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Q: Shortness of Breath/ Chest Pain
asked by: kendranjosh on August 11th, 2008
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PLEASE HELP! My mom, 43 yrs. old, is having shortness of breath, chest tightness, she sounds like she is whispering when she talks because she can't get enough air to talk normal and pain in feet. My mom was diagnosed with bronchitis/ pneumonia on June 26; her white blood count was 17 and her lungs were bad in the x-ray. She was given Avelox 400 mg, Nohist-Plus, Preventil HFA and a shot of Roceferin. She went back on July 3 and was given Benzonatate 100 mg, Advair and a steroid shot. Still sick, she went back on July 30 and her WBC was good/ lungs were worse than at first. She was given M-End WC (cough medicine), Zolpidem 10mg, Prednisone 10 mg, Mucinex, and was told the AdVair made it worse and to not take it anymore. She still didn't get better so she went back on August 5. Her blood count was going back up and her lungs were the same. So she was given Factive 320 mg., Singulair 10 mg, Proventil HFA Inhaler, and ADvair and a steroid shot. August 7 she went to the Pulmonologist and was told her X-Rays look fine and they did the Spirometer breathing 'test' in which she passed with flying colors! The only thing he could see was that she was "Holding" a little air somewhere and was put on Singulair again! It hasn't helped at all! Everytime we've been to the doctor she has had a 98% or better oxygen level and her blood pressure is good. She doesn't smoke- no negative health before or in family history. (Her dad had a stroke at 45 yrs. old.) PLEASE, give me ideas on what to ask for... what to do! It seems like doctor's don't know what is going on.
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rooted
replied on August 16th, 2008
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I understand your worry but there's no need for panic. Your mom will pick up on it.

I'd suggest that your mom learn and practice deep breathing. She can request help from a yoga teacher or a meditation teacher. Slowing down will really help her, I believe. Focus her attention on one thing - breathing - and I assure you that it can improve.
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kendranjosh
replied on August 16th, 2008
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Hi
Just wanted to say thank you. The incentive spirometer is helping her to learn to breath deeper. Hopefully it will work - even if it is slowly.
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rooted
replied on August 17th, 2008
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Sure thing, Kendra. I know that it's very worrying when a parent is ill and we don't know what to do. Maybe you can learn some breathing techniques to practice with here. It might make you feel better to know that she's working toward recovery. Would you like to me outline a simple 3-part breathing lesson?
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kendranjosh
replied on August 17th, 2008
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thanks
if you would like to I'd appreciate it; if you think it will really help, her CT is tomorrow... I can let you know how it went if you want
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rooted
replied on August 19th, 2008
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Super. I'd love to hear about the appointment and CT results. And here's a short lesson on 3 part breathing.

Basically, the goal of deep breathing is to increase capacity for oxygen to be taken in and for CO2 to be expelled from the body. Imagine the torso in three parts:

* from the bottom of the pelvic floor to the navel
* from the navel to the bottom ribs
* from the top ribs to the shoulders and neck

Each of these three parts should be affected during breathing. First, your mom can lay on her back (on the bed or floor ... but somewhere she can spread out and lay comfortably). First have her concentrate on her stomach. Ash she breathes in, have her place her hands on her stomach. The stomach should rise as she inhales. The stomach should fall as she exhales. Have her focus only on filling up the stomach and the parts of the body BELOW THE BELLY BUTTON with air. If you see her shoulders rising, she is cheating and needs to start again. Wink Part 1 complete.

Then, she should take her hands and place them on the side of her ribs. She should continue to breathe into her stomach but this time, she's allowed to increase the breath into the second part of the body --- from the navel to the center of her chest. Have her concentrate on feeling the ribs move out to the side as she fills up with air. Inhale into the stomach, the ribs. Exhale from the ribs to the stomach. Part 2 complete.

Well...you probably know what's coming next. The whole enchilada. She breathes into the stomach, the ribs, and now all the way up into the shoulders. THIS is the full breath. 3-part breathing is also a practice of concentration. It's difficult to even take 10 full breaths like this. So, start out slow --- aim for 5 full CORRECT breaths and then increase a day at a time by intervals of 5.

Do you think that you can do this with her?
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kendranjosh
replied on August 19th, 2008
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yes, I'll definately get her practicing this breathing technique. I called about her test and they haven't called me back yet. Thanks!
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rooted
replied on August 20th, 2008
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You're welcome!!!
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