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pulmonary exercises

Read and learn more about pulmonary exercises. For more, visit the Asthma website MrAsthma.com

Q: What is the effect of exercise on pulmonary veins?

A: Exercise in any way shape or form is benificial to the human body. One should always have a check-up before starting an exercise regimen. That being said… The pulmonary veins are probably the only veins in the human body that carry oxygenated blood. Therefore exercise has a benevolent effect on the pulmonary veins, as they carry blood that has become freshly oxygenated to the left atrium, left ventricle out the aorta and to the rest of the body.

Q: How common are pulmonary flow murmurs in adults?
I’m 22 and have been diagnosed with an innocent pulmonary flow murmur. It’s audible only after exercise when i breathe out fully according to the doctor. I’ve read lots on the internet about these in children but how common are they in adults? could i have had this for years and it go undetected or could it have developed later?

A: A common sign of pulmonary stenosis is a sound called a heart murmur — an abnormal whooshing sound caused by turbulent blood flow — that your doctor may hear when he or she listens to your heartbeat. Other signs and symptoms may include: Shortness of breath, especially during exertion .Chest pain .Loss of consciousness (fainting) .Fatigue .Poor weight gain (in babies)
Signs and symptoms vary, depending on the extent to which the valve is obstructed. People with mild pulmonary stenosis might have symptoms only while exercising or have none at all.

Pulmonary valve stenosis is a condition in which the flow of blood from your heart to your lungs is obstructed by a deformed pulmonary valve.
The disorder is usually present at birth. Adults occasionally have pulmonary valve stenosis as a complication of another illness.

Pulmonary valve stenosis ranges from mild and without symptoms to severe and debilitating, with most cases being mild. Mild pulmonary stenosis doesn’t usually worsen over time, but moderate and severe cases may progress and require surgery. Fortunately, treatment is highly successful, and most people with pulmonary valve stenosis can expect to lead normal lives.

Look after yourself,will you?

Q: I was born with pulmonary stenosis, in the navy could i get discharged?
I was born with pulmonary stenosis(heart murmur) and now im in the navy. Ive been having little chest pains. Before i joined my doctor at home said i could have grown out of it, cause he couldn’t hear it. Could i be discharged. My school house runs 5 miles when we exercise im worried it might mess my heart up. Please help

A: You could get discharged, if you were in a conflict, your life and the life of others could be at risk. Ask your doctor, he may have a solution.

Q: Describe the effects of pulmonary fibrosis in terms of what happens to the physiologival dead space & air-flow
What effects does pulmonary fibrosis have on the lamina propria & elasticity, partial pressure of oxygen in the lungs, tidal volume. What is the physical reason fot this change in the Po2? Why doses shortness of breath occur only during exercise initially? Would a person suffer from Tachypnea Or Bradypnea?(explain). How do corticosteroids work and why would they be prescribed to a pulmonary fibrosis patient?

A: pulmonary fibrosis attacks septae alveolares which means p(O2)low and p(co2) high.i think they get tachypnea because high p(co2) forces respiratory center in medulla oblongata xx corticosteroids would slow down fibrozing process but they cant stop it and many complications if they re long time used so my opinion— corticosteroids re not used like a medication it this case xx

Q: Recovering from a pulmonary embolism… is there any exercise that’s safe to do?
Got out of the hospital a week ago. Really starting to miss training. What forms of exercise are safe for me to engage in?

A: you’ll have to get out of denial first. talk to your pulmonologist.

Q: After Pulmonary embolism, how long until I can exercise again??
i’m a 26 year old very active female. i normally run 5-6 times per week either on treadmill with 3 pound weights or outdoors,usually doing 7-8 miles. just had a pulmonary embolism a week ago and want to start exercising again. is that ok or how long should i rest? i still have some pain in my left chest area occasionally, not usually on exertion. i will go crazy if i cant exercise!!

A: Hi Jill,

You should consult your doctor regarding this, as your total health situation needs to be assessed before an exercise routine can be recommended. The type and quantity of exercise that is recommended for one person may not be appropriate for another.

Liz

Q: My question is about pulmonary arterial hypertension. Is it possible to have severe PAH with exercise,?
but have a normal reading at rest or with minimal exercise? My condition is baffling my MD. Information on this would be quite helpful. Thank you for your help!
P.S. My pressure during the cardiac cath a rest was 28, but during exercise on the treadmill test was 79. I’m ok at rest, but have severe SOB w/any exertion. Any thoughts?

