Does anyone else experience a burning chest with flare-up?

Posted by wsbme74 @wsbme74, Nov 1, 2024

I have both moderate asthma and mild(ish?) Bronchiectasis. When I am fighting a flare up, I get additional mucus, fatigue, and a burning chest sensation. I don't know if this is more asthma or Bronchiectasis. My pulmonologist for BE automatically gives me prednisone with antibiotics in these cases but my asthma/allergy doctor has recently said she doesn't usually give prednisone with antibiotics automatically given the immune-suppressing aspect. I am not able to tell if the burning discomfort is more asthma or Bronchiectasis-related and wonder if others also experience this?

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Might the burning be related to Gerd/reflux? Sometimes it can be silent, which means no overt symptoms. One thing that works well for me is drinking alkaline spring water, which helps to neutralize any stomach acid while providing some electrolytes.

I, too, have asthma and have found I do best on an inhaler with some steroid on a regular basis. With flare ups I generally refuse oral steroids but after a culture antibiotics help a lot.

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@scoop

Might the burning be related to Gerd/reflux? Sometimes it can be silent, which means no overt symptoms. One thing that works well for me is drinking alkaline spring water, which helps to neutralize any stomach acid while providing some electrolytes.

I, too, have asthma and have found I do best on an inhaler with some steroid on a regular basis. With flare ups I generally refuse oral steroids but after a culture antibiotics help a lot.

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Hi. Thanks! No, the burning only seems to happen with a flare up. It's definitely one of "my signs" for unhappy lungs. I don't get it any other time.
That's good to know you are, even with asthma, able to manage most flare-ups with antibiotics and not the additional prednisone. Our local lab always seems to reject my samples as too much saliva, even when they seem acceptable to me. So far, a broad spectrum antibiotic is managing but it would, of course, be better to be more targeted.

Thanks for your feedback!

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@wsbme74

Hi. Thanks! No, the burning only seems to happen with a flare up. It's definitely one of "my signs" for unhappy lungs. I don't get it any other time.
That's good to know you are, even with asthma, able to manage most flare-ups with antibiotics and not the additional prednisone. Our local lab always seems to reject my samples as too much saliva, even when they seem acceptable to me. So far, a broad spectrum antibiotic is managing but it would, of course, be better to be more targeted.

Thanks for your feedback!

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I too have flare ups that seem to calm only with antibiotics. Doxycycline seems to be my pulmonologist drug of choice. How safe is it to use this drug on a regular basis?

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I usually seem to need it 2-3x per year, the antibiotics. One pulmonologist says for 5 days, and another says 10. Go figure. Wondering how long people usually seem to take antibiotics for flare-ups?

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@wsbme74

I usually seem to need it 2-3x per year, the antibiotics. One pulmonologist says for 5 days, and another says 10. Go figure. Wondering how long people usually seem to take antibiotics for flare-ups?

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7 days of antibiotics for flare ups me. Over 3 infections per year and they might get suspicious it's something else involved, like an immune system dysfunction or resistant bacterial infection.

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My right lung burns off and on with flare ups. Feels like icy hot is inside my lung. Also when I brush my teeth with mint toothpaste and inhale afterwards that part of my lung burns.

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@vegita182

My right lung burns off and on with flare ups. Feels like icy hot is inside my lung. Also when I brush my teeth with mint toothpaste and inhale afterwards that part of my lung burns.

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Regarding mint toothpaste.
Scoop asked if you have GERD/GORD/Acid Reflux. It is my understanding that NJH believes that Acid Reflux is often related to Bronchiectasis.
I also read that if one has Acid Reflux one should stay away from mint, peppermint etc.
Just a thought and something to think about or look into further.
Barbara

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My asthma is totally controlled for many years now with Flovent . I do have the burning sensation when I get a bacterial infection. At the moment I have two bacteria. I also find that if I eat carbs I get heartburn. Come off the carbs and heartburn totally disappears. I basically am a protein and green veggie eater. I really don't care for fruit.

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@scoop

Might the burning be related to Gerd/reflux? Sometimes it can be silent, which means no overt symptoms. One thing that works well for me is drinking alkaline spring water, which helps to neutralize any stomach acid while providing some electrolytes.

I, too, have asthma and have found I do best on an inhaler with some steroid on a regular basis. With flare ups I generally refuse oral steroids but after a culture antibiotics help a lot.

Jump to this post

Smart choice. I also heard steroid can cause NTM and it is wise to use as needed

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Agree, heart burn may be caused by GERD. Always sleep with a pillow and do not eat or drink three hours before bed. I use only half cup of water for my medication as I take the sleep time.

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