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How can carbon dioxide accumulation be treated?

Q: I am a 52 years old male weighing 103 kg. I am suffering from asthma for the last 38 years. Six years back, I was diagnosed with accumulation of carbon dioxide and was hospitalised and put on ventillator. This happened again after a year. Since then I have been frequently suffering from it. My nails get blue and the skin flushed. The doctors put me on antibiotics and oxygen. How can it be treated?

A:It appears you have asthma for a long time that has caused low oxygen and carbon dioxide accumulation. You should aggressively manage the asthma and possible chronic obstructive lung disease with the guidance of a pulmonary specialist. The areas to focus on may include the need for using a machine to help breathe called CPAP or BiPAP; check your heart for shunts and right heart dysfunction; lose weight and check for water overload. It will help to avoid the things that make your asthma worse. You should also be alert to catching your symptoms early and start treatment early. Monitoring your peak flow may be one way to catch the onset of an attack. Please share this information with your physician and hope you feel better soon.

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