I am a 39 y.o. male law enforcement officer and recreational combat athlete (kickboxing, grappling, etc.). I exercise consistently 4-7 days per week and employ a wide variety of conditioning methods, ranging from high intensity sprints to long, slow distance running and various resistance training protocols. My concern is that despite my workout regimen, I continue to suffer from what I feel is unreasonable shortness of breath (esp given my activity levels) and seem to be losing lung capacity (~18% as measured via PFT over the last 15 years) and my VO2Max is declining (based on two different VO2Max test over the last couple of years - one was upper 30's and newest was lower 30's using ml/min/kg of bodyweight). I have seen and been extensively tested by both a cardiologist and pulmonologist, both of whom say I am in good/great shape. I take asthma medication (singulair, advair, albuterol) although no tests have conclusively proven I have asthma. Below is some testing history in the event it may help:
- have had all available tests, except an angiogram
- only finding has been ocassional PVC's, left axis deviation, and incomplete bundle branch block, all of which cardiologist said not to worry about and should not be causing problems
- resting heart rate has increased over the years, but I suspect this may be due to initiation of thryoid medication
- slightly elevated LDL and triglyerides and slightly low DHL cholesterol
- PFT's all "normal" but show decrease in total lung capacity of ~18% over last 15 years (something I noted, told this was normal by most recent pulmonologist)
- PFT with albuterol showed no significant increase in function.
- Passed methacholine challenge test, although I did sense some constriction
- history of airborne allergies, chronic sinusitis
- multiple chest x-rays, all of which were described as normal with the exception of one several years in which some small aveole (sp?) inflammation was noted, none noted since then
- hypothyroid, determined in 2007
- suspicion for hypopituitarism in 2008 (low testosterone, low LH/FSH, low IGF-1, failed HGH stimulation test), but no pituitary tumor identified
- all other blood work essentially normal
- minor (barely noticeable) pectus excavatum
- osteoarthritis in neck and back
- lots of gas and bloating and frequent stools, possible GERD (have taken nexium and similar drugs in past, but not currently)
- ENDOCRINE: thyroid, testosterone/novarel (to stimulate natural testosterone production), arimidex (1/4 pill a week to combat aromatase of testosterone), HGH, metformin (to counteract blood sugar increase from other meds)
- ALLERGIES/"ASTHMA": singulair-PRN, allegra-PRN, astelin, nasarel,
- CHOLESTEROL: niaspan, omacor (fish oil)
Any guidance or suggested tests, etc., would be much appreciated!
P.S. - Some of the shortness of the breath is most prominent when walking up stairs after being fairly sendentary for a period. If I am "warmed up" the shortness of breath is much less pronounced or non-existent. In other words, my symptoms seem to improve with exercise, although I still have less exercise capacity than I think I should have given all of the exercise I do.
Some suspicions I have researched include:
- glucose storage disease
- endothelial dysfunction/delayed vasodilation
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.