New and undiagnosed

Posted by yvonne55 @yvonne55, Sep 7, 2022

Just spent 10 days in hospital. Never had a lung problem but did have GERD briefly. Suddenly couldn't breathe. No air! Blacked out. In hospital received 100% oxygen. Slowly weaned and sent home. Got a "maybe" diagnosis of Interstitial lung disease. Im on no oxygen. Drs said I didnt need it. At rest 02 is 93%. Getting up out of bed and 02 dips 88, 85 %. Drs seem unconcerned. I'm scared! Am I chained to my bed for life? Are my 02 sats ok to go that low as long as they come up?

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@yvonne55

Yes Sue I have to put my scary toy away. But the weirdest thing was....I've been reading on Google over and over that anxiety can cause 02 saturation levels to decrease. Even his nurse said yes absolutely! When I asked him? He said absolutely NOT! Who knew?
Anyways, I forgot to tell you I have a sliding hiatus hernia! So he did ask about my medication for my GERD and I said it was Nexium. He asked if I had any breakthrough heartburn and so far I dont but a little bottle of 14 pills here costs $25.00. I'm wondering if a prescription would yield more pills and cost less. He said dont eat anywhere close to bedtime. I do that anyway. I have breakfast about 9 am and dinner about 3:30 so everything is digested well. He also said lose more weight AND get on a low acid diet. Lose the chocolate, caffeine, onions, garlic, tomatoes, pizza fried greasy food etc which I've been doing anyway to keep my body healthy. Except I do love tomatoes and salsa so that's not fun. I was trying to ask about certain foods like is ice water bad for the lungs, and I miss my yogurt, my protein powder and my cottage cheese and are dairy products really that bad regarding mucus? But he said he only does lungs, not diet so to ask my doctor.
I was only asking because I think this situation made my doctor so nervous, that when I have any lung related questions he says to ask the pulmonologist! Anyway, the pulmonologist said for my next visit we will do the 6 min walk, the spirometer, the breathing tests. And he will keep up my ct scans every 3 months till hes satisfied they are all healed. Thank you for asking Sue. I'm not at all familiar with hiatus hernias so I know nothing about if theres any no nos to owning one of these lol!!!

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I had a hiatal hernia for over 10 years before they operated on it. I had 7 ulcers in my throat due to GERD for many years and could feel when they were getting worse or a little better (never fully healed until after surgery and now are scar tissue). One of my triggers for the GERD was gluten. I didn't fully cut it out of my diet, but had to be aware of how much I had in a day. I finally had enough when I was throwing up on a regular basis and asked a doctor about it. Other people that I know have few symptoms before having the surgery. I had become so sensitive to some things like mint. If anyone was near me on the subway or in the same room with me and chewing gum, I would be sick. I have figured out other flavors for toothpaste (thank God for Amazon).
My surgeon said that I had a very large hiatal hernia (over 1/2 of my stomach would go above my diaphragm). I had my hiatal repair 5/4/2021 (1 year before my lung transplant). However, I found out recently that they really only have 1 shot fixing the hernia and if something goes wrong it is hard for them to go back and fix it.
I hope that you are able to resolve all of your issues.

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@sueinmn

Here's how I would look at it. "Okay, I had a really bad and unfortunate case of undertreated pneumonia.. l ended up getting really sick, intubated, and scared to death. Awful! But it finally got the attention it deserved.
Now, I'm getting stronger, they have looked at my lungs twice and they are improving. My life is getting better, the pulmonologist can see I'm improving. Time to push myself gently and see how healthy I can get in the next 4 months..."
But that's me - having survived heavy metal poisoning from faulty hips - lost most of my hair, had 3 surgeries, developed tremors, was days from having my thyroid removed when they figured out it had reregulated itself. And a multiyear lung infection with many medications and horrible side effects. (At my last visit, after 4+ years of visits every 3 months, CT scans and sputum tests, the pulmonologist said "I'll see you in a year unless you get sick again")

How do you feel about waiting 4 months? Are you getting stronger? Did you put that @#$g pulse-ox away?
Sue

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Hi Sue, sure I'm ok with waiting 4 months and physically yes I'm getting stronger. I take the pulse ox out when I walk. In Sept during my walks, my sats were 94% and pulse 113.
Here we are in January. I still walk. 02 and pulse are still the same.
I'd hoped my sats would be higher during walks by now. I'm up everyday whereas I used to sit and watch tv everyday. Other than that the ox is put away.
I'm also losing my hair. I guess I'm afraid theres something they havent found. I suppose I figured I'd be ready to work by now. I cant believe what you've been through. Unreal. I appreciate your taking time with me. I'm really hypervigilant since this happened and I hate it. Hugs to you. If you need to get stern or tell me things I dont want to hear, tell me anyway. If you think I'm being impatient, tell me. Or going overboard obsessing about my 02 then tell me that too. And thank you!
Yvonne

