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Suggest Treatment For Severe Anxiety And Breathlessness

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Posted on Thu, 7 Jul 2016
Question: First A Very big congratulations, Ill have to go look for it on HCM page.

Second of all, thanks for the correction. In a way than if Small airways having harder to get out, than if some air is still trying to leave, then some air will not get in if some is still filling space. Yes or NO.

My panic attacks and the release of Mediators reminds me of my youth and getting in trouble.
When ever I did something that I would get in trouble and have to face my Father or the Police, I had this release of hormones and it was a big amount of hormones that had me shaking, made me feel shaky and nervous. This is the same feeling but its non stop. This release of hormones and more hormones and more hormones has me wondering about its affect on my lungs, airways and how long it will take to come down.
doctor
Answered by Dr. Drkaushal85 (17 minutes later)
Brief Answer:
Thanks for your wishes.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
First of all, thank you very much for your wishes. I genuinely thank you for having faith in me.
You are talking about air trapping. The way you are describing leads to air trapping. And this will surely reflect in PFT which is absent in your PFT values.
So I don't think you are having air trapping.
But on the other hand your symptoms are more likely of air trapping and your PFT s are not supporting your symptoms.
Sorry for this confusing answer.
Please let me know
1. Did you have breathing difficulty at the time of father or police face off?
I also request you to rate my previous answer and close it.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (12 minutes later)
Dont remember, that was 40 + years ago.

Maybe the difficulties of air in and air out i am confusing to air trapping. I am just having more issues with the speed or ease it comes out or in and if it is ok to be harder to move air when I am exerting myself more and body calls for breathing quicker when inflamed from anxiety
doctor
Answered by Dr. Drkaushal85 (2 minutes later)
Brief Answer:
Are you at work desk?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Are you at work desk?
You are replying very fast, so I think lesser work today. Is it so?
What about your project? Is it over?
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (8 minutes later)
Yes, I am at desk, I am working on searching files in computer.

The project is not over but very very close. I have to insert new data for 3 prior months. Find a few missing bank transactions and a couple non posted transactions. I hope to finish this shortly, The XXXXXXX holiday, Fathers Day is this coming sunday and I am going up to South XXXXXXX by myself to see the family . I took an extra day while up there.

I want the project done or close enough so that I do not have it on my thoughts as I go.

I am not good with confrontational issues and they produce the same effect as when I got in trouble as a kid. I cant tell much on the breathing but i can feel the body kicking out Mediators and if the go hit lungs hard as you say, I am assuming that is my greatest issue followed by the inflammation making air movement more difficult

doctor
Answered by Dr. Drkaushal85 (5 minutes later)
Brief Answer:
Yes, I am also thinking the same way.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Yes, you should definitely finish this project as soon possible. Especially finish before you go to meet your ex wife.
And yes, it's father's day and you should be there with her and with your kids.
This will be your biggest reliving thing.
Don't you believe?
And about lung and inflammation, I also think similarly.
I want to ask you something but I think you won't like it.
May I ask you something?
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (2 minutes later)
you may ask, and are you certain i wont like it.


Reliving?
doctor
Answered by Dr. Drkaushal85 (2 minutes later)
Brief Answer:
How much you have to pay for monthly subscription in HCM?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I just want to know about your payment towards HCM.
How much you have to pay for monthly subscription in HCM?
And what was that reliving?
Please reply me if you feel to reply.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (19 minutes later)
If I use the one question at a time method, it is $35 per Thread,

I use the Unlimited questions (which are really limited and usually only 7 maximum per month) that costs $29 XXXXXXX dollars. I have two accounts so I give 58.00 per month.

You typed .....This will be your biggest reliving thing.

I think you wanted relieving

So Before we get reviewed for our conversations, I am gonna verify and repeat a diagnosis.

