breathing, inhaler and bind issues
 

I'm getting the ESR sedimentation rate drawn tomorrow to see if temporal arteritis maybe an issue. My doctor, a neurologist, at first thought that it most likely wasnt an issue, but after a few more complaints he just ordered the test.

My late issues are with my inhaler, and whenever I take a puff i feel like I have to go to the bathroom(#2) and then the rest of the day or at least feel like im breathing fine. that is of course when i dont take it, which i do actually take it PRN as needed. If I dont take it, I feel pretty bound up. May be just a passing intestinal issue, which i actually think it is. Although I do happen to still have that GERD, which im hoping to actually find a good enough treatment for when I see my GI in august. also, does klonopin have constipation as a side effect. as this new symptom seemed to correlate with that as well. doctor may switch to other med because klonopin sucks basically.

I always wondered if my neurontin somewhat interacted with my kidneys, and that in turn interacted with my taking of the PPI. He most likely will order a test for hpylori, as that is pretty standard, before trying to treat my thing with PPI, and if that comes back he will have me take both together

Your signature line lists esophageal motility problems. Have you considered the constipation may be from general GI dysmotility and not just the esophagus? Have you been tested for autonomic dysfunction? I see you list several things that could be autonomically related in your Dx line (tachy, spasms, SOB).

Some inhalers can cause shakiness, muscle cramps, etc, so it may be stimulating muscles in the GI tract when you use it....just a thought.

Thanks, yeah mostly I think part of it is somatic, cause i know i just convince myself, that i have these problems where in reality i don't. I take the Proventil brand of albuterol sulfate, it's not is nerve racking as the Proair kind. the Proair kind i could take and have nervousness shakiness for hours. or about an hour. Proventil does probably stimulate muscles in my GI. thanks for that tip.

I would compare Proair to the way I react to epinephrine or Primatene inhaler you can buy over the counter. Which in my opinion I really feel that they make epinephrine OTC is really dumb. I think they go with the factor that Epinephrine pens are widely available. Or seems like a run of the mill type of drug. I know that they keep it behind the pharmacy desk, like sudafed. But still, that thing is powerful in high amounts or when not used correctly. I just think, those should be prescription only, they have too much cardio side effects. I know The nervousness is way up there. when i take that.

I do know that some of the autonomic problems may have been brought on by drugs like seroquel and ssris like lexapro that i took for depression. But now that they are gone and I still only just take gabapentin and albuterol, alongwith energy drinks(which im now realizing is not a good idea.) maybe gabapentin contributes a bit, cause sometimes i get senselessly excited for no reason, and that drug may be contributing to that. I will take with my psychiatrist about this. How do u get tested for autonomic dysfunction?