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Suggest Treatment For Stomach Gas Along With Panic Attacks

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Posted on Fri, 9 Jan 2015
Question: I was told I have severe emphysema but think I'm having trouble with gas exchange. I have panic attacks also and have gone nuts and freaked out over my illness. What can I do to control carbon dioxide exhalation and would this put me close to dying now?
doctor
Answered by Dr. Rakesh Madhyastha (3 hours later)
Brief Answer:
Need more info

Detailed Answer:
Hello

I understand your concern, however in order to understand better I need to know a few more details

1. Do you get frequent attacks for fever associated with cough and expectoration ?
2. are you or were you a smoker ?
3. Do you have troubled breathing while walking or exercising
4. Please list out the medications you are on right now
5. If possible please attach x Ray reports or any other blood reports you have
6. as an arterial blood has done to know the levels of oxygen and carbon dioxide in your blood

please get back to me, I am awaiting your reply

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Rakesh Madhyastha (20 hours later)
I'm on Advair, albuterol inhalation solution, Combivent Respimat, Spiriva. I can't send the xrays because this is not my computer and my sister won't let me save anything on here. They say my emphysemas severe. I'm on oxygen but am now having more trouble breathing than before and coughing more. I get sweaty and lose energy and have a lot of trouble breathing when I have those attacks. I'm worried about the gas exchange as I've read it can lead to respiratory failure. Should I have the ABG done?
doctor
Answered by Dr. Rakesh Madhyastha (18 hours later)
Brief Answer:
Severe emphysema

Detailed Answer:
Hello

I would like to apologise for the short delay in my reply to you. It was a very busy day at the hospital.

From the treatment history you have given me it looks like you certainly have severe emphysema.
I suggest you to get a ABG done without oxygen to know the status if your body. It will tell you the percentage of oxygen and also carbon dioxide retension

I also suggest you to do the following

1. Avoid closed places with bad ventilation
2. Always travel with your bronchodilators
3. Avoid strenous physical activities
4 Stop smoking and dont be a passive smoker as well

I hope I was of help, if you have any further queries please get back to me

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Rakesh Madhyastha

Nephrologist

Practicing since :2009

Answered : 4364 Questions

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Suggest Treatment For Stomach Gas Along With Panic Attacks

Brief Answer: Need more info Detailed Answer: Hello I understand your concern, however in order to understand better I need to know a few more details 1. Do you get frequent attacks for fever associated with cough and expectoration ? 2. are you or were you a smoker ? 3. Do you have troubled breathing while walking or exercising 4. Please list out the medications you are on right now 5. If possible please attach x Ray reports or any other blood reports you have 6. as an arterial blood has done to know the levels of oxygen and carbon dioxide in your blood please get back to me, I am awaiting your reply Regards