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Symptoms of asthma - 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 : 2005
Answered : 2335 Questions
Doctor :   Hi
Doctor :   I am
User :   hi
User :   i think i have asthma, probably allergy related
User :   my mother developed asthma at my age and it seems i have inherited it
Doctor :   Ok

User :   in the morning i have shortness of breath and difficulty breathing and a tickly dry cough and the same at night
User :   during the day it's usually fine unless i exert myself too much
User :   i gave up smoking 6 months ago
User :   and frankly that's when this got worse
Doctor :   Ok
Doctor :   Did you see a Doctor or got some tests done?
User :   nope no insurance
User :   just want your opinion on what you think it is? and should it be treated and if so with what?
Doctor :   Ok do you want to run it cheap then I shall suggest you
User :   ?
Doctor :   First you make a note of all the things that trigger such attacks
User :   k
Doctor :   If you say exercise, the time and duration of it
User :   its worse first thing in the morning when i get up
Doctor :   day / evening / night etc and time like after 15 min or 20 min etc
Doctor :   The important thing is to note them or try to replicate them
User :   and then what?
Doctor :   Avoid them first
Doctor :   see if they change your lifestyle and help in relief of symptoms
User :   avoid sleep? it's worst first thing in the morning when I wake up
User :   so I don't know what could be doing it while I'm asleep?
Doctor :   Can you please describe those episodes after sleep
User :   tight chest, difficulty breathing, wheezing and coughing
User :   lasts about 2 hours
Doctor :   If these symptoms come on rest, then I suggest you to get simple tests like Peak flow and spirometry
User :   does this sound like asthma to you?
Doctor :   Yes
User :   and what would you prescribe if you were my doctor?
Doctor :   Inhalers and restrict the allergens

User :   how do you restrict allergens?
Doctor :   You have to know or try to know them better

Doctor :   That is the reason for maintaining the dairy
User :   right I think there are too many to mention I live on a dirt road, have three dogs and two cats a housefull of dust
Doctor :   Oh you have to maintain absolute cleanliness
Doctor :   Use your air conditioner
User :   its not possible in this house the dust comes bac immediately
Doctor :   Minimize dust that may worsen nighttime symptoms by replacing certain items in your bedroom.
Doctor :   encase pillows, mattresses and box springs in dust-proof covers. Remove carpeting and install hardwood or linoleum flooring. Use washable curtains and blinds.
User :   I can't afford to do all that right now any other suggestions? what sort of inhalers?
Doctor :   Those inhalers are only prescription based
Doctor :   Alternatives are steam inhalations
Doctor :   frequently
Doctor :   with Eucalyptus oil
User :   yes I know they're prescription based but what ones would you recommend I ask for if I go to the doctors?
Doctor :   Beta agonists like salbutamol
User :   is that an everyday thing?
Doctor :   when you have symptoms
User :   so its a use only when you ahve symptoms not a preventative?
Doctor :   Preventive is only avoiding the allergens
Doctor :   No other options
User :   so nothing like the preventative inhalers that you see on TV?
User :   just a recovery inhaler?
Doctor :   Inhaler is during symptoms
Doctor :   and if there are frequent symptoms then steroids are prescribed
Doctor :   how many episodes per week , basis
User :   and no other prescription medicine needed? oh right well I get this every day
User :   i have had it everyday for two months now
Doctor :   Good that you have quit smoking
Doctor :   that is a beter initiative
User :   funny that it got worse after that?
Doctor :   Yes
User :   what are your views on the OTC epinephrine inahlers?
User :   why do you think it got worse after I gave up smoking?
Doctor :   Withdrawl
Doctor :   It shall be there for sometime
User :   oh really?
User :   i thought it would have gone by now and the epinephrine?
Doctor :   epinephrine I do not suggest personally
User :   why?
Doctor :   I suggest you to see an urgent care clinic atleast
Doctor :   Even the RNP can prescribe
User :   okay thank you
Doctor :   I am sure there shall be Free clinic or low cost clinics available
User :   cheapest is like $100 consult but that's okay
Doctor :   If you get the prescription once
Doctor :   for the inhalers
Doctor :   They can be renewed
Doctor :   It helps during yoru chest tightness
Doctor :   Cleanliness is most importa
Doctor :   I stress on it
Doctor :   Animal dander aggravate the problems
User :   okay well i'm alwys cleaning but it's not helping
User :   like i said we live in the woods on a dirty road
Doctor :   Every day cleaning is the way
User :   not the best place for asthma
Doctor :   Cover your nose and mouth
Doctor :   clean them often with salt warm water
Doctor :   to remove the sticking allergens
User :   will do
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