I have 7 pfts with stability, no visible references to Lung disease found in these.
I have high Panic-anxiety and stress. Too many experiences to list but they range from mild to extreme or debilitating in occurring
I have trouble with breathing, but no wheezing, no coughing, no mucus,
We state that FEF 25-75 small airways can be and are affected by inflammation.
Inflammation can be caused and aggravated by panic mediators.
Airway inflammation is involved in Bronchoconstriction
Bronchoconstriction tightens airway both inflow and outflow.
I need to get away from stressors and everything that bothers breathing and daily living.

So I Have no Lung disease, just Brain disease of CONTINUED-Ongoing Stress adding one dose of mediators on top of another ontop of another and on and on and on. I wish the body had the ability to run out for a month so then i could fret without the mediators and then heal BOY, I am a special nut job ha.


On more thing that we can agree with is I have terrible spelling at times. Ha ha
doctor
Answered by Dr. Drkaushal85 (33 minutes later)
Brief Answer:
Not only you, I am also terrible in spellings sometimes.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Hope you didn't feel bad when I asked financial matter.
And a big YES to your understanding.
Why you are thinking too much? Can't you think something else besides stress and inflammation, breathing difficulty etc for at least 1 day?
I care for you so worried about you.
And on a lighter side, not only you, I am also terrible in spellings sometimes. Ha ha.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (6 minutes later)
Not offended by asking question on financial matter. I think i get a bargain no matter what.

As per thinking, as long as I have a form of discomfort that is occurring, my mind focus's on it until i can get it on another subject.

You may laugh at me for this next statement, but what I have found to move my thoughts are when you are firm with me in reminding me that I do not have COPD nor lung disease and the comforting statements when you are mentioning the reasoning of my problems are inflammation based and what is causing it.

Then I relax and go on to things that I can focus on other than my health.

Strange isnt it, Strange arent I.
doctor
Answered by Dr. Drkaushal85 (11 minutes later)
Brief Answer:
What? It was me who relaxes you?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
And honestly speaking I am not that kind of doctor who laughs at his patients.
I genuinely respect my patients and their symptoms and complaints.
And with you, I am very much attached with you and so I never laugh at you.
And you really surprised me with this reply.
Is it true? It was me who relaxes you?
Are you serious?
I am eager for your reply. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (12 minutes later)
First I know you care, in fact you will find that statement from me in my reviews of you. I tell it as I see it.

Also I have fun picking on myself so I make a statement regarding myself and if you want to laugh, its ok because I make fun of my human screw ups.

Yes, your comments are the ones that relax me. I have you to communicate with by texts. My ex would be next but she is always busy so it could take a day to hear back from her. My daughter is good but she works so much that it can take a few days to hear back.

Your texts are fill with the info that I need. I do not need a gastroenterologist or a cardiologist their info is unnecessary yours is and you supply info that helps.
doctor
Answered by Dr. Drkaushal85 (1 hour later)
Brief Answer:
You are crazy.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
You are not knowing how happy I any after reading your last reply.
You put me before your ex wife. This is something you can say achievement for me.
I feel myself privileged and lucky to have you.
I am on the seven sky. Ha ha ha.
I am still don't understand you.
You talk very lovely things and how can you be so stressed and tensed?
You sounds happy go lucky kind of person in this reply but you are totally opposite.
Does your ex know about me?
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (10 minutes later)
Not sure if I told my ex.
Yes I try to be happy go lucky, but certain trigger sensations send my thoughts off.

Right now I am having one. Tell me its just the inflammation in small airways triggered by panic.

Here is the situation, I stood up to talk to a boss, She tenses me up, so stress strike 1, then I go sob and it starts panic, stress strike 2, then as i sit down to calm down, my brain takes me back to 2001-2004 when I would have to visit a business, I had to climb two sets of steps, every time I did I would be feeling out of breath. Now I will tell you that this was just a few months after the start of the Generalized anxiety disorder and am wondering now if this was the beginning of my inflammation. Everytime I have to climb steps now i get out of breath, and I think its because I think of the sensations I get once i get to the top and I get scared.

