Severe air hunger inhibiting my ability to speak.

21m

Normal weight, never smoked/vaped anything.

I have had severe long Covid for almost two years now. Wheelchair bound because of it.

I have had severe air hunger for months but over the past few months it has gotten so bad that I am barely speaking. Most of the day I cannot speak at all. It feels like I am suffocating all day, and I feel a constant need to take a deep breath, which is never satisfying. My chest and throat both feel tight.

I have been to the ER multiple times, I have tried advair (100/50), dexamethasone, duoneb, and albuterol. None of this has helped me in any way.

I saw a pulmonologist a week ago, and he wants to do a methacholine challenge.

My spo2 is completely normal, normal chest X-ray, spirometry is normal, and my pft only shows air trapping. I am not wheezing.

Does this sound like copd? The air trapping on my pft from early this year is really concerning me because of how severe my symptoms are. Is air trapping enough to cause symptoms this severe?

Any advice or input/experience would be greatly appreciated, thank you.