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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Asthma Patient Suffering From Short Of Breath, Cough, Wheezing, Sleep Apnea, Oxygen Saturation Dipped To 94%. Any Suggestion?

Ive been short of breath, coughing, slight wheezing for the past month. I had a short course of prednisone about 2 and a half weeks ago. I keep feeling like im improving then start coughing and wheezing the next day. I have had a long history with asthma with only one exaherbation a year. They are usually cold induced. I had a slight head cold just about a month ago. I also have severe sleep apnea and use a cpap set at 9. I have back pain located between my shoulder blades. It always hurts but is worse when taking a deep breath. My oxygen saturation has been mostly 97%- 98% (im usually 99-100%.)i have been dipping down as low as 94%. I' m afraid to go back to the doctor for fear they will think im a hypochondriac. Night time and first thing in the morning are worst. What are our thoughts.
Thu, 12 Dec 2013
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Pulmonologist 's  Response
hi welcome to HCM
i have read your qusetion and concerned about your problem
as you r saying that you r an asthmatic and sleep apneic pt on cpap therapy and as you r having your asthmatic attack now it is normal to have a dip in o2 saturation( when you r wheezing) now you have to optimise your treatment for asthma with use of inhaled corticosteroiods and bronchodilators and if necessary oral steroids.
other possibility for dip in saturation is inadequate cpap thearapy so consult your pulmonologist and first optimise your thearpy for asthma and if the problem persists you have to optimise your cpap therapy
thank u
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Asthma Patient Suffering From Short Of Breath, Cough, Wheezing, Sleep Apnea, Oxygen Saturation Dipped To 94%. Any Suggestion?

hi welcome to HCM i have read your qusetion and concerned about your problem as you r saying that you r an asthmatic and sleep apneic pt on cpap therapy and as you r having your asthmatic attack now it is normal to have a dip in o2 saturation( when you r wheezing) now you have to optimise your treatment for asthma with use of inhaled corticosteroiods and bronchodilators and if necessary oral steroids. other possibility for dip in saturation is inadequate cpap thearapy so consult your pulmonologist and first optimise your thearpy for asthma and if the problem persists you have to optimise your cpap therapy thank u