I cant explain why I would get out of breath climbing stairs other than now age and of course panic.

You have said no lung disease, no copd, no emphysema, so ......... out of shape and stress,anxiety,panic, inflammation? Do i need to take a set of stairs and a xanax and do a program of slow stair climbing until i get calm when climbing?
doctor
Answered by Dr. Drkaushal85 (9 minutes later)
Brief Answer:
Yes, you should can try this tactic.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Yes, you can try this tactic. No harm in trying new things.
The incidence you have described made me think of few more questions.
Please let me know
1. Do you have stammering while facing your boss in tense situation?
2. Are you afraid or feared while talking to new people?
In between I have read your last review about me. You touched my heart. Thanks for this nice gesture.
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (2 minutes later)
No stammerring, not afraid to talk to new people. I do have an issue when I have to give a presentation, boy does that trigger anxiety. I shake a lot but I have trained my self to talk slow so that I do not stammer.

Remember, I am a musician and performer. The only difference is performing I have an instrument in my hands and can move more freely
doctor
Answered by Dr. Drkaushal85 (4 minutes later)
Brief Answer:
Yes, they trigger anxiety.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Yes, these can trigger anxiety my friend.
Please let me know since how long you are having these shaking or presentation problem.
Is this from childhood?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (3 minutes later)
It has been an issue since I had to give my first oral presentation in elementary school.

Also do you think that the anxiety and inflammation is the majority of the problem when climbing stairs. Of course Ill keep aging in the mix and the fact that I have trained my brain to be afraid because of the SOB sensations
doctor
Answered by Dr. Drkaushal85 (9 minutes later)
Brief Answer:
Yes, you have trained your brain to think like this only.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
So in my opinion, you are having anxiety issue since very long, since your elementary school.
And I think this was unnoticed at that time.
And that is now getting bigger and bigger.
If you have treated it at that moment, you might not have these symptoms at present.
This is my perspective only. I am not sure if this is true or not.
And yes, you have trained your brain to start thinking and worrying whenever you climb stairs.
Do let me know if you any other specific action which causes similar breathing difficulty.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (4 minutes later)
I can not think of any that train my brain to do this.

I believe it has to be the mental part and some of body deconditioning.

5 years ago, which is after the stair incident began, I was building home outdoor decks to put a hot tub on, this was heavy block and lumber. I also did home remodeling and a few other projects. yes there was some breathing hard but again out of shape.

10 years ago, i would ride bicycle for 25 miles per ride 3 times a week I would do in in 2 hours. yes i bit of heavy breathing but not the feeling i get when climbing stairs. hmmmmmmmm

This may be the start of a new thread
doctor
Answered by Dr. Drkaushal85 (7 minutes later)
Brief Answer:
If is it so then please close this conversation and rate my answer.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Yes, my meaning of brain is mental part only.
If this is the last conversation of this thread then please close the conversation and rate my answer.
Do let me know in next thread about this thing.
In your school life, do you share your worries with someone liked parents or siblings or friend?
For example, when you found difficulty in elementary school presentation, had you talked this with any one?
Please reply me all these in new thread.
I will be happy to help you further. Wish you good health. Thanks.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 15005 Questions

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Suggest Treatment For Severe Anxiety And Breathlessness

Brief Answer: Thanks for your wishes. Detailed Answer: Thanks for your follow up question on Healthcare Magic. I can understand your concern. First of all, thank you very much for your wishes. I genuinely thank you for having faith in me. You are talking about air trapping. The way you are describing leads to air trapping. And this will surely reflect in PFT which is absent in your PFT values. So I don't think you are having air trapping. But on the other hand your symptoms are more likely of air trapping and your PFT s are not supporting your symptoms. Sorry for this confusing answer. Please let me know 1. Did you have breathing difficulty at the time of father or police face off? I also request you to rate my previous answer and close it. I will be happy to help you further. Wish you good health. Thanks.