Hi. I am a 51 year old lady and have smoked about 11 cigarettes for almost 40 years. 2 years ago I become quite ill out of the blue. Every day and night since then is almost the same. Being breathless, not breathing well and coughing so much mucus up all the time with a cough that has been with me every day and night a cough that people tell me they have never heard anything like it with someone coughing all the time so bad. Doctors not been too good. Was put on a blue inhaler and serevent and clenil modulite 200. Had a chest xray last year all clear. As time has gone on I have struggled more and the last few months has been dreadful for me calling a ambulance out 3 times, twice I was put on a nebuliser and once on oxygen. The last couple of months become very breathless hardly able to get up my stairs anymore. A average day is wake about 3.30am have to cough up mucus for about a hour and struggling to breath. Oxygen levels for that hour between 90 to 92. Wake again about 6.30am with another hour coughing to get mucus up with oxygen levels again between 90 to 92. Peck flow if I can blow into it at this time of morning is usually 150. Throughout the day I am always having to cough mucus up with peck flow 300 after ventolin but after about a hour dropping down to 250 again. The last 4 months have been taking between 24 to 26 puffs of ventolin a day. A new gp has joined the surgery and he at least has took me seriously. 2 months ago went for a chest xray all clear again.
Last years spirometry June 2013 was as follows fev 1.7l-1.70 normal fvc 2.35l-2.35 normal. fev1/fvcpercent 72.3%-72.30 normal I was told by the asthma nurse that done this test there was nothing wrong with me and sent home to get on with it although I knew there was something wrong with me. 4 weeks ago had reverse spirometry and told they where very low results. Doctor then put me on symbicort 200/6 and took me off the serevent and clenil modulite. Went back last week for a spirometry and results as follows best spirometry result fev1 base 1.16 %54 min 1.49 pred 2.11 max 2.73 fvc base 1.96 % 78 min 1.78 pred 2.49 max 3.24 pef base 203 %59 min 252 pred 340 max 429 fev1/fvc base 59.2 %73 min 69.5 pred 80.2 max 90.9 Interpretations ats moderate obstruction lung age 85. I have asked is this copd been told I have a bit of asthma and a bit of copd. To me I have more then a bit of copd but I am not a doctor. The last 2 weeks doctor has given me saline 6% to use through nebuliser to help me with the none stop coughing up of mucus. It seems to me at least every 2 hours have to take a puff on a inhaler or really really struggle. I am so lost and have no idea what is happening to me but I do know my life is not the same any more. I am so tired so lost and struggle to do even simple things around the house now. Could some one please help me with what is going on with me Thank you