Doctor insights on:
Exercise Induced Hypoxemia
Low oxygen at night: Many causes like sleep apnea, copd, emphysema, heart disease etc. Can cause nocturnal hypoxemia or low level of oxygen at night. It is important medical condition. For its evaluation one may need overnight pulse oximetry to diagnose and if present needs use of home oxygen. Saturation below 87% or less is significant on room air. Consider evaluation by lung doctor if present. ...Read more
This really depends on the patient. For normal patient who does not smoke very low oxygen level could be defined as an oxygen saturation less than 88% or a partial pressure of oxygen measured in blood gas less than 60 mmhg. For an active smoker these numbers may be different. For someone with underlying lung disease again these ...Read more
Tissues vs. Blood: Hypoxia is low oxygen in the tissues. Hypoxemia is low oxygen in the arterial blood. Hypoxemia caused by low oxygen in air (such as high altitude), low ventilation (slow breathing oversedation), lung disease or blood clots in lung. Low oxygen in arterial blood leads to low oxygen in tissues but hypoxia can also be due to anemia (less oxygen carrying capacity by blood), carbon monoxide poisoning. ...Read more
Related but..: Usually if there is hypoxemia the the body shuts down peripheral perfusion and prefrential flow directed cetrally to vital organs. ...Read more
Hypoxemia...: Refers to low levels of oxygen in the arterial blood which can lead to hypoxia (low levels in the tissues). This information is obtained by lab-ABG. If the patient is having symptoms-respiratory distress, difficulty breathing, increased rate of breathing a nurse should start oxygen and immediately alert the doctor. If no symptoms the nurse should make sure the doctor is aware of the abnormal lab ...Read more
Clubbing...: Clubbing is a nonspecific finding that can be seen in both benign and malignant conditions. Often clubbing is related to an intrathoracic process particularly involving the heart or lungs. ...Read more
2 different condtion: Sleep apnea is when there is a cessation of airflow with sleep and breathing. The most common type of sleep apnea is obstructive sleep apnea when the upper airway gets blocked. Nocturnal hypoxia is a general term for low oxygen with sleep. Sleep apnea can cause nocturnal hypoxia, though many other conditions can cause nocturnal hypoxia without sleep apnea such as copd or heart disease. ...Read more
Overlap: Nocturnal hypoxia is a drop in oxygen in the blood when sleeping. It's associated with sleep apnea, but also with hypoxic chronic bronchitis pulmonary hypertension and emphysema. Sleep apnea can be due to airway obstruction or of central origin. It causes reduced oxygen, often dangerously, and arousal from sleep, leading to daytime fatigue. ...Read more
If someone has 'hypoxemia' and is receiving oxygen, why would they need to be tested for sleep apnea? Wouldn't the oxygen take care of the apnea?
I recently had to have a sleep study done. It cam back that I have obstructive sleep apnea & significant nocturnal hypoxemia. Should I consider cpap or look into things further & see my other options?
Depends: Having sleep apnea is significant, but how severe was your ahi. Moderate to severe osa carries a significant cardiovascular risk and should be treated. The gold standard would be a CPAP and this would be what your insurance generally covers first line. If your osa is more mild to moderate, you could consider alternative treatment options. ...Read more
I have just been diagnosed with hypoxemia with a sleep study. A sleep study 2 years ago showed significant RLS with legs moving 76 times a hour. Can it be related to the RLS? I also move my arms 12 times an hour. I am on CLonazepam 0.5 mg and Mirapex 0.75
What else did study: Show? RLS is a cause of poor sleep and daytime somnolence, but it should not be associated with hypoxia. Did the study show any evidence of either central or obstructive sleep apnea? While your clonazepam is a very low dose, if you have underlying lung disease or other causes of hypoxia, it may be contributing to it. You need to talk to the physicians who ordered and interpreted your study. ...Read more
Chronic illness with a variety of symptoms that change daily. Chonic nausea, stomach pain, hypoxemia, rashes, memory loss, dizziness, etc. Tests come back 'normal' What tests should I ask Dr for?
Medication trial: There is a prescription nasal spray which can be used as needed which may help exercise induced rhinitis. The brand name is Atrovent Nasal Spray (it also comes as an inhaler). The generic name for this is ipratropium bromide. It is only available by prescription in the United States. ...Read more
Very little: Sometimes taking antihistamines before exercise will prevent the hives, but most people simply have to find the level of exercise that produces hives and stop before they get there. Sometimes these hives occur only if eating certain foods before exercise, and find that the hives won't break out if they don't eat that food within a few hours of exercise. Your allergist can help sort this out. ...Read more
Hydration, blood flow: Check your level of hydration first. Easy way to get indicator is to see color of urine, as well as frequency. If clear to light colored, then you are pretty well hydrated. Also can get ultrasound check of vessels to evaluate blockages of vessels, esp. Carotid artery. And, you can track your fluid intake for a week and see where you are. Most are at least slightly dehydrated. Good Luck. ...Read more
Probably: You'll get the best answer with an allergy evaluation. In true eib, there is no identifiable airway inflammation, and a thorough evaluation needs to be done to look for this. Controlling the airway inflammation early on is the best way to prevent more severe asthma from developing as he grows. Many kids who wheeze under age 3 don't develop asthma, but should be evaluated for their risk. ...Read more
I am experiencing severe DOMS and my urine is slightly brownish but no where near rhabdo brown. Should I go get checked for exercise induced rhabdo?
Been told I have exercise-induced compartment syndrome, had it for 5 years is there anything I can do to make it better and stop the pain in my shins?
Bicycle: Exertional compartment syndrome is caused by increased pressure during exercise in the compartments of the lower leg induced by swelling/edema of the exercising muscles. If you can reduce the volume of the compartments, you can reduce the problem. Bicycling specifically targets the lower legs and slims them down. Put in 30-40 min. 4-5 days a week on a exercise bike...It works. ...Read more
Exercise Or Physical Activity (Definition)
Exercise is a physical activity that is completed to maintain or improve health. Benefits of exercise include weight maintenance, improving mood, increasing energy, preventing or controlling chronic diseases, promoting better sleeping, and improving sex life and libido. ...Read more