<s>[INST] I have OPMD and I am about to get some dental work done, do I need to notify my neurologist or will it be alright to have the dentist work on my mouth? Thank you for your answer I am 5 5 weight 191 pounds, and suffer from diabetes, OPMD, high blood pressure, ulcerative colitis, sleep apnea, high cholsterol, in order words, my health is in poor but stable condition. my sugar is not under control, and my muscular dystrophy seems to be getting worst, and I suffer from schio affective and other mental issues. I hope that you can help me. When I was at the dentist office yesterday and while my mouth was being opened, it felt like my breathing was cut off. Why is that? [/INST] Hello, The breathing difficulty during the dental procedure is combination of anxiety with voluntary breath holding in the fear of pain from the   upcoming procedure. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon </s>