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Respiratory Problems Questions

Concern Over Ear Infection After Starting Treatment

I recently experienced pain in my ear after a shower, likely worsened by frequent cleaning with a swab. After enduring two days of severe discomfort, I decided to consult an ENT specialist. During the visit, I was prescribed oral antibiotics, specifically amoxicillin, along with ear drops that contain olfaxin. Remarkably, after just one dose of the antibiotic and two applications of the ear drops, along with one pain reliever, I felt a remarkable decrease—approximately 70%—in my pain. However, complications arose yesterday while washing my hair; some water unfortunately entered my already affected ear. Despite using vaseline and cotton balls to block moisture, I felt unable to prevent it completely. I attempted to shake the water out but with no success. While I continue with my prescribed medication, I still feel fullness and itchiness in my ear. Concerned, I asked a family member to use a flashlight to inspect the area, which revealed a small boil filled with pus that had not been there before. I reached out to my ENT, who advised me to persist with the current medication. Nevertheless, I can’t shake off my anxiety regarding this new boil development. Additionally, I have an upcoming work trip this Sunday night, and I’m uncertain whether flying is advisable given my ear infection. Details: - Age: 33 - Gender: Female - Height: 5’2” - Weight: 70 kg - Duration of symptoms: 1 day - Affected area: Ear - Existing medical conditions: None - Medications currently taken: Amoxicillin, olfaxin ear drops, Aceclofenac (100 mg), Paracetamol (325 mg)

Sinus CongestionENTSore Throat
Male25-34
2 weeks ago

Understanding Causes of Bradypnea: Seeking Guidance

I have a complex medical background, including conditions like Chiari malformation, syringomyelia, hypermobile Ehlers-Danlos syndrome (hEDS), bilateral thoracic outlet syndrome (TOS), tethered spinal cord, intracranial hypertension treated with a VP shunt, a spinal venous fistula, mast cell activation syndrome (MCAS), dysautonomia, and cranial-cervical instability characterized by a fusion from the skull to the C4 vertebra. In the past, I had central sleep apnea linked to brain compression from excessive Chiari decompression surgery, which had not been an issue before. Fortunately, that was addressed with my spinal fusion. However, I still experience remarkably slow breathing rates, averaging between 8 to 11 breaths per minute. My oxygen levels appear stable, although post-surgery, they tend to drop further, necessitating supplementary oxygen. This pattern of bradypnea has lingered for several years, despite numerous adjustments to my medication regimen, including variations in opioid dosages. Additionally, I suffer from significant venous compression bilaterally across various positions due to thoracic outlet syndrome. I can't help but wonder whether this compression is impacting the phrenic nerve, contributing to my slow breathing rates. Despite the persistence of this issue, it has often been overlooked because my oxygen saturation levels are generally acceptable. I possess the results from peripheral venous blood gas assessments, although I'm uncertain of their implications: - pH: 7.36 (normal range: 7.32 - 7.43) - pO2: 18 mm Hg (normal range: 35 - 49) - pCO2: 49 mm Hg (normal range: 41 - 50) - HCO3: 28 mmol/L (normal range: 23 - 27) - Base Excess: 2.0 mmol/L (normal range: -3.0 - 3.0) - O2 Saturation: 25% (normal range: 60 - 80) - Lactate: 1.8 mmol/L (normal range: 0.6 - 2.0) I am 39 years old and my measurements are 171 cm in height and 88 kg in weight. I do not smoke or use drugs. My current medications include hydromorphone, ropivacaine, and clonidine administered intrathecally, alongside metformin, ozempic, Nebivolol, ketotifen, Targin, Dantrium, Zyrtec, and famotidine.

Shortness of BreathBronchitisPulmonology
Male25-34
2 weeks ago

Concerns Regarding Oxygen Saturation During Activity

Greetings, everyone. I am a 19-year-old female, and for several months now, I have been experiencing significant shortness of breath, especially when hiking uphill or climbing stairs. Even simple tasks like getting dressed or bending down have become challenging. Additionally, I have noticed pitting edema in both of my legs. My cardiologist is aware of my situation and is actively managing my care. Currently, I am on a regimen of 25 mg of torsemide along with 25 mEq of potassium. This treatment seemed effective initially, helping to alleviate the swelling in my legs, but last night, I encountered a troubling recurrence of severe swelling and exacerbated pitting edema. To check my concerns, I purchased a pulse oximeter, fearing that I might be overreacting, which I often worry about. When I measured my oxygen levels at rest, I recorded a normal reading of 97%. However, after laying flat on the sidewalk, the reading dropped to between 94% and 95%. When testing while walking uphill and up the stairs, my oxygen levels were alarmingly low, averaging in the low 80s. I captured images of the readings; the lowest I saw was 80%, but during the uphill trek, the values ranged mostly between 83% and 84%, occasionally reaching 86%. Notably, I struggled with severe breathlessness throughout the entire activity. Thankfully, after sitting down and resting for a few minutes, my readings returned to 96%. I usually maintain an active lifestyle, walking around 4 to 5 miles each day, so these low readings are atypical for me. I’m uncertain whether I should take immediate action since my levels returned to normal after resting. I do have a chest CT scan scheduled for next week. I've reached out to my doctor concerning the worsening leg condition, but I haven’t discussed the oxygen saturation readings, as I compiled those measurements afterward. Should I contact her again about my oxygen levels? Is there anything else I should consider doing before my CT scan? I appreciate any guidance!

Shortness of BreathENTPulmonology
Male25-34
2 weeks ago

Respiratory Challenges and Breathing Trouble

Age: 15 | Weight: 65 kg (140 lbs) For some time now, I have been grappling with respiratory issues. This all began roughly nine months ago, manifesting as intermittent coughing. Initially, I dismissed it as a mild cold, but it soon escalated to include lung discomfort, primarily felt in my back and sometimes my chest. The pain seems more pronounced on my right side and has been steadily worsening. By August and September, even mundane activities such as running brought on excruciating pain and exacerbated my breathing difficulties. After my father provided me with antibiotics, I experienced a brief improvement. However, within a fortnight, my symptoms reverted to their previous state. Despite some minor recovery over the subsequent months, the pain has intensified and has become a near-daily occurrence. It varies from sharp sensations, akin to tiny needles in my lungs, to overwhelming discomfort that triggers a gag reflex when I cough. Additionally, I experience chest pain after laughing or prolonged talking, and recently, I've been feeling dizzy as well. **Medical Background:** I do not smoke or use vape products. I've made multiple visits to a general practitioner, although, frankly, I’ve found their assistance to be ineffective. After a blood test, they reassured me about my results but failed to provide specifics, especially concerning my history of low iron levels. I have undergone two chest X-rays; during the first one, they assured me everything appeared normal without revealing any details. However, during an orthopedic consultation over a month ago, when I inquired about some suspicious white spots on the X-ray results, I was told it was merely a slight calcification, which I felt was an understatement. My experience with the healthcare system has been frustrating, and I am eager to hear opinions regarding my chest X-ray results. They haven’t requested a sputum sample nor conducted further investigations, such as a back X-ray, and they've hastily suggested asthma treatment despite my steroid inhaler providing little relief. In less than a year, my condition has deteriorated significantly, and I am apprehensive about what lies ahead. Thank you for any insights you can offer.

CoughShortness of BreathAsthma
Male25-34
2 weeks ago