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Doctor insights on: Paradoxical Or See Saw Respiration

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How to tell if increased shortness of breath or just anxiety, allergy, or musculoskeletal issue? Took benedryl as also have runny nose, itchy throat.

How to tell if increased shortness of breath or just anxiety, allergy, or musculoskeletal issue?  Took benedryl as also have runny nose, itchy throat.

See a physician!: Based on your history, you may have shortness of breath because of your heart problems, your anxiety, or sub-clinical asthma associated with allergy. First, see your pmd and cardiologist. If both tell you it is neither your heart or anxiety, see an allergist. ...Read more

Breathing (Definition)

Breathing is the way we take in oxygen and expel carbon dioxide (co2) through out lungs. When our lungs expand we take fresh air in that contains oxygen and then when our lungs ...Read more


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Can a pulmonary func test rule out anything if you feel like your having breathing issues Can it rule out resp distress or clinical vs perceived issue?

Can a pulmonary func test rule out anything if you feel like your having breathing issues Can it rule out resp distress or clinical vs perceived issue?

Only lung conditions: Pulmonary function tests are very helpful in orienting us about the possibility of lung conditions contributing to your symptoms. Normal PFT's are helpful in ruling out some lung conditions: asthma or emphysema, among others. Normal PFT' s do not rule out all lung conditions, cardiac, muscular or anxiety that still may play a role in your symptoms. ...Read more

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Can a vasovagal syncope or concussion (or both?) cause convulsions? If so, are the convulsions an indicator of severity? Thank you! :)

Can a vasovagal syncope or concussion (or both?) cause convulsions? If so, are the convulsions an indicator of severity? Thank you! :)

Yes: Both processes can be associated with a seizure. In the case of a concussion. A seizure associated with a concussion is an indication of severity. However, with a vasovagal episode, many people will have a brief episode of tonic/clonic activity that comes on when they faint. This is not a seizure. Some people do have seizures though with vagal response. ...Read more

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Can sevredol or concussion cause attacks with shortness of breath, blurred vision and feeling like youre going to collapse or pass out?

Can sevredol or concussion cause attacks with shortness of breath, blurred vision and feeling like youre going to collapse or pass out?

Yes, possibly: Concussions can cause a number of direct and indirect symptoms. Lightheadedness and visual changes occur frequently as issues with the vestibular system, and shortness of breath can occur because of the anxiety around the other symptoms. Sevredol notably can also cause symptoms, and it is not the best drug to be taking if you have a history of concussion. See your MD for further discussion. ...Read more

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Chronic intermittent dry cough with (and perhaps due to) itchiness of trachea. Whose area is this - ENT or respirology/pulmonology?

Chronic intermittent dry cough with (and perhaps due to) itchiness of trachea.  Whose area is this - ENT or respirology/pulmonology?

Both: I would first start with your primary care doctor. The cough could be a blood pressure pill, asthma, allergies, Whooping Cough, tracheal problems, etc. An ENT can scope your trachea whereas a pulmonologist can do this and look further down the trachea to the bronchial tree as well as perform pulmonary function studies. A chest X-Ray and even a Cat Scan can be ordered by any physician. ...Read more

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Does anticholinergic or antihistamine alone relieve bronchoconstriction in asthma? Will doctors prescribe one or another or both with beta 2 agonist?

Does anticholinergic or antihistamine alone relieve bronchoconstriction in asthma? Will doctors prescribe one or another or both with beta 2 agonist?

Anticholinergic: Anticholinergic but not the usual doses of antihistamine relieves bronchoconstriction in some people. It may be used as a combination with a beta 2 agonist as in the case of combivent (albuterol and ipratropium). However persistent asthma should be treated with a controller drug such as inhaled steroid and/or a leukotriene blocker. Using just beta agonist alone on a regular basis may actually make your asthma worse. ...Read more

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A 2 year old who panics from loud sounds such as sirens racing heart & fast breathing, and may be seeing more then imaginary friends. Worried?

A 2 year old who panics from loud sounds such as sirens racing heart & fast breathing, and may be seeing more then imaginary friends. Worried?

Don't worry yet: Two year olds are very reactive, sensitive to stimuli, particularly if new and abrupt. Aversion to siren noises, etc. Is quite normal. Usually such episodes are very brief and go away very soon after the stimulus stops. If the episodes start to last longer than 30-60 minutes, or if the "imaginary friends" start to bother him/her, then i would seek the advice of a pediatrician. ...Read more

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What do labored breathing with yawning mean? Is either associated with vasovagal or hypotensive event? What about pallor?

