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Should I be worried about loud wheezing problem?

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Pulmonologist
Practicing since : 2003
Answered : 600 Questions
Question
I have adult onset asthma but it is under control. However, I am wheezing more often. It's usually when I'm getting ready for bed in the evenings and when I wake up in the morning. Sometimes the wheezing is so loud it wakes me up. However, I am not having a hard time breathing and my chest doesn't hurt. My peak flow is in the yellow zone. It's not as high as it should be but also not close to a level that would require medical intervention. Should I be worried about loud wheezing if it's really the only symptom?

Wed, 9 Jan 2013 in Asthma and Allergy
 
 
Answered by Dr. Gyanshankar Mishra 23 minutes later
Hi,
Thanks for posting the query on XXXXXXX
After going through your query, I would like to comment the following:

1. You seem to be suffering from adult onset asthma with current increased episodes of wheezing.

2. Wheezing denotes that the asthma is not under control and demands step up of medications. You need to increase the dose of prescribed maintenance inhalers and also use the reliever inhalers as and when you wheeze.

3. Also you should visit a pulmonologist for adjusting you medication doses as per your lung functions and get it explained from him as to how to step up the medication doses. You may require the addition of some oral drugs too.

4. Also its worthwhile to get the annual flu shots and 5 yearly pneumococcal vaccination.

5. Thus you need to visit a pulmonologist and get your treatment titrated at present.

I hope I have answered your query. I will be glad to answer follow up queries if any.
Please accept my answer if you have no follow up queries.

Regards

Dr. Gyanshankar Mishra
MBBS MD DNB
Consultant Pulmonologist
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