Posts belonging to Category 'chronic asthma treatment'

Living Alone With Adult-Onset Asthma

Question:

What else can such a place do besides just prescribing more meds or other meds???? More meds, other meds, and from where I sit, all this is bringing you is down.  I’m so sorry.   There’s a saying in health circles, "Doctor, heal thyself."  I may have been lucky, and I certainly feel fortunate, but this is exactly what I have done through "untested" alternatives.

Wrong, this is what you _think_ you have done.  You have no idea if your alternatives did anything at all. How much longer will you defend a paradigm of only treating symptoms with drugs?  My father held on to this notion as well.  He spent the last 25 years of his life in miserable, declining health, and wouldn’t take a vitamin to save his life.  You would have been proud of his stubbornness.  I was just sad.

We are not defending a paradigm of only treating people with drugs. Drugs are just _one_ of the tools available.  If you had been paying attention you would have noticed that there are many supplemental treatments for asthma (such as allergy shots, environmental control, etc) that we also use. The thing that you fail to realize is that we support ‘evidence based’ medicine.  You on the other hand support believing a marketers claims without questioning. — "What Sept. 11 did was remind us that there are times when we must fight for our country, that, indeed, there are things – our liberty, our democracy, our belief in human rights and human dignity – worth fighting for." Newsday.com editorial – 27 May 2002

Response:

Don’t you get a lot of scar tissue, adhesions?  Or is it different from a surgical resection?  UM MOM Susan

No adhesions, and if there is scar tissue, it is someplace where it is not visible.  (And I did make sure that the surgeon was skilled and experienced in the procedure.) — "What Sept. 11 did was remind us that there are times when we must fight for our country, that, indeed, there are things – our liberty, our democracy, our belief in human rights and human dignity – worth fighting for." Newsday.com editorial – 27 May 2002

Response:

That is the goal.  If this is not working for you, ask for a referral from your doctor to a regional asthma treatment center. What else can such a place do besides just prescribing more meds or other meds????

There are a number of things they can test for and look at.   But since I have a chronic sinus infection that no ENT has been able to cure, and since I live in a polluted area, I don’t know what other medical options are available.

And a regional treatment center may be able to get a handle on your sinus problem. Never give up. — "What Sept. 11 did was remind us that there are times when we must fight for our country, that, indeed, there are things – our liberty, our democracy, our belief in human rights and human dignity – worth fighting for." Newsday.com editorial – 27 May 2002

Response:

Steven try Advair, proventil , and for the sinuses, cipro or any of the members in the family really help.  Try to stay away from pred.  It causes a whole lot of other problems.  UM MOM Susan

I’ve been on most of that already. My sinus culture shows I have Enterococcus Faecalis, a bug that is resistant to every oral antibiotic there is.  (This particular strain is even resistant to quinolones like Cipro–I was on several courses of Levaquin without success.) The only antibiotic that works on it is IV ampicillin, and I can’t take that easily because I’m allergic to penicillin. Advair contains the adult dose of Serevent, which I cannot tolerate at night due to the CNS stimulation side effect. — Steven D. Litvintchouk                  

Response:

What else can such a place do besides just prescribing more meds or other meds???? More meds, other meds, and from where I sit, all this is bringing you is down.  I’m so sorry.

You’re sorry???? I got laid off from my job a couple months ago–I could no longer do the job of being an engineer traveling around the country, working overtime on a regular basis, etc. In about 1 more year, my COBRA health insurance runs out. So I have a 1 year launch window to get my health in better shape. There’s a saying in health circles, "Doctor, heal thyself."  I may have been lucky, and I certainly feel fortunate, but this is exactly what I have done through "untested" alternatives.

Just out of curiosity, until you started trying alternatives, were you feeling pretty poorly too? How much longer will you defend a paradigm of only treating symptoms with drugs?  

