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Asthma,use inhalers,more in winter, random blood sugar 112, - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Asthma and Allergy
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1587 Questions
Doctor :   Hi
User :   Hi Doctor
User :   i have asthma..
Doctor :   please proceed with your query
User :   generally, i face that during winters
Doctor :   ok
User :   now, i have admission into us college, minnesota, which is very cold place
Doctor :   ok
User :   will it make any problem to my health if i go there?
Doctor :   may i know your age and gender
User :   25/M
Doctor :   ok
Doctor :   when will you be leaving /
User :   september
User :
Doctor :, i could not folow the link
Doctor :   ok
User :   above link contains weather chart under general catergory section
Doctor :   are you on any medicines for asthma
User :   i use inhalers
Doctor :   ok
Doctor :   have you done a pulmonary function test ?
User :   yes
Doctor :   ok
Doctor :   what has the doctor suggested ?
Doctor :   did you seek an opinion about your travel
User :   no, i haven't yet
Doctor :   let me explain it to you
User :   i got that tested in last october month
User :   ok
Doctor :   the best method to prevent an acute attack of astham would be to prevent it
Doctor :   you may need to use prophalactic medications if you have an allergy which triggers it
Doctor :   you must also carry the inhalers along with you
Doctor :   use it when you get the acute exacerbations
Doctor :   it would be wise to get yourself examined completely before your begin your travle
User :   i use asthalin, seroflo inhalers
Doctor :   i feel inhalers will do the job and with some precautions like using warm clothes , preventing allergen exposure ,e tc
Doctor :   ok , i suggest you to continue the same
User :   minimum temp in minnesota in the month of dec-jan is -15 centegrades
Doctor :   do you have asthma since childhood /
User :   no, i come to know about 4 years back
Doctor :   it will depend on how well your body tolerates the temperature
Doctor :   beta agonist inhalers with steroids will be helpful
Doctor :   you need an examination and then may need prophylactic drugs also
Doctor :   prevention and treatment of exacerbation are the things we aim at
Doctor :   do you have any other illness apart from this ?
User :   no. i dont
Doctor :   ok
Doctor :   have you run any blood tests ?
User :   yes..
Doctor :   what did the report say ?
User :   hb estimation is 14.2
Doctor :   ok
User :   random blood sugar is: 112mg
Doctor :   ok
User :   are u looking for any specific prop of blood?
Doctor :   i would want to suggest you get an absolute eosinophil count
Doctor :   and a complet blood count
Doctor :   this will help us in knowing if there ia an allergic cause as well which triggers an asthma
User :   ok
User :   in general, people have asthma since childhood. But my case is different. why it so?
Doctor :   it is not necessary that it has to be in childhood
Doctor :   there are two types of asthma
Doctor :   one is called intrinsic
Doctor :   awhich is due to internal factors like inheritance , atopy etc
Doctor :   other is extrinsic which can develop anytime due to external factors like allergens , weather changes , low immunity , associated infections , dust , pollen , food allergy , etc
Doctor :   this is not present since birth and can develop anytime
User :   can extrinsic asthma cured?
Doctor :   there is no cure
Doctor :   as i said we can always prevent and control it
Doctor :   anyone can get extrinsic asthma
Doctor :   if you avoid the allergen or the cause it can be prevented , else it can surely be controlled
User :   i can develop resistence to those changes which causes asthma right
User :   like if I run daily, that can develop some sort resistence. isn't it?
Doctor :   yes
Doctor :   you may try taking food rich in vit c
Doctor :   like amla
Doctor :   orange
Doctor :   citric fruits
Doctor :   they are known to give good immunity
Doctor :   against respiratory problems
Doctor :   also avoid dust and pollen exposure
Doctor :   always when you go out if there is a dust exposure , cover your nose and mouth
User :   ok
Doctor :   did you follow my suggestions ?
User :   i am
Doctor :   ok
User :   i have 4 moths to go..
User :   meanwhile i will work out as much as I can
Doctor :   ok , thats a good time meanwhile to get the work up done
Doctor :   yes
User :   i heard there is fish medicine which is distributed in several places at particular times
User :   how about that?
Doctor :   general health and fitness will also help
Doctor :   yes , it is famous in hyderabad
Doctor :   but i would not be the right person to suggest it to you
Doctor :   as my knowledge is restricted to allopathy
Doctor :   you may go ahead if you are interested
User :   do you have any information like what that will be given
Doctor :   they just instill a small fish in the respiratory tract
Doctor :   it is meant to swim down and move a lot
Doctor :   this is meant ti dilate the tract and release all secretions and hence person feels better and can breathe well
Doctor :   but i do not know how far it is effective
User :   that means, we eat live fish
Doctor :   yes
Doctor :   not eat , you should just swallow it
User :   whole breathe tunnel be cleared with live fish... thats good tactic indeed
Doctor :   yes , but i feel it will only be a temporary solution
Doctor :   we do not suggest all this to any petient
User :   true... fish may die soon
Doctor :   it is upto them to choose the method
User :   living with streoids is not a dangerous to my overall health??
Doctor :   no
Doctor :   steroids as inhalations taking them through this route will not have systemic side effects
Doctor :   are you with me ?
Doctor :   did i answer all your questions ?
User :   what about pranayama
Doctor :   yes ,t hat would be very good
User :   i think to some extent, pranayamam helps right
Doctor :   studies say that yoga , meditation helps a lot
Doctor :   yes , it is a good one for the respiratory muscles and increases the breathing space
Doctor :   hence it will help
Doctor :   that would do good
User :   conclusion, person who has asthma can live happily with medication and prevention tactics in very cold places with temp less than 0
Doctor :   yes
Doctor :   very true
Doctor :   did you follow my suggestions
Doctor :   hope i answered your questions
Doctor :   are there any more questions for me ?
User :   yes..
Doctor :   ok
User :   can you suggest me what kind of doctors should I meet regarding asthma
User :   i mean specialization
Doctor :   you must see a pulmonologist
Doctor :   he will be the right person to guide you
User :   thanks a lot
User :   i owe you for your help
Doctor :   pleasure here
Doctor :   thanks
Doctor :   thanks for consulting me
User :   i am software engineer
Doctor :   ok
User :   any help ... if i can clear any of ur doubts :)
User :   on software
Doctor :   ok , thank you so much , that is so kind of you
Doctor :   i will surely rmemeber
Doctor :   remember
Doctor :   thanks for consulting me
Doctor :   have a good day
User :   post me any questions :)
Doctor :   ok sure
Doctor :   take care
User :   you too
Doctor :   and Bye for now , thanks .
User :   bye
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