A: Pulmonary hypertension is a serious condition if not paid attention and left UN treated !It may be by birth which is generally goes without any notice and secondary because of the disease of lungs and or heart ! The narrowing of the pulmonary artery will lead to this and in result there will be more congestion in the lungs and more berdon on the right side of the heart to pump out the blood towards the lungs for purification oxygenation!It will lead to pulmonary congestion and may be embolism and atelectesis and may lead to heart failure ! Diuretics and other drugs is a must for to control it and to be taken life long ! Normal exercise like walking and fast walking but any thing more than this is not advisable as it will increase this PAT and will give rise to breathless ness so no exercises OK!Normal routine life is fine ! Take care !Always YouRsmE

Q: What differences would a person with pulmonary dysfunction have from that of a healthy individual?
During a graded exercise test.

A: The person with impared lung function would experience dyspena or air hunger with activity and likely would quit much sooner than the person with healthy lung function. Pulmonary dysfunction can also be from asthma, but the air hunger sign/symptom stands.

Q: What can I do to exercise safely with copd?
I have moderate emphyzema. I take Advair and albuterol for a fast acting inhaler. I rarely use the inhaler. My problem is that I only need oxygen if I am moving around at all. I have gained 30 #s in the 18 months since I was diagnosed. What exercises can I do? I have done pulmonary rehab but that doesn’t help with the weight.

A: If you are gaining weight and are on oxygen I suspect there’s something you’re not saying. Like you’re on steroids for a long standing inflammatory condition.
In general people with moderate emphysema don’t need oxygen as much as you say you do. I would think there is either heart disease or fibrosis in your lungs.
Steroids require you to change your ways of eating. You must adjust calorie intake, fats etc. Nobody told me this and I’m still on prednisone and still fighting the weight gain from it. At least I’ve plateaued.
You should continue with the rehab. That’s a good way to burn calories and be supervised by medical professionals while you do it. They should be able to counsel you about diet or refer you to someone who can.
Sorry this is so lengthy. But the problem with steroids isn’t water weight gain like a lot of people think. It’s due to in times of winter the body secreted cortisol to make you deposit more fat for the relative lack of food to come. That’s why people on long term steroids develop “moon faces”, and “buffalo humps” and bellys.
God bless and help you find the best way for you to live with your condition.

Q: is it true that if you breathe the wrong way during exercise you could damage your heart or pulmonary arteries?

A: Never heard of something like this before. I don’t even think it’s possible to breathe wrong. Even if you hold your breath to the point of passing out, nothing is going to happen with you. Your body will automatically resume breathing once you’re passed out. Unless something is physically blocking your airways, there is no danger when you pass out.
Short answer to your question, no that is not true.

Q: Has anyone else gone through Pulmonary Rehab?
Mine starts tomorrow with testing…then twice a week for 8 weeks …being educated and learning how to breath and exercise. Was it a good thing?

A: I was a regular at rehab while waiting for a lung transplant— I wouldn’t have qualified had I not exercised. I received my transplant 3 yrs ago!

It is a great idea. !!

Q: Tell me about Pulmonary Rehab techniques in COPD?
My mum has COPD and has just had her 2nd Exacerbation which this time put her in hospital. She’s 55 but had been hiding a lot of health stuff from us. She hadn’t been eating properly. THANKFULLY she no longer smokes (I think being in hosp scared her). The aftercare hasn’t been that good, all I know for sure is that she has 40% lung function and they don’t think she needs Oxygen at home yet. But she’s looking a lot better than she has for a while.

It looks like there is no Pulmonary Rehab option in our area – and I’ve heard how good it is so I want to learn about the techniques they use and get my mum’s exercise tolerance and quality of life up a bit if possible.

What sort of things do they do in Pulmonary rehab, and are there any exercises I can safely attempt with her?

And is there anything you can tell me that will stop me feeling so depressed and scared? I know it will kill her in the end and it breaks my heart not knowing how long she’s got.

A: I’ll try and offer you a little help, my father went through this.
I have taken the liberty of copying this from one of the web sites for your information.

Your physician will determine if Outpatient Pulmonary Rehab is right for you and submit a referral.
Sessions are held twice a week for a period of 8 to 12 weeks. Emphasis is placed on combining education, therapeutic exercises and functional activities over this period. Our dedicated staff assists these patients with coping and understanding their disease process, allowing the patients to once again function independently at home and away.