My doctors genuinely started out wanting to cure me, not just treat my symptoms. But if you’re so diagnosed, asthma and chronic bronchitis and COPD are incurable.  It’s as simple as that. As for defending the paradigm, it works for lots of other people.  Lots of folks on this NG are satisfied with how their disease is being managed and controlled. I’m an exception. One reason why I’m an exception, Bob, is that my chronic sinus infections were repeatedly *misdiagnosed* as simple allergy or simple non-allergic rhinitis from 1994 thru 1997.  In that time period, repeated bacterial infections went into my lower respiratory tract and seem to have caused permanent damage down there. By the time I found an ENT who made the correct diagnosis–chronic sinus infection–and did surgery on me in 1997 (which confirmed the diagnosis), it was too late.  Had the correct diagnosis been made immediately, I might have been cured before I ended up like this–who knows. — Steven D. Litvintchouk                  

Response:

There’s a saying in health circles, "Doctor, heal thyself."  I may have been lucky, and I certainly feel fortunate, but this is exactly what I have done through "untested" alternatives. There is another old medical saying: "He who treats himself has a fool for a physician."    Larry

You bet Larry.   Self-reported Health, Illness, and Self-care Among Finnish Physicians A National Survey   Saara T

Weight gain and seritide

Question:

I surley can understand what you are going through I have yet gained weight but I am just beging this asthma decease.  I surely know that it is depressing.  I am having a hard time sleeping and let me tell you I need my sleep.  I am lucky that my doctor has me out on disability for a couple of weeks until I can get used to this not that you well ever get used to it. Janet

Response:

Zirtec makes many people sleepy.  It made me sleepy when I tried it. Feeling sleepy means, for many people, that your metabolism is running a bit more slowly and therefore using fewer calories, all other things being equal. I suggest you try switching to another allergy medication.  The usual order seems to be to try Claritin, then Zyrtec, then Allegra.  That’s what I did and I’ve continued to take Allegra and been very happy with it. Experimenting with different mixes of medications is a good thing and it sounds like you’re overdue for a change.  If your doctor isn’t as bothered as you are by the apparent side effects of your medications, consider changing doctors as well. Good luck! -S- – Hide quoted text — Show quoted text – Since my doctor has upped my asthma treatment my weight has escalated. I was upped to 6 puffs of blue (sabutamul) reliever, and 8 puffs of brown (becotide?) preventer. Then I was put onto 250mgs of seritide which was eventually dropped to 125mg both of which I take twice daily instead of the blue and brown inhalers. Considering my weight gain has upped a pace since starting the seritide I was wondering if this might be responsible, particulary as I am having trouble losing the weight. Or, indeed if the blue and brown inhalers may have started the weight gain. Also I have been feeling more stressed and panicky, and lack motivation. I also take Zirtak daily for allergies.There are other factors I could take into consideration, but the fact remains; two years ago I was happy, healthy and thin.The asthma kicked in with a vengence, complete with allergies which I had never suffered with before, and now I am miserable, overweight and on daily medication. The weight and the blues have seemed to increase in step with the medication. Has anyone had similar experiances?

Response:

Thanks, not quite the answer I was looking for, but at least I can rule that out. Time to hit the treadmill I suppose :( ! In answer to `Teamonkey`; no my allergies didn`t kick in with pregnancy, they kicked in a year or two before I hit 30, perhaps I`m allergic to 30! This was one of the other factors I was refering to, could be why my metabolisms dropped so low?  The brown inhaler was Beclazone not bectocide as previously stated.

Response:

Since my doctor has upped my asthma treatment my weight has escalated. I was upped to 6 puffs of blue (sabutamul) reliever, and 8 puffs of brown (becotide?) preventer. Then I was put onto 250mgs of seritide which was eventually dropped to 125mg both of which I take twice daily instead of the blue and brown inhalers.

Seretide is a combination of fluticasone and salmeterol; called Advair in the US.  Considering my weight gain has upped a pace since starting the seritide I was wondering if this might be responsible, particulary as I am having trouble losing the weight. Or, indeed if the blue and brown inhalers may have started the weight gain.

Weight gain comes about from eating too much food for the amount of energy expended. This dose of Seretide/Advair would be unlikely to be a factor. However the asthma may have caused you to reduce physical activity?  Also I have been feeling more stressed and panicky, and lack motivation.

