My wife age 42 years suffering from problem in respiration properly in some specific conditions. In high temperature and some times in tension she feels she can not breath properly and she can not breath with nostrils, she feels uneasy in this situation. What can be the problem. She also get up in a shock while in deep sleep if any body disturbs her sleep and cry in a very hostile manner. In a few seconds she get normal. We consult a neurologist but he say this is not a problem. Please guide what can be the problem. Is it heart related problem?

Dr. Neelam NathGeneral Physician42yrs exp

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42 is perimenopausal time, means a few years before and after the periods stop at age ranging from 40-50 but women do live a healthy life till 100+with age related problems only. During this phase called menopausal syndrome the woman may suffer from either of these 5 symptoms / few of symptoms / none of symptoms. 1) periods stop & reproductive hormones decline and she is more prone to heart attacks 2) osteoporotic bones, hollow bones with less calcium 3) depression and empty nest syndrome as her own children are either married or leading their own lives and she feels unwanted 4) organs sag like skin shows some wrinkles, there is tendency to have urinary symptoms as bladder has less power in its muscles to retain urine for longer hours. 5) tendency to put on weight @ at least 1/2 kg per year. The woman can keep busy with her own hobbies and skills, she can continue to exercise & be careful about diet. Take supplements of calcium and vitamin d & multivitamins. Eat lots of fresh seasonal vegetables and fruits according to her constitution, drink toned milk & curds & reduce salt, sugar & fats. Get her checked for heart and bllod tested for lipids & sugar. Good to know that your own doctor has declared her as normal. Reassure her and this passing phase will be over soon. 

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