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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Upper Back Pain, Chest Tightness. Have Allergy-based Asthma. Do Dusty Places Have More Dust Mites?

Hi, i am a 31 year old female and just moved to Dubai in August 2012. I m having upper back pain that coincides with tighness in my chest. I have allergy based asthma which has got worst since moving from Northern Ireland to Dubai.I am concerned about the back pain as I ve heard it can be associated with lung collapse. It is nt severe back pain but would be a 5 on a scale of 1-10, 10 being unbearable pain. Also my allergist has recommended immunotherapy for me to build up my tolerance to house dust mite. However, I am hesitant as I have always had dust mite allergy but in Ireland my asthma was never this bad. I know Dubai is dusty as it is a dessert. Does this mean there would be more house dust mite? Thanks, K
Mon, 25 Feb 2013
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General & Family Physician,  's  Response
Hello Karishma,

The presence of upper back pain does not mean that it is due to lung collapse.

It can be attributed to the the fatigue of muscles of respiration due to strenuous breathing.



Symptomatic relief from allergic asthma can be achieved by:

1. Avoidance of the allergens

2. Broncho-dilators

3. Antihistamines

4. Steroids(if needed)

5. Montelukast preparation for maintenance



To strengthen your immune system & build up tolerance to house dust mite and other allergens, Immunotherapy can be undertaken, as your allergist has recommended.



And you are right, dusty places are usually associated with more dust mites.

So...you need to keep yourself well protected from exposure to dust & other allergens.



Wishing you a Good Health. Let me know if I need to clarify further.

Thanks & take care.
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Upper Back Pain, Chest Tightness. Have Allergy-based Asthma. Do Dusty Places Have More Dust Mites?

Hello Karishma, The presence of upper back pain does not mean that it is due to lung collapse. It can be attributed to the the fatigue of muscles of respiration due to strenuous breathing. Symptomatic relief from allergic asthma can be achieved by: 1. Avoidance of the allergens 2. Broncho-dilators 3. Antihistamines 4. Steroids(if needed) 5. Montelukast preparation for maintenance To strengthen your immune system & build up tolerance to house dust mite and other allergens, Immunotherapy can be undertaken, as your allergist has recommended. And you are right, dusty places are usually associated with more dust mites. So...you need to keep yourself well protected from exposure to dust & other allergens. Wishing you a Good Health. Let me know if I need to clarify further. Thanks & take care.