Medical

Have Medical Questions? Ask a Doctor Online!

Ask a Doctor,
Get an Answer ASAP!

Medical

Live in Yosemite National Park, Ca at 4,000 feet I am 65

Customer Question
Live in Yosemite National Park...
Live in Yosemite National Park, Ca at 4,000 feet
I am 65 yrs young, 5'4" and weigh about 160
No form of illness or taking any form of meds.
Just have Asthma.
Lately feeling Extremely exhausted, when I walk I feel like I weigh about 5 times my weight, some times shallow breathing, coughing at times feel like a sand paper and coughing out a hot substance or blood.
Comes and goes.
But when I am in the city I have no problem.????
luisgtorres at gmx com
Submitted: 1 year ago.Category: Medical
Show More
Show Less
Ask Your Own Medical Question
Answered in 2 minutes by:
10/11/2016
Doctor: Dr. Muneeb Ali, Doctor replied 1 year ago
Dr. Muneeb Ali
Category: Medical
Satisfied Customers: 8,359
Experience: MBBS, MD, MCCM. Currently working in Critical Care Medicine with 10 year experience in Medicine
Verified

Hi,

Im sorry to hear about your symptoms. Can i ask do you have any history of smoking in the past? or any exposure to any sort of chemicals or smoke of any kind?

Ask Your Own Medical Question
Doctor: Dr. Muneeb Ali, Doctor replied 1 year ago

Since you seem to be offline , ill leave a response here which we can discuss later.

There are two major possibilities here, one is that you do have an underlying lung disease which worsens with high altitude. This could be in the form of diseases like bronchiectasis which can mimic asthma or even hypersensitivity pneumonitis or even another form of interstitial lung disease. This would be picked up on a simple clinical examination followed by a HRCT of the chest. This would explain the symptoms in your case and would also explain why they occur at a higher altitude.

The second possibility here could be that you are developing high altitude pulmonary edema, this is a condition which exlcusively occurs in patients at higher altitudes. Although it usually occurs at levels higher than 4000 ft however it has been known to occur in patients at altitudes even lower than 4000 ft. This is because each person has a slightly different tolerance for high altitudes. This occurs because of a lower oxygen tension at higher altitudes and this leads to fluid moving out of the vessels and into the lungs. this would cause shortness of breath, decreased exercise tolerance as well as blood in your sputum which would usually be frothy in nature. The solution is to slowly ascend to the altitude to allow your body to acclimatize to the higher altitude.

Do you have any more questions?

Please leave a POSITIVE rating by clicking on the stars above, until you do i am not compensated for my time. You can continue to ask follow-up questions even after the POSITIVE rating. You can also ask questions from me directly by going on the link below,

http://www.justanswer.com/medical/expert-dr-muneeb-ali/

Ask Your Own Medical Question
Customer reply replied 1 year ago
I do not smoke.
Winter time i do fire places
I do use Tilex to clean at work.
I was told i am asthmatic / bronchitis
I have been up here about 12 years and this has been going on for maybe 3 yrs.
***************
Doctor: Dr. Muneeb Ali, Doctor replied 1 year ago

Then high altitute pulmonary edema is unlikely to have caused your issue. However i feel pulmonary edema is the most likely explanation here, pumlonary edema which is occurring because of a cardiac etiology. while you are at normal altitudes the heart is functioning well and is able to keep up with the oxygen demands however when you go to a higher altitude the heart has to work harder in order to achieve the same amount of oxygenation due to the decreased oxygen tension at an altitude. Now this means that your heart is affected but not so much that you would experience symptoms at normal sea level. This could be the result of your asthma or bronchitis which has been known to lead to right sided heart failure. Also patients with heart failure do worsen at higher altitudes. A simple echocardiogram would be able to determine if this is the case. In addition a serum BNP level would be able to help in diagnosis as well.

Do you have any more questions?

Please leave a POSITIVE rating by clicking on the stars above, until you do i am not compensated for my time. You can continue to ask follow-up questions even after the POSITIVE rating. You can also ask questions from me directly by going on the link below,

http://www.justanswer.com/medical/expert-dr-muneeb-ali/

Ask Your Own Medical Question
Ask Dr. Muneeb Ali Your Own Question
Dr. Muneeb Ali
Dr. Muneeb Ali
Dr. Muneeb Ali, Doctor
Category: Medical
Satisfied Customers: 8,359
8,359 Satisfied Customers
Experience: MBBS, MD, MCCM. Currently working in Critical Care Medicine with 10 year experience in Medicine

Dr. Muneeb Ali is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Dr. Ketch

Dr. Ketch

Board Certified Physician

76 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Board Certified Physician

51,780 satisfied customers

Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.

Dr Basu

Dr Basu

Experienced Specialist

20,746 satisfied customers

MD

Dr. David

Dr. David

Board Certified Physician

224 satisfied customers

Treat children/young adults, former chief resident, multiple publications

Dr. D. Love

Dr. D. Love

Doctor

17,463 satisfied customers

Family Physician for 10 years; Hospital Medical Director for 10 years.

