I have Interstitial lung disease. Coughing and S.O.B upon exertion.

Posted by Kathleen Holcomb @kathleen1959, Jan 26 8:47am

I have oxygen if I need it. I have to use the portable tank when walking on treadmill. My pulmonologist has me on Ofed. I have an inhaler I use twice a day, and a nebulizer if needed. I also have asthma.
I have had three CT scans and two chest xrays. My fibrosis is in both lungs. My recent xray shows " increased marking in both lungs extending to the upper lungs to the bases and appear to involve both peripheral and central lung"
I live in Springfield Illinois. My pulmonologist has made an appointment for meat the pulmonary specialty part of Washington University in St. Louis Missouri. He said they will probably want to perform a lung biopsy.
Has anyone else experienced this.
I am frightened. I feel more frightened when the coughing starts.

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@bopsahl

I’ve also have ILD and there isn’t much for us people. If you have pulmonary fibrosis they have lots of clinical trials. I was in a pulmonary fibrosi trial and the last day ready to start the medicine they said that I had ILD. so no trial. The trial that I was to go in had Bextrograst for the trial and it had some good results. And I heard that they have used it for ILD. Mayo Clinic in Jacksonville FL. won’t take in new patients. I go to the gym 5-6 days a week and walk 30 minutes to 60 minutes every time I go. Plus I do some weights. But I’ve had my shoulder replaced and can’t do heavy weights. I’m doing an exercise program with Mayo in Minnesota and that is 12 weeks. I’ll be done next week. But if you know of any trials or anything else for us ILD people I would like to know. I walk on the treadmill and outside everyday. I’m doing from 5000 to 11,000 steps a day. I use oxygen at night when I sleep. It’s hard to believe that they can’t find something to help. My doctor in Florida is worthless.

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Why is the Jacksonville Mayo not taking on new patients? If that's the case they should be able to refer you to another Mayo----what about Rochester. You are fortunate to be on the east coast as all up and down there are large Medical facilities at your disposal. Even in Georgia, there's also Vandy that has a progressive Pulmonary program. Find a new physician. Your "steps a day" are phenomenal! Keep it up!

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@sidney073

Kathleen,
I was diagnosed with IPF in December 2023, my Lung Capacity was measured at 48% with the IPF in both lungs. My Left lung was much worse than the right. I had been referred to Mayo Clinic in Jacksonville, Florida ( I live in Central Florida) and they performed an array of testing which included a Broncoscopy and Biopsy’s. Prior to this I was never ill, had never been overnight in the hospital, had never been under anesthesia, and was trying to find the reason for a persistent cough.
I get your fear, as does my wife! Since those first initial tests, and my Left Lung Transplant in April of 2024 I have had multiple Bronchoscopy’s with Biopsy’s, now they are almost routine. While any “invasive” medical procedure has its risks, I had complete confidence in my team at Mayo Jax, I had researched their performance and found it to be the highest level.
Also I was approved for both a Single Left, and Both Lung’s Transplant. After the many tests performed it was determined that my Left lung was at 30% to 35% and my Right lung was at 65% to 70%, when a Left lung was available I accepted it, and have been amazed at the results!! I feel better than I have in a very long time, and the end result has been well worth the journey!!
You will have fears, and challenging decisions to make, we certainly did. Know you are not alone in this, see if there is a support group in your area, or through the hospital, also get into a Pulmonary Rehab program, and have it tailored to your Lung Health. If you need to reach out to me please feel free to do so, no one knows your potential coming journey better than someone that has been through it. I have seen this from being a part of our Mayo Clinic Lung Transplant Support Group.
Hope this helps you, and if you need to please reach out.
Sid

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Thank you for sharing with me your experience,
Did you experience
Severe coughing at times?
Sometimes I just feel ill is this part of it? Also my chest will feel tight.
Thank you ahead of time for your reply.

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@kathleen1959

Thank you for sharing with me your experience,
Did you experience
Severe coughing at times?
Sometimes I just feel ill is this part of it? Also my chest will feel tight.
Thank you ahead of time for your reply.

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Kathleen, yes I had a persistent cough that would have me out of breath most of the time with any exertion. That was what first brought me to Mayo, local doctors couldn’t figure out what was causing it. For me the tightness was attributed to my lungs being so compromized by the IPF. Mayo found my lung function at 48% which made my chest feel tight when trying to get enough air in. Hope this helps.

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Yes it does. My lung function is 50%. This morning the cough woke me up. My chest was tight and I had pain in my upper back. I used my nebulizer, it seemed to help.
Thank you for sharing.

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If you can and your doctor has not told you otherwise, do what you can to move, i.e. bike, walk, do steps, anything aerobic within your abilities that also gets you coughing up the mucus. The mucus sitting in your lungs could be damaging you more— getting it out is important, at least it was for me. My doctors have told me that my exercise has kept the disease from damaging me more than it would have if I did not exercise. I asked them why no one ever told me to exercise and they said they stopped doing it because no one listened.

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@spectrumcyclist

If you can and your doctor has not told you otherwise, do what you can to move, i.e. bike, walk, do steps, anything aerobic within your abilities that also gets you coughing up the mucus. The mucus sitting in your lungs could be damaging you more— getting it out is important, at least it was for me. My doctors have told me that my exercise has kept the disease from damaging me more than it would have if I did not exercise. I asked them why no one ever told me to exercise and they said they stopped doing it because no one listened.

