Frage von nycsinger2000: Is this Asthma? Or what else could it be? Acid Reflux?
I have been having some difficulty breathing for a while and my doctors have not found the answer. It’s not that I don’t trust my doctors. I think they have not felt a need to dig deep since it doesn’t regularly affect my breath capacity.
It’s very hard to describe the feeling and there are a lot of things that happen. It’s sort of like when I breathe my chest becomes sort of tight and it sort of feels as if I’m breathing in a chemical. It causes a sort of ache/burning in my throat. It feels like the air coming from my lungs is sort of cold. Sometimes it will feel as if I cannot catch my breath but doesn’t affect my ability to breathe,
In addition I get either phlegm stuck in my throat or a feeling that my throat is too open. I get a tight ache int he middle of my chest but more surface feeling like it’s my ribs than my heart. I also get a feeling of pressure under my ribs in my upper back and the same area feels like I’m sweating localized in this part of my body. The breathing does not seem to be changed by exertion although sometimes when doing cardio I get a very weak feeling which I’ve been told is adrenaline crash. I do have problems breathing then going up long flights of stairs.
I have been diagnosed with
Acid reflux(symptom diagnosis and ruled out other issues..have had upper Gi and Esophagus barium studies but no endoscope)
Allergies to dogs and cats (proven with scratch test…live with 2 dogs)
my allergist said he thinks I may have mild occasional asthma but it did not show up on chest x rays and breathing tests have been fine, blood work is excellent. I had a full cardiac work up a year and a half ago and everything was good.
in very good shape
Thanks Matt, very helpful, My Allergist perscribed Asthmanex but I was afraid to use it…should I try the over the counter stuff like prymatine? I have an emergancy inhaler but have not felt a need for it
Answer by Matt A
Well, Acid reflux can start asthma attacks. Asthma is an allergy and you have confirmed allergies. Asthma is an episodic disease that come and goes. A standard breathing test will not pick up on asthma unless you are having an attack during the test. A methacholine challenge test is the gold standard test for asthma where they actully induce an asthma attack in the pulmonary function testing lab and measure it along with how well they can reverse it with a bronchodilator. Same with an X-ray, unless you are having an attack or the attacks were bad enough to scar the lungs, it should be normal.
I would guess from what you have said, it is asthma exacerbated by acid reflux.
Asthma can be controlled. You will need to speak with your doctor about an asthma action plan with a rescue inhaler and controller medication to start off with. You need to monitor your peak flows (get a meter at the docs office) each morning to see if you are breathing well enough to continue with everyday life. The meter can detect decreases in air flow before you get out of breath.
Talk to your doctor about a medication to control acid reflux. Keep your house clean and never let pets sleep in your bed. Wash bedding and pillows on a regular basis and change out your pillows every 3-6 months to minimize dust mite exposure.
Learn more at this website
Primatine is a rescue inhaler and a strong one. It has many side effects like high heart rate, increased blood pressure, dry mouth, nervous shaky feeling and jitters. The prescription rescue inhaler the doctor gave you is better but has some of these same side effects, much less.
Asthmanex is not a rescue inhaler. It is a low dose inhaled steroid. It needs to be taken everyday for it to work properly. A steroid will help prevent inflammation in your airway. One of the two components of asthma.
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