### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello and Thank you. 64 year old male.Diagnosed and treated prostate ca this past summer.Four stints put in this summer.Copd,I smoke but as always ....have cut down....My problem now,Last 8 months or so..As soon as I wake I start have difficulty breathing. Hard,heavy deep fast uncontrollable breathing..No other symptoms. on one trip to er was in a-fib.Had appointment at Murfreesboro va with respiatory Dr. He said Bronchiaspasms.E r DR. there did not know and called mental health dr to see me. Do not know she diagnosed but gave me med called citalopram,20mg daily.already on clonazepam 2mgdaily.taking three htn meds,prostate meds two kinds, bupropion hcl 150mg twice daily.No other symptoms oiher than what I described.No chest tightness pain ect. What they always did at er was nebulizer .albuterol and iprotropium bromide.so now I have a nebulizer at home.Takes about forty five minutes to 1hr 15 minutes to clear up and then every thing is fine.until nex one they do not happen every morning but are becoming more frequent,last two times I called 911 It cleared up when they were here it ouit so no trip to hospital..I live alone and it is very frightening Please excuse the one finger typing.Any advice or what to do I will be grateful for. regards ,Walt

### output:

Hi, as you mentioned with your difficulty in breathing with is increasing as days are passing. So let us understand first the mechanism of breathing. Respiratory system is the only source of providing oxygen to the body as, oxygen is the fuel need for the human life to survive. Also, due to smoking the respiratory system has become weak and there is no such medicine to make it strong or recover again. What can heal with medicine is the symptomatic help for removal of secretions or infection. Since you been smoking also, an added disadvantage has occurred to the respiratory system by weakening the alveoli. Alveoli is the place where the exchange of gases between the respiratory system and blood takes place. In short, it's the place to purify the blood. Also, as you are 64, your muscles of the respiratory system has also got weaker. What need to provide the best help to the respiratory system is to improve the capacity of the lungs which will help you avoid breathless and also improve the quality of blood in the body. I will advise you to do regular breathing exercises which will help improve the strength in the respiratory muscles and the lung tissues. Also doing meditation will help control the brain activity as brain regulates the involuntary control of the respiration. For making the ease of the respiratory system it is advised to perform regular breathing exercise to keep the functionality of the lung to the optimumregardsJay In Chat Doctor. 