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Yes, your COPD is getting worse. I have it, too. You need breating treatments with either an inhaler or nebulyzer. I prefer the nebulyzer as it works better for me. You should be seeing a pulmonologist.
Well, of course your body "is getting used to it". Your body needs oxygen to survive. It's not like it's an addition issue.
Using the oxygen at night is helping your body remember what it was like to have enough in your blood and cells. When you aren't using it during the day, your body is probably just reacting more severely to the LACK of oxygen than you remember or realized. It's possible that you didn't notice how your low levels were affecting you as much because it was so gradual. But now you are experiencing those lows every day in a shorter time.
As my late husband's COPD got worse, he went from using 1 inhaler to 2 and finally to 3, concurrently. Most COPD patients are/were smokers. My late husband wouldn't quit and couldn't see the writing on the wall as inhaler 2 and 3 were finally prescribed for him. If you haven't quit smoking and you are on 2 or 3 inhalers, you are running out of time. The time to act is passing you by.
Yes, I am a former smoker; having switched to vaping over 7 years ago now. While I am not healthy, I can breathe better than I ever could as a smoker.
Try checking your local hospital's outpatient services.
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