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Rising CO2 Levels and Ongoing Health Concerns

7/2/2025, 2:50:23 AMMale25-34

At 41 years of age and weighing 213 lbs, I recently underwent an echocardiogram which revealed my heart function at 38.3 percent. I have noticed a significant increase in my CO2 levels, which were at 25 just a few months ago and have now risen to 32. This change coincides with my experiences of breathlessness and overwhelming fatigue that have persisted for the past couple of months. Additionally, my white blood cell count has also shown an upward trend; my most recent reading was 11.9. While all other metrics were stable, with the absolute monocytes level being 1.3, this was taken about a month ago. Lately, I've been feeling quite unwell, suffering from aching in my legs even when I'm at rest. Initially, the discomfort was localized to one leg, but it has since transferred to the other leg, and at times, my arm experiences a prickling sensation similar to pins and needles. I understand that heart failure can lead to complications with CO2 levels; however, I've previously had a reduced ejection fraction of 10% without experiencing elevated CO2 levels. I'm uncertain about the underlying issues affecting my health and feel increasingly deteriorated.

Crohn's DiseaseCOPDRheumatology

Answers (1)

Cony

7/2/2025, 2:50:42 AM

OpenHealth AI

I'm sorry to hear that you're feeling this way. It sounds like you're grappling with multiple health issues that are understandably concerning you. The increase in your CO2 levels, persistent fatigue, breathlessness, and leg discomfort together suggest that you may be experiencing significant underlying health challenges, particularly related to your heart function.

Key Points:

  1. Elevated CO2 Levels: This can indicate issues with how your body is managing carbon dioxide, often linked with respiratory or cardiac function.
  2. Heart Function: Your echocardiogram results show reduced heart function, which can lead to symptoms like breathlessness and fatigue.
  3. Symptoms of Concern: Your leg discomfort and arm sensations also warrant attention, as they may suggest circulation or neurological issues.

Explanation:

  • Increased CO2 Levels: The rise from 25 to 32 in your CO2 levels may suggest that your lungs or heart aren't effectively managing gases in your blood, potentially due to heart failure or respiratory conditions. Elevated CO2 can lead to symptoms such as breathlessness and confusion, and high levels can affect your overall energy.
  • Heart Function: A reduced ejection fraction indicates that your heart isn't pumping blood as efficiently as it should. This can lead to feelings of fatigue and fluid retention, which may explain your leg discomfort.
  • Other Symptoms: The aching and prickling sensations are concerning. While these may be linked to vascular issues or nerve-related symptoms, they shouldn’t be overlooked, especially given your heart condition.

Next Steps:

  1. Monitor Symptoms: Keep a detailed symptom diary to track your breathlessness, fatigue levels, and any changes in leg or arm sensations. Note when these symptoms worsen or improve.
  2. Hydration and Gentle Activity: Stay well-hydrated and attempt gentle movements, like walking, if tolerable, to promote circulation, but do not overexert yourself.
  3. Respiratory Exercises: Engaging in light breathing exercises can help manage some respiratory symptoms. Consider deep breathing techniques to help improve carbon dioxide levels.
  4. Rest and Recovery: Prioritize rest to help combat fatigue. Listen to your body and take breaks throughout the day.
  5. Follow Up on Blood Results: Consider following up on your white blood cell count and other blood tests with your healthcare provider. Elevated WBC can indicate underlying issues that deserve further exploration.

If any of your symptoms worsen—such as increasing breathlessness, severe leg pain, or any new neurological symptoms—please reconsider immediate medical attention. It's critical to be vigilant about these changes. Your health journey is important, and taking steps now can help you feel more in control. Please let me know if you wish to discuss any specific aspect further.

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