Doctor insights on:
Can Pickwickian Syndrome Be Cured
Restricts breathing: Obesity hypoventilation syndrome is a condition in which morbidly obese pts have difficulty breathing when lying flat. The weight of their own chest along with their large abdomen pushing up on their diaphragm resticts full expansion of lungs. They then dont get adequate oxygenation at night. Longterm the pts get pulmonary hyper tension and rt sided heart failure, if not treated. Weight loss/cpap. ...Read moreSee 1 more doctor answer
Weight loss: There is no fast treatment for the pickwickian syndrome. The treatment of choice is weight loss through diet and exercise which can cure the syndrome. Weight loss surgery is sometimes necessary. If obstructive sleep apnea is present it should be treated with cpap, if significant carbon dioxide retention due to hypoventilation is present diamox, (acetazolamide) Progesterone and theophylline may be of benifit. ...Read more
Overweight: In this condition, the overweight person has trouble with respiration due to the extra weight. The only truly successful long term treatment is the arduous one of losing weight - a great american pastime. You will need the help of a bariatrician, a dietary specialist, an exercise instructor and a patient family. ...Read more
I have pickwickian syndrome & had a blood gas test done today PH 7.402 CO2 46 Oxygen 70 HCO3 28.9 Base excess 4.0 02 saturation 94 are my results ok?
No.: No. These results show significant lack of oxygen in the blood, and a modest excess of carbon dioxide. Pickwickian syndrome appears as excessive sleepiness. It comes from sleep being constantly interrupted by a patient rousing to gasp, because the amount of oxygen in his blood is too low. It is a complication of obesity. A tracheostomy can prove life-saving. Significant weight loss is better ...Read more
Can pickwickian syndrome get worse if I only rely on oxygen ventilator at night? I feel tired all day, morning headaches, dry throat. Should I see dr?
OSA: Your symptoms are classic for obstructive sleep apnea. If you are overweight or obese, then the diagnosis is near 100% certain with these symptoms. See a sleep clinic or ENT about a sleep study. Unless something else is going on, a 23yo female with Pickwickian syndrome should NOT be on home supplemental oxygen. It does make it worse be slowing your breathing. You need CPAP instead. ...Read more
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