Venezuela’s cancer-stricken President, Hugo Chavez, is still suffering respiratory problems after surgery in Cuba two months ago, the Government has said in a sombre first communique since his homecoming this week.

Struggling to talk and breathing through a tracheal tube, the 58-year-old socialist leader is being treated at a Caracas military hospital after returning unseen before dawn on Monday.

Long accustomed to the drama and speculation over Chavez’s health since cancer was first detected in June 2011, Venezuelans are now debating if he can recover and return to active rule, or may resign and try to ensure his vice president wins a vote.

Some think he may have simply come home to die.

“The breathing insufficiency that emerged post-operation persists, and the tendency has not been favourable, so it is still being treated,” read the communique, in gloomy news for Chavez’s millions of passionate supporters.

The short statement, read by Information Minister Ernesto Villegas, said, however, that treatment for Chavez’s “base illness” – presumably the cancer first diagnosed in his pelvic area – continued without “significant adverse effects for now.”

Little detailed medical information has been made public on Chavez’s condition, meaning the government’s occasional short statements are pored over by Venezuelans for clues about the future for him and the nation he has dominated since 1999.

Chavez is believed to be seeing only close family at the hospital and a few senior officials, including Vice President Nicolas Maduro and National Assembly head Diosdado Cabello.

“The patient remains in communication with relatives and the government political group in close collaboration with the medical team,” the statement added.