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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Breathlessness, Chest Burning, Fatigue And Chronic Bronchitis?

I am 45 yo white male, I weigh aprox. 380 lbs, I have sleep apnea, and have very recently began cpap treatment. My chloresteral is good (157), triglisorides are ok, and blood pressure is in check. My question is I get winded very quickly, when I climb in and out of my tractor (I drive a semi truck for a living) I get really out of breath, and sometimes my upper chest slightly burns. It always goes away very shortly usually 20-30 seconds. My body feels constantly fatigued. I also have chronic broncitus. Aside from losing weight what else can I do .
Tue, 7 Oct 2014
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Pulmonologist,  's  Response
Thanks for your question on HCM. In my opinion you are having GERD (Gastro Esophageal Reflux Disease). I am suspecting this because
1. Sleep apnoea is predisposing factor.
2. Obesity can also cause.
3. CPAP therapy can also cause sphincter relaxation and GERD.
So control of GERD is needed in your case.
Try following steps for GERD.
1. Avoid hot and spicy food
2. Avoid heavy meals and take frequent small meals.
3. Go for walk after meals.
4. Take good sntacids like ptoton pump inhibitors with prokinetic agent.
5. Avoid stress and anxiety.
In sleep apnoea patients co2 narcosis cam cause day time fatigue so check your co2 level.
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What Causes Breathlessness, Chest Burning, Fatigue And Chronic Bronchitis?

Thanks for your question on HCM. In my opinion you are having GERD (Gastro Esophageal Reflux Disease). I am suspecting this because 1. Sleep apnoea is predisposing factor. 2. Obesity can also cause. 3. CPAP therapy can also cause sphincter relaxation and GERD. So control of GERD is needed in your case. Try following steps for GERD. 1. Avoid hot and spicy food 2. Avoid heavy meals and take frequent small meals. 3. Go for walk after meals. 4. Take good sntacids like ptoton pump inhibitors with prokinetic agent. 5. Avoid stress and anxiety. In sleep apnoea patients co2 narcosis cam cause day time fatigue so check your co2 level.