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@chickytina

I had a hiatal hernia for over 10 years before they operated on it. I had 7 ulcers in my throat due to GERD for many years and could feel when they were getting worse or a little better (never fully healed until after surgery and now are scar tissue). One of my triggers for the GERD was gluten. I didn't fully cut it out of my diet, but had to be aware of how much I had in a day. I finally had enough when I was throwing up on a regular basis and asked a doctor about it. Other people that I know have few symptoms before having the surgery. I had become so sensitive to some things like mint. If anyone was near me on the subway or in the same room with me and chewing gum, I would be sick. I have figured out other flavors for toothpaste (thank God for Amazon).
My surgeon said that I had a very large hiatal hernia (over 1/2 of my stomach would go above my diaphragm). I had my hiatal repair 5/4/2021 (1 year before my lung transplant). However, I found out recently that they really only have 1 shot fixing the hernia and if something goes wrong it is hard for them to go back and fix it.
I hope that you are able to resolve all of your issues.

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Chickytina
Was it GERD that necessitated the lung transplant?
I'm on pantaprazole and its working well. I mistakenly thought the PPI meds took care of the regurgitation as well as the acidity of it. Nobody told me different. But apparently the fluid still comes up? I eat way before bed and sleep on a wedge so I've not been further bothered by fluid or acidity. I was so looking forward to sleeping flat again but I guess that's a no. I'm learning as I go!

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@yvonne55

Hi Sue, sure I'm ok with waiting 4 months and physically yes I'm getting stronger. I take the pulse ox out when I walk. In Sept during my walks, my sats were 94% and pulse 113.
Here we are in January. I still walk. 02 and pulse are still the same.
I'd hoped my sats would be higher during walks by now. I'm up everyday whereas I used to sit and watch tv everyday. Other than that the ox is put away.
I'm also losing my hair. I guess I'm afraid theres something they havent found. I suppose I figured I'd be ready to work by now. I cant believe what you've been through. Unreal. I appreciate your taking time with me. I'm really hypervigilant since this happened and I hate it. Hugs to you. If you need to get stern or tell me things I dont want to hear, tell me anyway. If you think I'm being impatient, tell me. Or going overboard obsessing about my 02 then tell me that too. And thank you!
Yvonne

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My O2 while moving is always 92-94, and my heart rate varies from 106-130 (resting is 98-99%/76bpm.) I keep hoping time and exercise will, but no... So I just ignore it except if I get short of breath just standing still. It's just part of life for me, and for many people I know. My younger brother would be delighted with 94% sats -ever!
As for hair loss - I'll guess stress and an after effect of your illness. Relax and give yourself daily scalp massages...

Just keep on moving - can you put an app on your phone to tell your daily active minutes? I aim to move at least 30 minutes on my walk and 10-15 minutes per waking hour the rest of the day - my goal this week is 250 minutes per day - last week I averaged 230/day, which includes housework, errands, exercise...
Sue

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@sueinmn

My O2 while moving is always 92-94, and my heart rate varies from 106-130 (resting is 98-99%/76bpm.) I keep hoping time and exercise will, but no... So I just ignore it except if I get short of breath just standing still. It's just part of life for me, and for many people I know. My younger brother would be delighted with 94% sats -ever!
As for hair loss - I'll guess stress and an after effect of your illness. Relax and give yourself daily scalp massages...

Just keep on moving - can you put an app on your phone to tell your daily active minutes? I aim to move at least 30 minutes on my walk and 10-15 minutes per waking hour the rest of the day - my goal this week is 250 minutes per day - last week I averaged 230/day, which includes housework, errands, exercise...
Sue

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Yes actually I was planning to buy a Fitbit tomorrow. One without an oximeter! Today was the first time I babysat my 1 year old grandson since I got sick and all went very well.
If 94% is good during movement I'm happy with that. I do get concerned because sometimes (previous to putting in away my ox) I find I'd have to deep breathe to get my resting 02 to 97. Sometimes I find I breathe very light and now that I'm aware of it, I've often noticed myself holding my breath subconsciously. If I'm laying in bed into a movie I can actually go down to 90. Is this odd?