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I take a exercise class for seniors Monday thru Friday and I can manage 22 minutes on the treadmill right now. My doctor did tell me exercise is important.
I guess I'm lucky to have him.
Thank you so much for sharing and your advice.

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@melbourneaussie69

My mother died of Interstitial Lung Disease and while doing so I was focused on her until she died. Following that I started to feel breathlessness and was diagnosed with Interstitial Lung Disease, my mother was diagnosed early and lasted 7 years, I believe I had already had it for a year or more before being diagnosed. My lung capacity was 21%, I was referred to a lung specialist who proved to be an oxygen thief as I had admitted to being an ex-smoker and he seemed to be dragging me along, 7 months of him doing so I awoke in Intensive Care after 5 weeks of intubation, my wife ensured I was placed into the hospital my specialist was as I had awoken hypoxic and was rushed to Emergency. I could not even lift my finger or talk when I awoke. I fought over 4 months to regain the ability to move with the help of a team of physio therapists, but my lungs were deteriorating rapidly. I eventually had to be placed on high flow oxygen to enable me to continue physio, but just standing for 40 seconds dropped my saturation to 51%. I then began to request assessment for a lung transplant pointing out how I was let down by one of the lung clinic team members. I was rushed through the assessment process and told I had a 5% chance of survival, I was persistent for the sake of my wife and kids, and I was successful. After the operation I was in Intensive Care for another month and defied the odds as I sit here almost four years later, it has been no walk in the park, but I have been given a second chance. I was one of the luckiest people ever to need a transplant, after being approved I signed paperwork related to the operation and a donor was found 6 hours later. I was operated on the day after being approved. You have to advocate for yourself and push your doctors (if that is what you want to do), my mother refused to entertain the idea of a transplant, I felt I had no choice. I am lucky I am Australian and it cost me nothing.

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How old are you? I am 71 with ILD. Lung function around 45-47%.
I have been asked twice about going on the transplant list but at my age...
I was in very very good health, very physically active until the ILD laid me out flat. It hit me in a matter of days.
How old is too old for a transplant?

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I am 55 years old, but I saw many patients during my recovery therapy that were around your age. I was the same as you, very active and my mother was in hospital and died of ILD. During that time, I did not pay attention to myself. It was afterwards when doing mundane easy tasks that I found myself breathless. I awoke hypoxic, unbeknown to me and was hospitalised for five months, three of which I was dying with the ILD progressing rather aggressively. I don't think there is such a thing as too old, I think it is how strong are you which will determine whether you will recover. The doctors would not offer it if it was a waste of time.

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@sidney073

Kathleen,
I was diagnosed with IPF in December 2023, my Lung Capacity was measured at 48% with the IPF in both lungs. My Left lung was much worse than the right. I had been referred to Mayo Clinic in Jacksonville, Florida ( I live in Central Florida) and they performed an array of testing which included a Broncoscopy and Biopsy’s. Prior to this I was never ill, had never been overnight in the hospital, had never been under anesthesia, and was trying to find the reason for a persistent cough.
I get your fear, as does my wife! Since those first initial tests, and my Left Lung Transplant in April of 2024 I have had multiple Bronchoscopy’s with Biopsy’s, now they are almost routine. While any “invasive” medical procedure has its risks, I had complete confidence in my team at Mayo Jax, I had researched their performance and found it to be the highest level.
Also I was approved for both a Single Left, and Both Lung’s Transplant. After the many tests performed it was determined that my Left lung was at 30% to 35% and my Right lung was at 65% to 70%, when a Left lung was available I accepted it, and have been amazed at the results!! I feel better than I have in a very long time, and the end result has been well worth the journey!!
You will have fears, and challenging decisions to make, we certainly did. Know you are not alone in this, see if there is a support group in your area, or through the hospital, also get into a Pulmonary Rehab program, and have it tailored to your Lung Health. If you need to reach out to me please feel free to do so, no one knows your potential coming journey better than someone that has been through it. I have seen this from being a part of our Mayo Clinic Lung Transplant Support Group.
Hope this helps you, and if you need to please reach out.
Sid

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What was the surgery like, and what was the recovery process like when you have only a single lung transplant?
Thanks.

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@cameron747

What was the surgery like, and what was the recovery process like when you have only a single lung transplant?
Thanks.

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I have been truly blessed during this entire journey. I did some pre-prep so that when the call came I had done what I could to set the Mayo Team up for success. This sped up the pre-surgery prep which got me in to Surgery quicker. I was told my surgery went very well, due to my recovery from the anesthesia, and high pain threshold, I was only in the ICU for a day and a half. I was able to begin walking very quickly, and my incision healed very quickly.I have always been blessed with healing from cuts. I followed the medical teams instructions completely, and documented it on the White Board in my room. I honestly didn’t have much pain, which surprised the Surgeon, Doctors, and Nurses. I have been blessed that my natural lung has maintained, while my new lung has expanded to fill my chest cavity faster than the team expected. I had also done Pre-Physical Therapy prior to getting the call for my transplant which helped immensely. An example would be I had done “Sit to Stand” exercises in Pre-Hab and when The Physical Therapist did a timed 10 repetition test I did 2 of them and matched the record for this exercise. Hope this helps.

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