Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes Breathlessness After Intense Physical Activities?
Question: I have acute aasthma problem. Normally I am fine but when I undergo some physical stress (like walking more than 3-4kms, jogging more than 15mins, indulging in active sports like tennis or basketball), I gasp for breathing and have to take the inhaler puffs. When exposed to cold environment, I tend to breathe heavily. So how should I confront this? Should I keep on carrying inhalers all the time? Should not I expect my condition to enhance anytime?
Brief Answer:
At present, which inhaler you are taking?
Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
By your history and description, possibility of uncontrolled asthma is more.
With proper asthma control, you can definitely do all these activities and live normal life.
So first of all I should check whether your asthma is controlled or not.
For this I need to know few more things.
Please let me know
1. At present, which inhaler you are taking?
2. Are you taking any oral medicines?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
At present, which inhaler you are taking?
Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
By your history and description, possibility of uncontrolled asthma is more.
With proper asthma control, you can definitely do all these activities and live normal life.
So first of all I should check whether your asthma is controlled or not.
For this I need to know few more things.
Please let me know
1. At present, which inhaler you are taking?
2. Are you taking any oral medicines?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Dr. XXXXXXX
Presently I am using Levolin on a requirement basis (like when I gasp out of breathe). I am not taking any oral medication. I last consulted a pulmonologist almost a year back in XXXXXXX
Presently I am using Levolin on a requirement basis (like when I gasp out of breathe). I am not taking any oral medication. I last consulted a pulmonologist almost a year back in XXXXXXX
Brief Answer:
You are not taking appropriate treatment for asthma.
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
You are not taking appropriate treatment for asthma and this is the reason why you are having symptoms.
Levolin is having levosalbutamol. It is rescue drug and should not be take regularly.
Best treatment for asthma is long acting inhaled bronchodilator (formoterol or salmeterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone).
Treatment of asthma is based on severity. And to know the severity, you should get done PFT (pulmonary function test).
So please let me know
1. Have you ever undergone PFT?
Please reply me answer of above asked question, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
You are not taking appropriate treatment for asthma.
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
You are not taking appropriate treatment for asthma and this is the reason why you are having symptoms.
Levolin is having levosalbutamol. It is rescue drug and should not be take regularly.
Best treatment for asthma is long acting inhaled bronchodilator (formoterol or salmeterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone).
Treatment of asthma is based on severity. And to know the severity, you should get done PFT (pulmonary function test).
So please let me know
1. Have you ever undergone PFT?
Please reply me answer of above asked question, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Dr. XXXXXXX
Yes I did undergo PFT tests. But they are quite old. Did not undergo that test recently.
Yes I did undergo PFT tests. But they are quite old. Did not undergo that test recently.
Brief Answer:
You should definitely get done PFT first.
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
In my opinion, you should definitely get done PFT first.
PFT will tell you about severity of the disease and treatment is based on severity only.
You should also consult pulmonologist.
Please let me know
1. Where do you live?
2. Do you have allergies?
3. Do you have wheezing or coughing in night?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
You should definitely get done PFT first.
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
In my opinion, you should definitely get done PFT first.
PFT will tell you about severity of the disease and treatment is based on severity only.
You should also consult pulmonologist.
Please let me know
1. Where do you live?
2. Do you have allergies?
3. Do you have wheezing or coughing in night?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Mr. XXXXXXX
I live near Silk Board, at Dollar Scheme Colony, Madiwala, BTM Layout 1. Yeah I have dust allergies and start sneezing right away when exposed to it. Do not have that much coughing at night but when I wake up in the morning I have a tendency to sneeze a lot. And wheezing when I lay down to sleep at night is common.
I do want to consult a pulmonologist here in XXXXXXX Can you suggest me or guide me for the same? Or is it possible to consult you?
I live near Silk Board, at Dollar Scheme Colony, Madiwala, BTM Layout 1. Yeah I have dust allergies and start sneezing right away when exposed to it. Do not have that much coughing at night but when I wake up in the morning I have a tendency to sneeze a lot. And wheezing when I lay down to sleep at night is common.
I do want to consult a pulmonologist here in XXXXXXX Can you suggest me or guide me for the same? Or is it possible to consult you?
Brief Answer:
I practice in XXXXXXX XXXXXXX
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
I would love to meet you but this is not possible as I practice in XXXXXXX XXXXXXX
I am practicing pulmonologist since 3 years.
In banglore you should consult XXXXXXX Asia hospital. It is having good pulmonary medicine department.
Or I can give you prescription which you can buy from medical store.
By your history and description, possibility of allergic rhinitis along with asthma is more.
So we need to treat both together.
Please let me know if you will be able to buy medicines over the counter in banglore.
I will be happy to help you further. Wish you good health. Thanks.
I practice in XXXXXXX XXXXXXX
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
I would love to meet you but this is not possible as I practice in XXXXXXX XXXXXXX
I am practicing pulmonologist since 3 years.
In banglore you should consult XXXXXXX Asia hospital. It is having good pulmonary medicine department.
Or I can give you prescription which you can buy from medical store.
By your history and description, possibility of allergic rhinitis along with asthma is more.
So we need to treat both together.
Please let me know if you will be able to buy medicines over the counter in banglore.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Dr. XXXXXXX
Yeah sure I can get the medicines. I will consult someone here and get the PFT done also. Thanks a lot for your help.
