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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Night Coughs And Leg Cramps With Asthma

Have asthma and been suffering from night coughs about 3 times per week. Competitve swimmer and getting leg cramps at night. On symbicort - strong dosage, with additional oxeze. Chest still tight certain times during the day. Simple answer could be dehydration or lack of calcium. But not normal to have night coughs and leg cramps.
Mon, 8 Sep 2014
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Allergist and Immunologist 's  Response
Hello.

Thank you for asking at HCM.

I went through your history and would like to make suggestions for you as follows:

1. Night coughs usually mean asthma is not under proper control with current medications and one needs to increase controller medications for asthma.

2. Were I treating you, I would add montelukast to your current treatment.

3. I would also suggest you allergy testing which will help you identify the substances causing allergies to you as well as to know the measures to avoid them.

Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve allergy symptoms over a long period, for long term basis.

4. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution.

5. Regular breathing exercises and a healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits and sprouts) will also be helpful to you in a long run by improving your lung capacity and immunity respectively.

6. For leg cramps, there are many causes for leg cramps.

I usually prescribe my patients a good multivitamin-multimineral supplement for 2-3 months. Also, I would like to mention here that formoterol (a component in both Symbicort as well as Oxeze) can cause muscle cramps as side effects. Please discuss this with your doctor to decide whether formoterol contributes to your cramps.

Hope above suggestions will be helpful to you.

Should you have ant further query, please feel free to ask at HCM.

Wish you the best of the health.

Thank you & Regards.
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Suggest Treatment For Night Coughs And Leg Cramps With Asthma

Hello. Thank you for asking at HCM. I went through your history and would like to make suggestions for you as follows: 1. Night coughs usually mean asthma is not under proper control with current medications and one needs to increase controller medications for asthma. 2. Were I treating you, I would add montelukast to your current treatment. 3. I would also suggest you allergy testing which will help you identify the substances causing allergies to you as well as to know the measures to avoid them. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve allergy symptoms over a long period, for long term basis. 4. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution. 5. Regular breathing exercises and a healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits and sprouts) will also be helpful to you in a long run by improving your lung capacity and immunity respectively. 6. For leg cramps, there are many causes for leg cramps. I usually prescribe my patients a good multivitamin-multimineral supplement for 2-3 months. Also, I would like to mention here that formoterol (a component in both Symbicort as well as Oxeze) can cause muscle cramps as side effects. Please discuss this with your doctor to decide whether formoterol contributes to your cramps. Hope above suggestions will be helpful to you. Should you have ant further query, please feel free to ask at HCM. Wish you the best of the health. Thank you & Regards.