Can you have pneumonia with 98% oxygen saturation?

Posted by mkqq @mkqq, Apr 9, 2020

Hi all,

My first post on this forum. I am suffering from bad health anxiety these days just like many others.

I'm wondering if it's possible to have pneumonia (let's say mild) with a normal oxygen saturation of 98%?

It all started with a fever 6 weeks ago. The fever itself only lasted 2 days but since then I've had a wet cough (not that bad), fatigue, anxiety, feel like I'm short of breath doing light exercises.

I've been sleeping very poorly with many sleepless nights at the start. Now I can manage around 6 hours of interrupted sleep per night with the help of Valerian and Melatonin. The poor sleep certainly isn't helping my recovery. It's only now that the wet cough seems to be going away.

The past 3-4 weeks or so I struggle to sleep more than 2-3 hours at a time. Quite often I would wake up breathing quite heavily or faster than usual.

I'm was concerned that I might have a mild form of pneumonia. Doctor advised me to buy a pulse oximeter which I did today. I tested myself and my SpO2 level is average 98%, reading between 97-99%.

So basically my current symptoms are fatigue, lack of sleep, minor throat irritation with little mucus, and breathing issues. The breathing issues is partly psychological but I'm concerned that there is something wrong with my lungs.

Thanks for any input.

Stay safe!

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@chloeliucw

Hi @mkqq, I found an article that details a study on normal oxyhemoglobin saturation during sleep - https://www.ncbi.nlm.nih.gov/pubmed/8989066. They found that for healthy patients, the median saturation was 96.5% +/- 1.5%.

I hope that the study gives you some relief, and that you are continuing to feel better. Do you still feel like your body is having more energy as the days go by, and have you been breathing better for the past few days?

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Yes I do feel like I have slight more energy each day. Although today I was a bit tired and I think it's due to not sleeping well last night.

Breathing seems to be better, although at night in bed I'm still very focused on it which I think is making it worse.

I went to a clinic today and they again did some tests. The doctor checked my lungs with a stethoscope and couldn't find anything wrong. She said it is quite possible that I did have the Coronavirus and now I'm feeling the after effects.

They did a CRP test and it showed no trace of any viral or bacterial infection which means whatever viral infection I've had is gone now. At least that's a bit of good news.

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@mkqq

Yes I do feel like I have slight more energy each day. Although today I was a bit tired and I think it's due to not sleeping well last night.

Breathing seems to be better, although at night in bed I'm still very focused on it which I think is making it worse.

I went to a clinic today and they again did some tests. The doctor checked my lungs with a stethoscope and couldn't find anything wrong. She said it is quite possible that I did have the Coronavirus and now I'm feeling the after effects.

They did a CRP test and it showed no trace of any viral or bacterial infection which means whatever viral infection I've had is gone now. At least that's a bit of good news.

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Hi @mkqq, I am so glad to hear that you are doing better! Thank you for sharing the good news with us – it must be such a relief to know that your viral infection is gone.

If you are still having trouble sleeping, you may be interested in joining this discussion group:
– Sleeping Well During Anxious Times – https://connect.mayoclinic.org/discussion/sleeping-well-during-anxious-times/

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It may be interesting to note that many Covid-19 patients are unaware of their pneumonia although their oxygen level may be as low as 50% (normal is generally considered to be between 95% to 100%). The virus, in many cases, does not initially stiffen the lungs an allows deep and fast breathing to "make up" for the impaired lung function and the deficiency of oxygen. It might be wise for those feeling concern to have their oxygenation checked; this would allow their medical team to take preemptive action, and avoid a ventilator.

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@mkqq

Sorry one more question from me.

What is the normal SpO2 level during sleep?

I'm asking because these days I keep waking up every hour or two breathing faster and heavier than usual. Couple of times I woke up and my heart was beating really fast. I'm concerned that there is something wrong with my lungs that causing me to not breathe properly during sleep.

So if/when I wake up again tonight and feel like I'm breathing fast, I'll check my SpO2 and make sure it's within range.

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It sounds very similar to sleep apnea to me. My whole household has sleep apnea and if I'm not wearing my CPAP I wake up breathing heavily with my heart racing. Your body basically goes into fight or flight mode because you stop breathing for 30 second or more and your body wakes you up. It may be beneficial to you to ask your GP if you may need a sleep study.

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@merpreb

@spudmato- Do you have shortness of breath, SOB? I don't know what COP is.

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I think COP is really COPD. Chronic Obstruction Pulmonary Disease.

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COPD is cardiovascular obstructive pulmonary disease it’s can rang from mild to severe you take air into your lungs but it’s bared to breathe out you can look 👀 it up on google it will tell you all about it there I have COPD if you smoke it’s bet to quit

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