The best things you can do to help your breathlessness are:
1) aerobic exercise, like your bike riding;
2) muscle strengthening exercises;
3) no longer
smokingQuitting smoking
Smoking - tips on how to quit
Smoking and copd (chronic obstructive pulmonary disorder)
Smoking and smokeless tobacco
Smoking hazards cigarettes; and
4) avoiding air pollutants.
I assume the "salomol" inhaler is
SereventSerevent diskus® (
salmeterolSalmeterol
Salmeterol-fluticasone). This and the Qvar™ Inhaler (
beclomethasoneBeclomethasone
Beclomethasone dipropionate
Beclomethasone nasal dipropionate HFA) are good for emphysema. These are both long-acting medicines. Qvar is an inhaled steroid that works on inflammation. However there is no difference in your feeling of breathlessness from taking this. The "salomol" is an inhaled long-acting bronchodilator that works on tightness. However its effect on breathlessness is usually not very dramatic. Spiriva® HandiHaler® (tiotropium bromide inhalation powder) is another long-acting medicine. It’s been effective in decreasing breathlessness. You might want to ask your doctor about trying this, along with what you are now taking.
An x-ray can suggest the diagnosis of emphysema. However the best way to diagnosis emphysema is with pulmonary function testing. In addition, this testing will also measure the severity of emphysema and the help from medicine.