The program is individualized to the patient with a focus on improving the patient’s quality of life. Each session consists of education and exercise lasting approximately 11/2 hours. The education sessions are held on Thursdays and are for both the patient and their family if they so wish to attend. A focus is placed on having the patient have a better understanding of their diseases process, improving their breathing, and coughing techniques, symptom monitoring, supervised exercise, smoking cessation and diet.

Maintenance
Once an individual has successfully completed the Outpatient Pulmonary Rehab portion Maintenance sessions are recommended. These sessions are not covered by insurance and are self pay. The goal is again to encourage healthy living and thus this program is tailored to the needs of the individual.
Referrals are required.

Program Requirements

A physician referral
A qualifying diagnosis
Pulmonary Function studies, EKG, lab work, chest X-ray within the past 6 months
Upon receipt of this referral and other information, an appointment is arranged to discuss and evaluate special needs, establish goals, and design a program to help you achieve these goals.

http://www.stvincenthospital.org/clinicalserv/pulmrehab.shtml

Q: Can a pulmonary embolism can be caused by a lack of exercise? What are the chances of another P.E. occurring?

A: PE can be caused by a lack of exercise or sedentary lifestyle. It can affect any age… don’t u remember the TV anchor David Blum who died from DVT which is in the same… PE family?

I snipped this cause the numbers blew me away when I tried to get u more detail info…

“More than 600,000 people in the United States have a pulmonary embolism each year, and more than 60,000 of them die. Most of those who die do so within 30 to 60 minutes after symptoms start. Pulmonary embolism is one of the most common causes of death in hospitalized people who must remain in bed for a long time.”

The below site is excellant info

Q: Left ventricular hypertrophy with some pulmonary hypertension?
My dad was just diagnosed with this. He’s only 43 and is in decent shape. He is also hypoglycemic and will have diabetes someday. His family doctor did the echo thingie just as a precaution when he was having a hard time breathing sometimes. He isn’t feeling horrible, just sometimes he falls asleep when he gets home and it’s hours before he gets up. He and my mom said the family doctor told him to just eat better and start exercising regularly and they gave him a inhaler called Advair. But I’m wondering if this enough. Shouldn’t he get to a specialist or is this something that really is just controlled by diet and exercise?

A: The two things that come to mind immediately upon seeing your original question are – poorly controlled high blood pressure and sleep apnea – which often go hand-in-hand.

In reading the rest of your question, it further confirms my sleep apnea suspicion.

LVH is a response of the myocardium to the stress of having to push against elevated pressures over time. So if your Dad says his pressure are always “normal” this is unlikely to be true…there is objective evidence to the contrary. Additionally it is possible that the pressures are relatively normal during the day and high over night when he is experiencing apenic episodes.

Two things – I would ask to be referred for a sleep study to get the apnea issue addresses…its more than just day time tiredness. It can cause long term changes in your heart and lungs that are not reversible…including heart arrhythmias. It is important to get a diagnosis and treatment.

Secondly, consider investing in a home blood pressure cuff. Check the b/p several times throughout the day for a week and keep a journal. Bring the journal into his primary doctor. If he is experiencing pressures greater than 140 (on top) then it may be important for him to be treated with medication.

What if he does nothing? Its a big question but the problem I would be most concerned about is a condition called diastolic dysfunction. It is a form of congestive failure that tends to show up in people’s 60’s and older. It can be rather debilitating and cause a good deal of shortness of breath.

Is there anything about this that should make your Dad run to a cardiologist?….from what you’ve said, no. There are some issues that can be easily handled by a primary doctor. Other than that, not too alarming.

I hope this helps. Good luck.

Q: Docs or nurses help? Pulmonary shunt.?
I was just told i have a right to left pulmonary shunt. My oxygen drops quick with exercise. (around 80). I have googled to try and find info on it with no luck. Do you know where i can get info on this. I am going to docs again. Just wanted to do my own research and find what treatment is.

A: Pulmonary shunts exist when there is normal perfusion to an alveolus, but ventilation fails to supply the perfused region.

This will lead to a situation where the blood supply leaving a shunted area of the lung will have lower levels of oxygen and higher levels of carbon dioxide (i.e., the normal gas exchange doesn’t occur).

A small degree of shunt is normal and may be described as ‘physiological shunt’. A physiological shunt fraction of 5% is normal and up to 10% is compatible with normal gas exchange.

Basically, arterial blood is passing by the lungs without picking up any oxygen.

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