Breathless: Hello all, I looking for advice from... - PMRGCAuk

PMRGCAuk

21,317 members40,425 posts

Breathless

coda123 profile image
12 Replies

Hello all,

I looking for advice from anyone who is, or has been, very short of breath on exertion. I was doing fine on the dead slow taper and was at 15 mg, but in June I had a bleed caused by cardiac medications. The hospital Doc put me up to 30 mg so I had to start tapering all over again. By September, I was down again to 15mg, I developed shortness of breath when exerting myself at simple things like dishwashing, bed making, etc. I know this is a great excuse to lie on the couch all day, but trying to maintain a life here.

My GP keeps telling me I have steroid myopathy as I have muscle weakness in arms and thighs and must keep the taper going. Now at 12.5 mg on alternate days, the breathlessness is not improving. Lungs are ok after CT scan of arteries, heart (2 stents) ok. I can walk 2-3 blocks despite being short of breath.

Thanks for your advice and best wishes to all.

Written by
coda123 profile image
coda123
To view profiles and participate in discussions please or .
12 Replies
SheffieldJane profile image
SheffieldJane

I sympathise with this distressing symptom. You are doing right, I am sure, gently building up your stamina. Well done for”trying to have a life here” that couch can be pretty tempting. I have found a Fitbit motivating in the past.

coda123 profile image
coda123 in reply toSheffieldJane

Thank you Jane, I like your idea about the Fitbit and will look into getting one. Take care.

Daisychain12 profile image
Daisychain12

Poor darling. I’m in hospital with steroid induced myopathy. In my arms and legs. I have been terrified of it affecting my diaphragm it the specialists tell me to keep tapering and doing physio. Eat good protein too as our muscles badly need it. Please can you do me a big favour and let me know what happens as we need to share knowledge. Xx

coda123 profile image
coda123 in reply toDaisychain12

Hi Daisy, Thank you for your support, I will keep in touch. You have a hard time and I hope you will recover your strength soon. Trust in the rehab. I don't know if my diaphragm is affected, I am waiting for specialist appointment. I read about protein and myopathy and have started taking a protein drink used by weightlifters. Too early to tell if it helps but will let you know. xoxo

Daisychain12 profile image
Daisychain12 in reply tocoda123

Thank you so much coda. I urge you to find a physio NOW to help you recover some strength and function. I wish I'd done so earlier. It's very rare to get it as bad as me they tell me. I think ha I g loads of protein is definitely important. Please stay in touch xxxxxxx

PMRpro profile image
PMRproAmbassador

I had that problem with "just" PMR originally, before pred. It also happens with a flare - but that also makes the atial fibrillation worse, which also makes me breathless during an episode if I am trying to do something. No answers from anyone though.

Mind you - OH has just had bleeding due to his anticoagulant medication which required several days in hospital - and he is breathless walking from one room to another! Is your bleed stopped and how is your haemoglobin level?

WHY did the doctor put your pred up to 30mg?

coda123 profile image
coda123 in reply toPMRpro

Hi Eileen,

Thanks for your reply, always reassuring to have your view. The bleed was in June, a posterior nasal bleed and after 10 days in hospital with what is called a Rhino Rocket up my nose it finally stopped. The pred was increased as a stress dose which seems to be a hospital protocol for complex cases during medical procedures or operations. Because of stents, I was taking Brilinta/Ticagrelor, a platelet aggregation inhibitors and aspirin. After the bleed I was switched to Plavix. See this article for info, I hope your OH is on the mend.

ncbi.nlm.nih.gov/pubmed/239...

PMRpro profile image
PMRproAmbassador in reply tocoda123

More skeletons crawling out of cupboards eh? I found a report from 2014 saying that some would be far safer if they checked the blood levels and adjusted the dose. But the USP of these new drugs is that they don't need to be monitored - so saying they should be might put the punters off. Think I'd rather not bleed...

coda123 profile image
coda123 in reply toPMRpro

Right, we need advanced medical degrees just to be patients.

PMRpro profile image
PMRproAmbassador in reply tocoda123

Got it in one!!!!!

Cetus profile image
Cetus

coda123 I too sometimes get exceptionally breatheless on exertion and am having it looked into.

Out of several possibilities, one is acidosis because when I am unwell with this I get slow gasping "Kussmaul" breathing at rest (such as waking up without getting out of bed) and then during the day sudden fast breathing on the slightest exertion.

There can be lots of reasons for acidosis, if it turns out to be the cause of breathlessness. I have a mild kidney problem which may be a factor but you will probably be quite different.

It's worth getting it checked out.

coda123 profile image
coda123 in reply toCetus

Thank you Cetus, I will look into acidosis.

Not what you're looking for?

You may also like...

Breathless

Hi everyone, haven't posted for a while but right now I really need some advice. I've been reducing...
JJackdaw profile image

Advice please

Have got down to 7 using the dsns method without too much drama. Aches in shoulders but fade as day...
Hollyseden profile image

Any experience of having GCA and Actemra (TCZ) being discontinued while still trying to taper steroids

Diagnosed with GCA June 2019. Tried to taper Prednisolone but had a few flares so was prescribed...

How can 1/2 mg make so much difference?

For the past month I have been tapering from 13&1/2mg pred. to 12&1/2 mg. I was at 13mg for 2 weeks...
Linny3 profile image

An alarming visit: Rheumy suggested infusing with 500 mg per day for 4 days after I've already been tapering for 4 months

Hi all, I'm a GCA patient, diagnosed in AUG via a positive Temporal Artery Biopsy. I started on...
montebello profile image

Moderation team

SophieMB profile image
SophieMBPartner

Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.

Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.