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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Breathing Difficulty Along With Severe Fatigue And Vomiting?

My life partner of 25 years has the following symptoms. Difficulty breathing, o2 sat drops to 84 percent walking around Dr office (was prescribed home o2), extreme fatigue, weight loss, severe pain right upper back, nausea, vomiting, projectile vomiting, Extremely productive cough with difficulty getting it up. She has been prescribed the O2, inhalers and chantax to stop smoking but is not improving. Chest xrays and listening to lungs say clear. She seems to be dying. Please help me
Sat, 29 Sep 2018
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General & Family Physician,  's  Response
Hi,

Based on the history you have shared, she needs detailed evaluation with CT chest as well as an echocardiogram to rule out raised right-sided heart pressures and condition called cor pulmonale.

Lung pathology may be caused for low oxygen percentage and if needed isolation of cause may help to treat the exact cause and condition may reverse but close follow up with a pulmonologist is a must.

Meanwhile, continue long-term oxygen support and other reversible causes of lungs fluids like edema due to heart conditions or due to infections may be treated for better oxygen delivery.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Saddiq Ulabidin,
General & Family Physician
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What Causes Breathing Difficulty Along With Severe Fatigue And Vomiting?

Hi, Based on the history you have shared, she needs detailed evaluation with CT chest as well as an echocardiogram to rule out raised right-sided heart pressures and condition called cor pulmonale. Lung pathology may be caused for low oxygen percentage and if needed isolation of cause may help to treat the exact cause and condition may reverse but close follow up with a pulmonologist is a must. Meanwhile, continue long-term oxygen support and other reversible causes of lungs fluids like edema due to heart conditions or due to infections may be treated for better oxygen delivery. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Saddiq Ulabidin, General & Family Physician