Dr Chip (M.D.)

Dr Chip (M.D.)

Doctor

14,592 satisfied customers

20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.

< Previous | Next >

Related Medical Questions
I need albuterol for my asthma but I do not have e referral.
I need albuterol for my asthma but I do not have e referral. … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,095 satisfied customers
Is it possible for a to enter food for the lung? What are
Is it possible for a to enter food for the lung? What are the symptoms and what is the examination because I am concerned… read more
Dr. K.
Dr. K.
Staff physician
538 satisfied customers
I have mild bilateral bronchiectasis. My main complaint is
I have mild bilateral bronchiectasis. My main complaint is shortness of breath. At a recent doctor's visit, I was talking to the PA who also had bronchiectasis, and he said what has done very well for… read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
17,463 satisfied customers
Chronic cough left after flu is it asthma. Nearly a month
Chronic cough left after flu is it asthma JA: How long have you been dealing with the cough? Are you having any other symptoms? Customer: Nearly a month could have sinus problems JA: Anything else in … read more
Dr Uzair
Dr Uzair
FCPS (R) General Surgery
M.B.,B.S. FCPS
3,696 satisfied customers
I have a question reguarding asthma. I never disclosed my
Hello I have a question reguarding asthma. I never disclosed my asthma at MEP's which wasn't smart of my part. I have completed boot camp and MCT. At boot camp I endured some difficulties with my asth… read more
Dr. Mo
Dr. Mo
Board Certified Physician
MD
1,781 satisfied customers
Have a bad cold, asthma and getting "coughing fits" that
have a bad cold, asthma and getting "coughing fits" that feel like my head will explode - I have been taking Vicks Dayquil and drinking lots of water, could I take a oxycodone tablet after I am free o… read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
17,463 satisfied customers
Decrsed O2 levels at night. Asthma and bronchitis i am on O2
asthma and bronchitis i am on O2 at night. Is it hypoxitia?… read more
Richard Han
Richard Han
Pediatrician
Post-Doctoral Degree
540 satisfied customers
I have a head and chest cold and asthma. 120mcg 2 puff x2a
Hi My name is***** have a head and chest cold and asthma. 120mcg 2 puff x2a day and ventolin 90mcg rescue inhaler. Cough started to get bad yesterday and I got some cough syrup but I can't inhale my i… read more
Dr. Huynh
Dr. Huynh
Assistant Medical Director
Doctoral Degree
107 satisfied customers
My 16 year old son has asthma and plays highschool contact
My 16 year old son has asthma and plays highschool contact hockey.Hes on Symbicort and Ventilun inhalers and also on Singular. His breathing seems to be under control but sice last year hes having diz… read more
Dr. Mo
Dr. Mo
Board Certified Physician
MD
1,781 satisfied customers
Wife is in the hospital. [email protected] building in the lungs. How can
Wife is in the hospital. [email protected] building in the lungs. How can we clear it? … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Doctor
8,359 satisfied customers
I have recently been diagnosed with bronchiectasis can I
i have recently been diagnosed with bronchiectasis can I drink alcohol moderatey or should I stop … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,941 satisfied customers
Only, I am still worrying about lung mets. I have had my
for Dr. David only,I am still worrying about lung mets. I have had my cough for 4 1/2 weeks now. It only comes after 2 in the afternoon. It starts with a rumble in my chest when I breath out heavily a… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,095 satisfied customers
My Dr. said I have bronchiectasis. what is the treatment and
My Dr. said I have bronchiectasis . what is the treatment and what is the prognoses... I am an 83 year old women in very good health. I exercise every day, eat healthy, get 8 hours sleep every night a… read more
Dr. Bob
Dr. Bob
Staff Physician
Doctoral Degree
2,218 satisfied customers
What triggers a dry cough. 18 months. I have bronchiectasis.
Asthma as a child, MACE in lungs 2 years ago, now clear of Mace… read more
DrRussMD
DrRussMD
Board Certified Physician
51,780 satisfied customers
Is there such a thing as "seasonal Asthma"? Montelukast
Yes. Montelukast 10MG, ProAir oral inh,Fluticasone nasal spray & Benzonatate 100MG. This is the 3rd Oct. in a row that I develop this cough. … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
14,592 satisfied customers
My throats feels right when I lay down could this be asthma
My throats feels right when I lay down could this be asthma or gerd? Tight … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
14,592 satisfied customers
Re: Insomnia due to bronchiectasis. I ahve been diagnosed
Re: Insomnia due to bronchiectasis.Hello. I ahve been diagnosed with mild bronchiectasis. For the last few weeks, I have slept poorly. However, the last two nights I have not slept at all. I am able t… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,095 satisfied customers
I was diagnosed with bronchiectasis 2 years ago and bc I
I was diagnosed with bronchiectasis 2 years ago and bc I have had little relief from the inhalers and steroids they gave me a cardiac work up - after a CT angio they discovered that I have a myocardia… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
3,983 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x