Symptoms of Lung Obstruction: When to Seek Help - Cardiology

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It sounds like you are experiencing significant respiratory distress, particularly when engaging in physical activity or even while eating. This can be quite concerning, especially if you are feeling breathless to the point where you can only lie down and struggle to breathe throughout the day. Additionally, the sensation of your heart racing or palpitating can be alarming, and it is good that you are already on medications like rhythm stabilizers (心律定) and Soreti (索雷帝) which may help manage your symptoms.

Given your history of asthma and the use of bronchodilators and steroids, it is crucial to understand the underlying causes of your symptoms. Here are a few points to consider:
1. Asthma and Lung Function: Asthma can cause airway obstruction, leading to difficulty breathing, especially during physical exertion or when exposed to triggers such as allergens or irritants. If your asthma is not well-controlled, it can lead to increased symptoms like wheezing, coughing, and shortness of breath. It is essential to have a comprehensive asthma management plan in place, which may include regular use of inhaled corticosteroids and bronchodilators.

2. Heart-Related Symptoms: The sensation of a racing heart (palpitations) can be related to anxiety, asthma, or even heart conditions. Since you have already undergone an electrocardiogram (ECG) and echocardiogram, it is reassuring that these tests did not reveal any significant issues. However, if you continue to experience palpitations, it may be worth discussing with your healthcare provider to rule out any potential cardiac issues.

3. When to Seek Help: You should seek immediate medical attention if you experience any of the following:
- Severe shortness of breath that does not improve with your usual medications.

- Chest pain or pressure.

- A significant increase in heart rate or irregular heartbeats.

- Symptoms of anxiety or panic that are overwhelming.

- If you notice a change in your ability to perform daily activities due to breathlessness.

4. Potential Complications: Chronic respiratory issues can lead to complications such as respiratory failure or exacerbations of asthma, which may require hospitalization. It is essential to monitor your symptoms closely and communicate any changes to your healthcare provider.

5. Lifestyle Modifications: In addition to medication, consider lifestyle changes that may help improve your symptoms. These can include:
- Avoiding known triggers (e.g., allergens, smoke, cold air).

- Engaging in gentle, supervised exercise to improve lung function and overall fitness.

- Practicing breathing techniques or pulmonary rehabilitation exercises to enhance your respiratory capacity.

6. Follow-Up Care: Regular follow-up appointments with your healthcare provider are crucial to monitor your condition and adjust your treatment plan as necessary. If you feel that your current treatment is not effective, do not hesitate to discuss alternative options or referrals to specialists, such as a pulmonologist or cardiologist.

In summary, your symptoms warrant careful evaluation and management. It is essential to maintain open communication with your healthcare providers and advocate for your health needs. If your symptoms worsen or do not improve, seeking immediate medical attention is crucial.