Are the lungs or heart causing shortness of breath and no energy?

Posted by mirsy @mirsy, Oct 6, 2024

My husband has been diagnosed with Bronchiostatis and also Pseudonomas which was treated several times with antibiotics in the hospital and at home. The coughing stopped after that but now it is back again and sounds very congested again. He has given 3 sputum samples but evidently there was something wrong with them or a miscommunication between doc and lab. He will be 80 in Feb and also has congestive heart failure and is very tired most of the time and experiencing shortness of breath. He gets an infusion 1/x /mo. for CLL and then gets a little more energy. He just saw the cardiologist who said He is not sure if the no energy and shortness of breath is caused by his lungs or his heart. He has ordered additional heart tests and we are trying to get a sputum sample. Do any of you with brochiostatis and possible pseudomonas have any shortness of breath or tiredness? I feel like we are just spinning our wheels here and my poor husband is not getting any better. Thank you so much for your help. Miriam p.s. he calls himself "a medical wonder" 🤣

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@deestrada

I was experiencing no energy and shortness of breath. I was diagnosed with both MAC and Bronchiectacis. To determine what was influencing those symptoms, lungs or heart, my cardiologist did an echocardiogram. The results pointed clearly that my lungs and conditions affecting them are the cause of the no energy and shortness of breath for me, not the heart.

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Do you still have no energy and shortness of breath? If it has improved please tell what has helped. Thank you! Miriam

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An Echocardiogram confirmed that my heart was most likely not the problem with no energy and shortness of breath. The cause has been my lungs with accumulation of mucous and inflamation, from bronchiectasis, and problems with drug interactions. Additionally, after a sleep study it appears that during a good portion of my sleep cycle my oxygen satuations goes down to 84%. Consequently, while I may note 8 hours of sleep, I'm tired all the time because my organs are not getting enough oxygen during the night. I am scheduled for a hospital sleep study in a few weeks to narrow down the issue, possibly with adding oxygen while I sleep.

Two things have helped my tireness and shortness of breath, bronchoscopy and steroids. Obviously I do not want to depend on steroids to help calm my symptoms. The best is to be vigilant in airway clearance, get good sleep and get out in the fresh air and walk!

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@deestrada

An Echocardiogram confirmed that my heart was most likely not the problem with no energy and shortness of breath. The cause has been my lungs with accumulation of mucous and inflamation, from bronchiectasis, and problems with drug interactions. Additionally, after a sleep study it appears that during a good portion of my sleep cycle my oxygen satuations goes down to 84%. Consequently, while I may note 8 hours of sleep, I'm tired all the time because my organs are not getting enough oxygen during the night. I am scheduled for a hospital sleep study in a few weeks to narrow down the issue, possibly with adding oxygen while I sleep.

Two things have helped my tireness and shortness of breath, bronchoscopy and steroids. Obviously I do not want to depend on steroids to help calm my symptoms. The best is to be vigilant in airway clearance, get good sleep and get out in the fresh air and walk!

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How did the bronchoscopy help and exactly what steroid helped. Thank you very much for your help which could possibly help my husband.

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@deestrada

An Echocardiogram confirmed that my heart was most likely not the problem with no energy and shortness of breath. The cause has been my lungs with accumulation of mucous and inflamation, from bronchiectasis, and problems with drug interactions. Additionally, after a sleep study it appears that during a good portion of my sleep cycle my oxygen satuations goes down to 84%. Consequently, while I may note 8 hours of sleep, I'm tired all the time because my organs are not getting enough oxygen during the night. I am scheduled for a hospital sleep study in a few weeks to narrow down the issue, possibly with adding oxygen while I sleep.

Two things have helped my tireness and shortness of breath, bronchoscopy and steroids. Obviously I do not want to depend on steroids to help calm my symptoms. The best is to be vigilant in airway clearance, get good sleep and get out in the fresh air and walk!

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I doubt that you can be tired because your organs get not enough
oxygen at night. I'd be looking for other reasons

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@deestrada

An Echocardiogram confirmed that my heart was most likely not the problem with no energy and shortness of breath. The cause has been my lungs with accumulation of mucous and inflamation, from bronchiectasis, and problems with drug interactions. Additionally, after a sleep study it appears that during a good portion of my sleep cycle my oxygen satuations goes down to 84%. Consequently, while I may note 8 hours of sleep, I'm tired all the time because my organs are not getting enough oxygen during the night. I am scheduled for a hospital sleep study in a few weeks to narrow down the issue, possibly with adding oxygen while I sleep.

Two things have helped my tireness and shortness of breath, bronchoscopy and steroids. Obviously I do not want to depend on steroids to help calm my symptoms. The best is to be vigilant in airway clearance, get good sleep and get out in the fresh air and walk!

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I recall after previous bronchoscopies that my tests showed much improvement so I understand the usefulness of them. Being on the cusp of osteoporosis and therefore taking prolia, I also agree that things like prednisone have their place but at the expense of bone density/strength so one needs to be aware. I have found that the downside to being on prolia at my age (80) seems to make my immune system less able to fend off germs for inevitably in spite of eg masking precautions I come down with nasty flares that further irritate my lungs. The sleep study sounds like a good idea and it would be interesting to learn from you if oxygen supplementation while you sleep makes a difference since I am wondering the same and will discuss all of the above with my pulmonologist during my upcoming appointment. I did benefit considerably from 18 sessions of active pulmonary rehab and continue to utilize what I learned at home. Good luck!

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