Yeah sure I can get the medicines. I will consult someone here and get the PFT done also. Thanks a lot for your help.
Brief Answer:
Start budamate inhaler, Allegra M tablet and fluticasone nasal spray.
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
So you should follow these.
1. Budamate or budetrol or foracort or formonide inhaler.
2. Tablet Allegra M.
3. Flomist or fluticone nasal spray.
4. Tablet Abphyllin SR.
Please let me know your weight so that I can guide you exact dosing of these drugs.
I will be happy to help you further. Wish you good health. Thanks.
Start budamate inhaler, Allegra M tablet and fluticasone nasal spray.
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
So you should follow these.
1. Budamate or budetrol or foracort or formonide inhaler.
2. Tablet Allegra M.
3. Flomist or fluticone nasal spray.
4. Tablet Abphyllin SR.
Please let me know your weight so that I can guide you exact dosing of these drugs.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Dr. XXXXXXX
My weight is 72Kgs.
My weight is 72Kgs.
Brief Answer:
Here is your prescription.
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Here is your prescription.
1. Budamate or budetrol or foracort or formonide inhaler one puff twice daily (1 in morning and 1 in night).
2. Tablet Allegra M 1 at night time before bed.
3. Tablet Abphyllin 100mg twice daily or tablet Abphyllin SR 200mg once daily at night before bed.
4. Flomist or fluticone nasal spray one puff twice daily in each nostril.
Please let me know
1. Where do you work?
2. Do you have dust or chemical exposure at work place?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Here is your prescription.
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Here is your prescription.
1. Budamate or budetrol or foracort or formonide inhaler one puff twice daily (1 in morning and 1 in night).
2. Tablet Allegra M 1 at night time before bed.
3. Tablet Abphyllin 100mg twice daily or tablet Abphyllin SR 200mg once daily at night before bed.
4. Flomist or fluticone nasal spray one puff twice daily in each nostril.
Please let me know
1. Where do you work?
2. Do you have dust or chemical exposure at work place?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Dr. XXXXXXX
No I dont have such exposure at office. I work at XXXXXXX
No I dont have such exposure at office. I work at XXXXXXX
Brief Answer:
I was asking this because I got a lot of online patients from banglore.
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I asked that because I got lot of online patients suffering from allergy from banglore.
I think the environment of banglore is not good. It must be having high allergen load.
It's good that you are having office job.
But it is better to wear face mask when going out to prevent dust and other allergen.
Hey, I forgot two ask about inhaler.
Are you using meter dose inhaler or dry powder inhaler?
Both are different with different effectiveness.
So please let me know this.
I will be happy to help you further. Wish you good health. Thanks.
I was asking this because I got a lot of online patients from banglore.
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I asked that because I got lot of online patients suffering from allergy from banglore.
I think the environment of banglore is not good. It must be having high allergen load.
It's good that you are having office job.
But it is better to wear face mask when going out to prevent dust and other allergen.
Hey, I forgot two ask about inhaler.
Are you using meter dose inhaler or dry powder inhaler?
Both are different with different effectiveness.
So please let me know this.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Dr. XXXXXXX
I am using meter dose inhaler.
I am using meter dose inhaler.
Brief Answer:
Do you know proper technique of using MDI?
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
It's good that you are using MDI (meter dose inhaler).
Please let me know
1. Do you know proper technique of using MDI?
2. Do you rinse your mouth after MDI use?
3. Have you ever taken nasal spray?
See you must be thinking that this doctor is asking too much and annoying kind of.
But believe me I seen patients not improving with correct inhalers and nasal sprays just only because their technique of taking is wrong.
So please let me know all these. Sorry for so many questions.
Do you know proper technique of using MDI?
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
It's good that you are using MDI (meter dose inhaler).
Please let me know
1. Do you know proper technique of using MDI?
2. Do you rinse your mouth after MDI use?
3. Have you ever taken nasal spray?
See you must be thinking that this doctor is asking too much and annoying kind of.
But believe me I seen patients not improving with correct inhalers and nasal sprays just only because their technique of taking is wrong.
So please let me know all these. Sorry for so many questions.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Dr. XXXXXXX
Yeah I know the procedures. But its also true that most of the time I forget to rinse my mouth after taking the inhaler. I will keep that in mind this time. And yes I have taken nasal spray also (I was prescribed Duonase before).
Yeah I know the procedures. But its also true that most of the time I forget to rinse my mouth after taking the inhaler. I will keep that in mind this time. And yes I have taken nasal spray also (I was prescribed Duonase before).
Brief Answer:
OK. Then start according two my advice.
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
It is very important topic rinse mouth after every time you use MDI. This is to prevent drug deposition in throat and subsequent throat infection.
So rinse your mouth all the time. Don't forget this.
And since you are also knowing nasal spray technique, start all medicines, inhaler and nasal spray prescribed by me.
Don't worry, you will be alright with all these.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wish you good health. Thanks.
OK. Then start according two my advice.
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
It is very important topic rinse mouth after every time you use MDI. This is to prevent drug deposition in throat and subsequent throat infection.
So rinse your mouth all the time. Don't forget this.
And since you are also knowing nasal spray technique, start all medicines, inhaler and nasal spray prescribed by me.
Don't worry, you will be alright with all these.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wish you good health. Thanks.
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
