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God bless you for writing this! Out of the blue, I started having trouble breathing, had shoulder pain, couldn't stop the hiccups, and have been told that my upper stomach sphincter muscle must be bad because I can't eat much.
A scan, looking for other things, showed an Elevated left hemidiaphragm. I didn't even know what this was and then I Google, found out it was caused by the phrenic nerve, and then I found your post.
This may be a year old but it may save my life. Thank you from my very soul!
God bless you and your husband. I hope he is doing okay.
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I saw your note to everybody with diaphragic problems. Did your husband ever get something done to help him. I’ve had the same breathing issues since 2014 right after I had open heart surgery. I also had a car accident that destroyed my neck. I’ve been to four pulmonologist the mayo clinic for a week three neurologist, my cardiologist and other various specialty doctors along with four thoracic surgeons. None of them can help me except give me a diaphragm of plication on the right side where it’s paralyzed. Did your husband ever get the help he needed. Because I am living here in May 2022 and I’m 75 years old and I can’t breathe I have to wear an oxygen tank when I sleep and like your husband my oxygen levels never go below 90. Most of the doctors here in Montana haven’t got a clue so I have to go outside of the state for anything that I want done.
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The diagnosis of phrenic nerve injury requires high suspicion due to nonspecific signs and symptoms including unexplained shortness of breath, recurrent pneumonia, anxiety, insomnia, morning headache, excessive daytime somnolence, orthopnea, fatigue, and difficulty weaning from mechanical ventilation.
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In 2019 I had a blood clot go thru my lungs and heart and almost killed me !
While in the hospital for 3 weeks, walked to the nurses station and almost didn't make it to room because of shortness of breath !
I found out later that I had paralysis of the left side of my diaphragm and I'm on oxygen must of the time now ! When I was in the hospital, I was misdiagnosed as having asthma and COPD !
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After I got out of the hospital I had tests run and I had paralysis of the left side of my diaphragm!
A cardiac surgeon flopped it done and put stitches across it! I'm on oxygen most of the time now and can't do much of anything for shortness of breath !
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The symptoms listed by the OP are consistent with a LOT of problems, including congestive heart failure. A thorough work-up, including chest x-ray, EKG, stress test, echocardiogram and blood work (anemia can also cause shortness of breath) should be undertaken. Phrenic nerve damage can be suspected if there was recent trauma or surgery to the neck. It can also be caused by tumors. While the chest x-ray can show an elevated hemidiaphragm (half of the diaphragm that is not working) a confirmatory test is the "sniff test" which is done with fluoroscopy (an x-ray video) - when you sniff, the functioning diaphragm will pull down to suck in air - but a non-functioning "floppy" diaphragm will move upwards due to the negative air pressure from the functioning diaphragm. There is surgery that tightens up the floppy diaphragm, which helps symptoms, even though it doesn't make it work. Be aware that a lot of people with a paralyzed hemidiaphragm have sleep apnea, so if this is your diagnosis, a sleep study should be done as well. -sb
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