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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is breathing difficulty related to autonomic neuropathy?

My 71 year old husband was diagnosed with moderate to severe microvascular disease of the brain 3 years ago. 2 years ago he had a c-3/4 fusion to relieve pressure on the spinal cord, and 6 months later T 10/11 laminectomy to relieve pressure on the spinal cord in that area. He walks with complete assistance, and is confused much of the time. Almost every afternoon beginning around 3:00 he begins complaining he can t breathe. His pulse ox reads 97-98 before breathing treatment. His lungs are clear and he has not had a respiratory infection or pneumonia in more than 3 years. Could the feeling of not being able to breathe be part of his confusion? Or could it be more related to autonomic neuropathy? Thank you.
Mon, 23 Apr 2018
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Pulmonologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

According to the history, I don't think it is a case of breathlessness. I mean this kind of problem is related to lung itself but is mostly due to autonomic neuropathy.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Jnikolla
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