What do labored breathing with yawning mean? Is either associated with vasovagal or hypotensive event? What about pallor?

Yes, & yes, & yes: You are precisely right. Has your blood pressure and heart rate been monitored lately? Are you on medications which nauseate you? Are you on medications which lower your blood pressure? People's ability to tolerate drugs deteriorates progressively as they age, especially when on multiple medications. ...Read more

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If a patient under propofol + remifentanil stops breathing(and intubation gets troubled) will he experience or feel the hypercapnic alarm response?

If a patient under propofol + remifentanil stops breathing(and intubation gets troubled) will he experience or feel the hypercapnic alarm response?

Propofol/remifentani: I'm not sure what is being asked. The patient will feel nothing at all as they are unconscious and in danger of dying unless promptly ventilated. This could be accomplished by intubation, or, since both drugs are short acting, the anesthetist could opt for bag/mask ventilation. ...Read more

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Rapid heartbeats increased in frequency in recent weeks. Holding breath used to help, now doesn't. Seeing doc soon. What could this be?

Rapid heartbeats increased in frequency in recent weeks. Holding breath used to help, now doesn't. Seeing doc soon. What could this be?

Arrhythmia: Your symptoms may be an arrhythmia (irregular beating of the heart). There are many types of arrhythmias, and many are helped by holding breath (or other vagal maneuvers). Will need some monitor during symptoms to get better idea of how to manage. In mean time, abstain from caffeine and use a multivitamin per day, and seek further evaluation, as you are doing. ...Read more

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The dentist may use anesthetic such as 0.3ml lidocaine with 1:100, 000 epinephrine. Would this interact/ have problems with my heart or BP medication.

The dentist  may use anesthetic such as 0.3ml lidocaine with 1:100, 000 epinephrine. Would this interact/ have problems with my heart or BP medication.

Little concern: Stress form the procedure, particularly if you were not numb, would cause your body to release more Epinephrine then what is in the local anesthetic. That said I do try to error on the side of caution depending on the heart condition by not using the maximum dose( approximately 8 full injections) and breaking up multiple procedures over several appointments. ...Read more

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Doc said it's stronger then panic attacks,brain gets or sends false alarm that lungs are low in o2 feels like suffocating, can't breathe,what is this?

Doc said it's stronger then panic attacks,brain gets or sends false alarm that lungs are low in o2 feels like suffocating, can't breathe,what is this?

Fight or flight: Your doc may be referring to the 'fight or flight' response which triggers a variety of physical symptoms during a severe panic attack including hyperventilating or rapid breathing. Response can occur spontaneously/for no apparent reason or triggered by a perceived danger. Panic attacks are treatable. ...Read more

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Had a spiro test at my dive medical, FEV1/FVC 69. Needs to be >75%. Seeing a respiratory specialist. No asthma or smoking. 29yr female. Any thoughts?

Had a spiro test at my dive medical, FEV1/FVC 69. Needs to be >75%. Seeing a respiratory specialist. No asthma or smoking. 29yr female. Any thoughts?

Mgt/workup: This may indicate airflow obstruction, but it would be helpful to actually view the test results by setting up an online consultation. You can also enter your medical history during the virtual appointment. ...Read more

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Help! Is "respiratory paralysis" in patients violent or not?

Help! Is "respiratory paralysis" in patients violent or not?

Perhaps: If inability to breathe occurs suddenly such as an anaphylactic reaction, or trauma, violent agitation could ensue, as long as patient was alert at time of event. Some more gradual apneas secondary to medication such as opioid overdose would cause possible coma first. ...Read more

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When you look up MRI risks and it says breathing difficulties, sweating, numbness, or heart palpitations is that risk from contrast or mri?

When you look up MRI risks and it says breathing difficulties, sweating, numbness, or heart palpitations is that risk from contrast or mri?

There is : Not known side effect of MRI scan. Symptoms you refered could be contrast induced or a claustrophobic/anxiety attack. Not all MRI need contrast. Metal devices can go in the scanner. Piercing or medical devices. ...Read more

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Is mucus a problem with VCD? Would an asthma inhaler irritate VCD? Learning from an internet support forum. Doc says I may have VCD along with asthma.

Is mucus a problem with VCD? Would an asthma inhaler irritate VCD? Learning from an internet support forum. Doc says I may have VCD along with asthma.

Maybe: Vocal Cord Dysfunction can easily be confused with asthma and can be tricky to diagnose. Both can coexist. Mucous production is not a direct result of VCD but could perhaps be secondary to the irritant that triggered it. Asthma inhalers are not typically triggers of VCD in practice. ...Read more

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