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Suggest Treatment For Asthmatic Bronchitis
I am an asthmatic and have had 3 viral URI in the past 4 months. all diagnosed as asthmatic bronchitis. Should I be concerned with the frequency of these symptoms or am I just proned to them, especially this year with weather hi s and low s., and mu exposure to elderly in a nursing home as I frequently visit my Mom as the nursing home.
Thu, 8 Nov 2018
Hello,
By what you say I feel that you have severe persistent asthma as per GINA guidelines and international recommendations and classification.
It is classical to present intermittently like this. My suggestions for you:
1. Continue Prednisolone.
2. Inhalers are the newest management strategies for this. I suggest the use of Foracort metered dose inhaler. Another metered dose inhaler is Levolin and this can used as rescue therapy whenever you are having severe cough in spite of regular usage of Foracort. The technique is very important and very crucial for the drug to be delivered correctly to the lungs. Regularity of medicine usage also matters a lot. So do not discontinue abruptly after you notice some improvement. The technique of administering an inhaler using a spacer has to be taught to you by your doctor and these are prescription medicines. So I suggest you consult your physician for this.
3. Tablet Montelukast.
4. Triggers can be environmental changes/ dust/ talcum powder/ seasonal changes/ un-cleaned a/c vents/ cold weather etc. We cannot specifically say this is the cause - unless we observe closely - the best person is yourself.
5. You will require a spirometry.
6. If these doesn't work then we need to think about a restrictive lung disease as an occupational exposure related issue. The other possibility is an evolving interstitial lung disease (but extremely unlikely as breathlessness would be the predominant symptom than a cough.)
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Sumanth Amperayani,
Pediatrician, Pulmonology
By what you say I feel that you have severe persistent asthma as per GINA guidelines and international recommendations and classification.
It is classical to present intermittently like this. My suggestions for you:
1. Continue Prednisolone.
2. Inhalers are the newest management strategies for this. I suggest the use of Foracort metered dose inhaler. Another metered dose inhaler is Levolin and this can used as rescue therapy whenever you are having severe cough in spite of regular usage of Foracort. The technique is very important and very crucial for the drug to be delivered correctly to the lungs. Regularity of medicine usage also matters a lot. So do not discontinue abruptly after you notice some improvement. The technique of administering an inhaler using a spacer has to be taught to you by your doctor and these are prescription medicines. So I suggest you consult your physician for this.
3. Tablet Montelukast.
4. Triggers can be environmental changes/ dust/ talcum powder/ seasonal changes/ un-cleaned a/c vents/ cold weather etc. We cannot specifically say this is the cause - unless we observe closely - the best person is yourself.
5. You will require a spirometry.
6. If these doesn't work then we need to think about a restrictive lung disease as an occupational exposure related issue. The other possibility is an evolving interstitial lung disease (but extremely unlikely as breathlessness would be the predominant symptom than a cough.)
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Sumanth Amperayani,
Pediatrician, Pulmonology
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