Trouble getting asthma under full control
I’m having trouble getting my Asthma under full control. As mentioned, I’ve come a long way in the last two months, but I’m still experiencing some thick, sticky phlegm. Pulmonologist has me on a high dose course of Prednisone and currently I’m in the “tapering down” stages. The prednisone has seemingly and completely eliminated any lingering cough, and episodes of SOB seem gone too. The drug has reduced the amount of the sticky phlegm, yet it remains to a lesser degree (and I have to occasionally work to “huff” it up). This action is causing some pain in my upper back and down my arms too. Plus the huffing makes my voice hoarse. Frankly, I could probably live with it if the phlegm were easier to move (I am also taking 1200 mg 2x daily of Mucinex and just added NAC supplement.) Any thoughts or suggestions on next steps?
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Don't forget the extreme increase in smoke from wildfires. That kind of smoke can (and has) literally traveled across the entire country.
Air Quality Alerts have increased a great deal.
Using an air filter in the house and a mask outside, could significantly reduce these exposures.
Three More Things:
1) My wife had a hair dresser. He had bad asthma. We live in New Jersey. The hairdresser moved to North Carolina. Within a couple of months, his asthma simply disappeared.
2) Some people find that sea air / salt air helps their breathing. I have severe asthma. I was told that if I could walk on a beach an hour daily it would help a lot. Have not had the money to move or make this happen, but passing along what I was told. I have been in sea air a bit...and it does always help some.
3) Might also want to think about reducing your general exposure to chemicals in the house...meaning replacing ammonia and bleach with milder cleaners like distilled white vinegar, etc.
Here's one article about that:
IMPROVING INDOOR AIR QUALITY
Checking and improving your indoor air quality
Do you need to improve your indoor air quality? What do you smell when you walk in your front door? Do you smell air fresheners, dryer sheets? Who knows what chemicals are in these products and how many are harmful to your health?
Who knows what they do when they accumulate in your body? Or what their synergistic effects might be? [“Synergistic” means that 2 + 2 = 5, that when two or more are added together, their total effects might be worse than the sum of either separately.]
https://www.createyourhealthyhome.com/improve-your-indoor-air-quality/index.html
Most important asthma is treated by a Pulmonolgist
The allergy testing is not helping unless it is an allergy to a food or medicine. Most allergists do not test for medications.
You need to use a lung doctor, a pulmonologist.
Thank you. I have two pulmonologists and have an appt. at Mayo to see a pulmonologist there. Crossing fingers.
Good news! You will get better.
You need an Infectious Disease Dr. Pulomonologist will work with Infectious Disease Doc. on the breathing issues. Its the Stenotrophomonas that is causing the breathing issues but it is hard to tell the difference in asthma and a bacterial infection. It feels the same and hard to tell which it is.
I am still trying to get over Stenotrophomonas as well. Have had asthma all of my life, been on allergy shots for 52 years. Asthma was totally under control for the last 20 years until I started picking up bacteria. It will not be a mystery to an Infectious Disease Dr. They take sputum samples (spit in a cup) send it off and the lab will tell them what grows out and what meds that will kill it, beat it back or is immune to it. Because of picking up so many bacteria, I have developed BE (Bronchiechitis ) which is where your small air ways widen over time and you can not get rid of mucus. I use an airway clearance vest 2x per day which does seem to help. I can't stress how important it is to find a good if not GREAT Infectious Disease Dr.
You need an Infectious Disease Dr. Pulomonologist will work with Infectious Disease Doc. on the breathing issues. Its the Stenotrophomonas that is causing the breathing issues but it is hard to tell the difference in asthma and a bacterial infection. It feels the same and hard to tell which it is.
I am still trying to get over Stenotrophomonas as well. Have had asthma all of my life, been on allergy shots for 52 years. Asthma was totally under control for the last 20 years until I started picking up bacteria. It will not be a mystery to an Infectious Disease Dr. They take sputum samples (spit in a cup) send it off and the lab will tell them what grows out and what meds that will kill it, beat it back or is immune to it. Because of picking up so many bacteria, I have developed BE (Bronchiectasis ) which is where your small air ways widen over time and you can not get rid of mucus. I use an airway clearance vest 2x per day which does seem to help. I can't stress how important it is to find a good if not GREAT Infectious Disease Dr. Having asthma is a group that is high on the list for developing Bronchiectasis. My allergist had no clue either but my Pulomonologist depends on my Infectious disease Dr to figure out how to treat the bacteria.
Predisone I just cannot take and I know it would stop my nagging cough + long existing itchy throat which is more allergy than infection
And I am on a pediatric version
Cannot take 2 meds per day either
DeSymon ( spelling) - one for dry cough only what I take - there are 3 kinds
Most cough medicines have too much in them that cause other issues - built up phelm or drip or more dryness
Pharmacist appears to know thus
Hi, @scy, and welcome to Connect. I noticed you said you just cannot take prednisone though you know it would stop your nagging cough. Before I was on a biologic, when I would travel, especially, I would often go into an asthmatic flare with a lot of coughing, which is my main asthma symptom. The only thing that would calm things down is taking a 5-day course of prednisone.
Why is it that you cannot take prednisone? Have you had trouble with this medication or tapering after finishing a course of it?
Never said I had asthmaLong time itchy dry throatGet way to anxious on prednisone+ the manner of 5 day treatment causes headaches