmonologist frequently and let them decide what is best for you.

Take care
Khan
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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