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I was on (and I am still on) pantoprazole. It cut down the acid reflux for me, but mine was a severe case. The doctors then added Pepcid to try to control the acid more. I had cut out many things from my diet over the years. First thing to go was wine about 20 years ago (wasn't much of a wine drinker so that didn't bother me). Then I couldn't have juice (made since to me). Then was the gluten and then the severe mint sensitivity. Many people that I have spoken to are affected by spicy food, but this doesn't have any effect on me.
I don't believe that it brought on the IPF though. However, it is effecting my lungs and we are trying to get a handle on it so that it doesn't shorten the life of my new lungs. I go every month for a bronch and it has been showing the beginnings of rejection so then I go for transfusion of strong steroids (25x normal amount). My pulmonologist has sent me to a gastriontologist and a gastro surgeon, but not getting the results that we want. He is looking for another doctor that understands the effects of the gastro issues with the lungs.

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@yvonne55

Chickytina
Was it GERD that necessitated the lung transplant?
I'm on pantaprazole and its working well. I mistakenly thought the PPI meds took care of the regurgitation as well as the acidity of it. Nobody told me different. But apparently the fluid still comes up? I eat way before bed and sleep on a wedge so I've not been further bothered by fluid or acidity. I was so looking forward to sleeping flat again but I guess that's a no. I'm learning as I go!

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It sounds as though Nissan Surgery should be an option for you. I was having terrible gerd and this was done. You might want to check it out. Mine was so bad that it ate through the flap that keeps food down.

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@pat1015kristy

It sounds as though Nissan Surgery should be an option for you. I was having terrible gerd and this was done. You might want to check it out. Mine was so bad that it ate through the flap that keeps food down.

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Now that more time has gone by ( I'm still on pantaprazole) but I'm wondering if I need it anymore. I've cut out all the acid producing foods and never needed extra acid control. Gastric juices no longer seem to come up to my throat but I also ensure to have my last food of the day by 4 or 5 pm. Theres been days I've forgotten my pantoprazole altogether and didnt notice.
Before my aspiration pneumonia I was taking 5-7 tylenol 3s a day for back pain so I could keep working as my husband has stage 4 renal disease and Guillain barre syndrome so I'm the bread winner. So those didnt help either. I'm hoping not to have to take pantaprazole for life. I do miss my chocolate, mint and tomatoes!

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@yvonne55

Now that more time has gone by ( I'm still on pantaprazole) but I'm wondering if I need it anymore. I've cut out all the acid producing foods and never needed extra acid control. Gastric juices no longer seem to come up to my throat but I also ensure to have my last food of the day by 4 or 5 pm. Theres been days I've forgotten my pantoprazole altogether and didnt notice.
Before my aspiration pneumonia I was taking 5-7 tylenol 3s a day for back pain so I could keep working as my husband has stage 4 renal disease and Guillain barre syndrome so I'm the bread winner. So those didnt help either. I'm hoping not to have to take pantaprazole for life. I do miss my chocolate, mint and tomatoes!

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Hi Yvonne, it's great to hear you are doing well. As far as the pantoprazole, maybe ask your primary about a "trial vacation" from it?
I'm with you on missing favorite foods. But maybe you can try adding them, one at a time and in small quantities, to your diet? I have been able to manage this with fresh-squeezed grapefruit juice or the occasional tree-ripened grapefruit this winter after not tolerating that for 5 years. The key for me is to have it early in the day, and a moderate amount. I also know I can eat chili - before 6 pm. If I eat it later, I will have a miserable night.
I hope I never have to give up my daily dark chocolate though!
Sue

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@sueinmn

Hi Yvonne, it's great to hear you are doing well. As far as the pantoprazole, maybe ask your primary about a "trial vacation" from it?
I'm with you on missing favorite foods. But maybe you can try adding them, one at a time and in small quantities, to your diet? I have been able to manage this with fresh-squeezed grapefruit juice or the occasional tree-ripened grapefruit this winter after not tolerating that for 5 years. The key for me is to have it early in the day, and a moderate amount. I also know I can eat chili - before 6 pm. If I eat it later, I will have a miserable night.
I hope I never have to give up my daily dark chocolate though!
Sue

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I went to my pulmonologist today and he said my lung function test was good and my 6 minute walk test was good however the CT scan I had last week compared to the one I had 3 months ago was still basically the same. The ground glass opacities are much less and he is pretty sure that it was ours due to aspiration pneumonia from GERD. He said the scarring has not changed. Now I don't know if scarring gets better with lungs ? Or stays the same or gets worse. But he said it's the same as in the last CT. Having said that he has decided to err on the side of caution and is sending me to a lung scarring specialist. And he wants my lung function test and CT repeated in 6 months. Is anyone familiar with lung scarring and does it generally get better? I think just the thought of going to another specialist, when I thought this nightmare was over, of course worries me. I'd never even heard of a lung scarring specialist. Anyone? Thanks in advance 🙂

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