COPD or Asthma + Alergic Rhinitis

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Hi everybody,

I started being short of breath around 3 years ago (when I was 25). It seemed to happen at random times - I didn't exercise at all back then. After that I started doing sports and it was all fine - was running 20km + and doing very intense workouts without any problems.

I saw a doctor who did a spirometry and chest x-ray. X-ray was clear, values for FVC1 were around 97% and after bronchodilators it was 104%. The doctor said it was asthma and I started mokasta & ventolin & alvesco. The symptoms improved in around 2 weeks but then I got back to being SOB. There were weeks when I didn't have any SOB but most of the times I have it. 

I went back to my doctor and he did the spirometry test again. Without ventolin (but on asthma treatment) my values were improved - around 102-105% for all predicted values and he said that it is asthma since I have good reversibility and that my simptoms are triggered by my rhinitis and that's why my treatment isn't working. I am aware of having allergic/persistent rhinitis for around 2 years now and can barely breath on my nose. I started asking all sort of questions and he didn't answer all of them and wrote on my diagnosis that I had a mental problem for being too preoccupied with my illness. I don't cough, nor have I in the past 2 years, except when having the flu. Whenever I am SOB I have this white phlegm in the back of my throat which I can't clear out. Doctor said it's from my nose.

I need a second oppinion but there are no good pulmonary doctors here. What should I do? Could it be COPD?

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6 Replies

  • Posted

    Hi. Good idea to buy insurance, then you can get to a pulmonary specialist. I have asthma but I dont have your SOB symptoms. You really need a second opinion -- and more research on the net,  good luck -
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  • Posted

    See if your doctor will schedule a CT scan for you.  I had been mis-diagnosed with asthma 2 years ago, simply on the spirometry results.  When the SOB started and my blood oxy tanked, my NEW doctor sent me for CT scan.  Actually, I have COPD; therefore, I feel that 2 years was wasted through the mis-diagnosis.  
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    • Posted

      Thanks for the advice. I just had my CT scan today and nothing seems wrong. I'll see a ENT doctor tomorrow for my rhinitis...
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  • Posted

    Sorry to hear your experiencing SOB.

    Can I ask, do you work in a place with alot of dust or smoke? or are a current or former smoker? A persons medical history also helps in making an accurate diagnosis. 

    I am really shocked to read the doctor wrote on your diagnosis that you had a mental problem, because you were worried about your health!! Was it a male doctor? and did you feel it was because you were a young women, (I am making an assumption you are female, but please correct me if wrong) like they did not believe you?

    Has there been any progress finding a good pulmonary doctor? Good luck and keep us updated 

     

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    • Posted

      hi hanna doctor also asked me same questions like do you have any kind of tension or stress, so there could be any relation of nervous with SOB
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  • Posted

    Hi, Robbie believe me i also have same problem like you and still not diagnosed by my consultant i had all kinds of possible tests like blood tests ,lipid profile, sugar test, and LFT cleared includes chest X ray and ecg. every thing was cleared, however i still don't have spriometery till now, doc said your lungs are clear and their is no cardiac problem either, he also asked me about taking any kind of stress, however i also feel SOB at daily bases specially at night but i use an inhaler(Salbo) and able to get instant relief and secondly i am also not able to bring mucus out of my lungs as mentioned i also have no cough and whenever i tried to cough harder tightness and pain started in lungs. please keep us informing about your condition and diagnosis.
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