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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering With Asthma, Had Breathing Trouble On Being Around Smokers, Persisting Sharp Pain In Middle Of Chest, Breathing Difficulty. Help?

I have Asthma and i was around smokers a lot Friday night, then i went home and when i went to bed i had problems breathing i did take my Ventolin inhaler about 30 puffs that day. It is now Sunday morning and i still have sharp pain in the middle of my chest and hard to breath seems to get a little better when i take a puff of my inhaler about ever 2 hours.
Wed, 3 Oct 2012
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Pulmonologist 's  Response
Hi
Thanks for your query.
Smoking has an association with asthma though not conclusively proved. But its exposure may lead to asthma exacerbation which happened to you. Again smoking make your asthma control difficult and make asthma refractory to medications. So keep avoiding smoking in any form.
You are using albuterol in the form of ventolin inhaler which is a short-acting broncho-dialator which is giving you relief. Please do continue that. But with that a inhaled corticosteroid-long-acting beta2 agonist combination should be started on like formeterol-budesonide combination for better control of your asthma symptoms. As per response you may have to step up or step down your asthma therapy. Please consult a pulmonologist and make a peak-flow chart by using peak-flow meter for self monitoring of your asthma symptoms.
Thank you.
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Suffering With Asthma, Had Breathing Trouble On Being Around Smokers, Persisting Sharp Pain In Middle Of Chest, Breathing Difficulty. Help?

Hi Thanks for your query. Smoking has an association with asthma though not conclusively proved. But its exposure may lead to asthma exacerbation which happened to you. Again smoking make your asthma control difficult and make asthma refractory to medications. So keep avoiding smoking in any form. You are using albuterol in the form of ventolin inhaler which is a short-acting broncho-dialator which is giving you relief. Please do continue that. But with that a inhaled corticosteroid-long-acting beta2 agonist combination should be started on like formeterol-budesonide combination for better control of your asthma symptoms. As per response you may have to step up or step down your asthma therapy. Please consult a pulmonologist and make a peak-flow chart by using peak-flow meter for self monitoring of your asthma symptoms. Thank you.