Conversation: The conversation between human and AI assistant.
[|Human|] I have hyperaeration bilaterally with flattening of the hemidiaphragms , I am 61 yr old.  I am only taking xopenex hfa .  What else should I be taking for this problem?  I keep feeling like some one is sqeezing me on the lower part of my ribs.  I have been to the doctors many times for this and nothing has changed in the trweatment which I am getting.
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. I have gone through the x-ray report you have mentioned. This kind of x-ray report is suggestive of chronic bronchitis (COPD). And you are taking only exposed (levoalbuterol) for this. You are not taking proper treatment this is the reason for persistent symptoms. Ideally treatment of COPD should be guided on severity and severity is known by PFT (pulmonary function test). So consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will tell you about severity of the disease and treatment is based on severity only. You will improve with long acting inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.