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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Difficulty In Breathing

I'm 22 and pretty sure I have sleep apnoea because I wake up around 3 or 4 times a night gasping for breath. Over the last few month I've also been having issues with my breathing in the day. It's like I've become concious of my breathing and now it's a concious action. Occasionally my fingers or lips start to tingle when I'm having trouble. When I'm having trouble breathing my heart pounds, but still at 75 beats a minute. I've been given an inhaler and I'm being treated for asthma and it helps a bit but not much at all. Obviously the fact I'm a smoker doesn't help, but I'm gradually kicking the habit. Do you have any idea if it's something other than asthma or how I should treat it? Sometimes I don't use my inhaler for days, other times I need a puff or two and sometimes I feel like I need it constantly and it isn't helping enough. The doctors don't seem to be much good at diagnosing me... so far they've treated me for anxiety - which didn't help at all - and asthma, which is helping but not in the way I'd like.
Tue, 7 Jun 2016
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Pulmonologist 's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
First of all you need to quit smoking as soon as possible. There is no other alternative to this.
So quit smoking first.
Secondly, consult pulmonologist and get done
1. Clinical examination of respiratory system
2. PFT (pulmonary function test).
3. Sleep study.
PFT will tell you about severity of the disease and treatment of asthma is based on severity only.
You may need newer long acting beta 2 agonist (LABA) (formoterol or salmeterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone).
If sleep study is positive for sleep apnea then you will need CPAP (continuous positive Airway pressure) machine at night.
Avoid stress and tension, be relax and calm.
Don't worry, you will be alright. First diagnose yourself and then start appropriate treatment.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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Suggest Treatment For Difficulty In Breathing

Thanks for your question on Healthcare Magic. I can understand your concern. First of all you need to quit smoking as soon as possible. There is no other alternative to this. So quit smoking first. Secondly, consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PFT (pulmonary function test). 3. Sleep study. PFT will tell you about severity of the disease and treatment of asthma is based on severity only. You may need newer long acting beta 2 agonist (LABA) (formoterol or salmeterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). If sleep study is positive for sleep apnea then you will need CPAP (continuous positive Airway pressure) machine at night. Avoid stress and tension, be relax and calm. Don t worry, you will be alright. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.