Stress might cause you to eat more? Bronchodilators like salbutamol/albuterol and salmeterol can tend to cause panic in those susceptible.  I also take Zirtak daily for allergies.There are other factors I could take into consideration, but the fact remains; two years ago I was happy, healthy and thin.The asthma kicked in with a vengence, complete with allergies which I had never suffered with before, and now I am miserable, overweight and on daily medication. The weight and the blues have seemed to increase in step with the medication. Has anyone had similar experiances?

The onset of a chronic disease like asthma can cause changes in life style. Consider exercising more and eating less. [easier said than done] Make sure the asthma is well controlled at all times. A peak flow meter can be used to monitor lung condition, and adjust medications if needed. If lung function drops below 80% personal best, this usually indicates the need to double the dose of inhaled steroids, fluticasone in your case; however you shouldn’t do this with Seretide/Advair since the salmeterol is already at max; so you would need a separate fluticasone [Flixotide] inhaler, if you needed to do this. For more UK information, see: http://www.lunguk.org/info/index.html British Lung Foundation Ellis

Response:

Since my doctor has upped my asthma treatment my weight has escalated. I was upped to 6 puffs of blue (sabutamul) reliever, and 8 puffs of brown (becotide?) preventer. Then I was put onto 250mgs of seritide which was eventually dropped to 125mg both of which I take twice daily instead of the blue and brown inhalers. Considering my weight gain has upped a pace since starting the seritide I was wondering if this might be responsible, particulary as I am having trouble losing the weight. Or, indeed if the blue and brown inhalers may have started the weight gain. Also I have been feeling more stressed and panicky, and lack motivation. I also take Zirtak daily for allergies.There are other factors I could take into consideration, but the fact remains; two years ago I was happy, healthy and thin.The asthma kicked in with a vengence, complete with allergies which I had never suffered with before, and now I am miserable, overweight and on daily medication. The weight and the blues have seemed to increase in step with the medication. Has anyone had similar experiances?

Response:

Perchance, did your allergies kick in when you were pregnant? – Hide quoted text — Show quoted text – Since my doctor has upped my asthma treatment my weight has escalated. I was upped to 6 puffs of blue (sabutamul) reliever, and 8 puffs of brown (becotide?) preventer. Then I was put onto 250mgs of seritide which was eventually dropped to 125mg both of which I take twice daily instead of the blue and brown inhalers. Considering my weight gain has upped a pace since starting the seritide I was wondering if this might be responsible, particulary as I am having trouble losing the weight. Or, indeed if the blue and brown inhalers may have started the weight gain. Also I have been feeling more stressed and panicky, and lack motivation. I also take Zirtak daily for allergies.There are other factors I could take into consideration, but the fact remains; two years ago I was happy, healthy and thin.The asthma kicked in with a vengence, complete with allergies which I had never suffered with before, and now I am miserable, overweight and on daily medication. The weight and the blues have seemed to increase in step with the medication. Has anyone had similar experiances?

Response:

Sleep-Related Asthma [sleep apnea?]

Question:

Recently I have experienced night time awakenings resulting in awakening with a gagging sensation like I stopped breathing. Those around me notice the problem and suggested I have sleep apnea. I saw an ENT last month for a diagnosis; he said I don’t have sleep apnea since I don’t snore. The sleep problem is caused by a mucus buildup in my throat or vocal cords, causing a mucus plug in my throat, which I clear by waking up and swallowing or coughing. The problem is worse when I have an asthma exacerbation, which I am recovering from now. It can also be worse when suffering rhinitis; the ENT prescribed Nasonex. Ellis Links: http://www.uni-marburg.de/sleep/enn/database/asdadefs/def3c4.htm The International Classification of Sleep Disorders Sleep-Related Asthma Prevalence: 61-74% of asthma patients report nighttime awakenings due to sleep-related asthma. Up to 40% of patients on routine asthma treatment have reported awakening every night with episodes of asthma. http://www.pulmonologychannel.com/osa/diagnosis.shtml Obstructive Sleep Apnea "The primary method for diagnosing OSA is to have the patient undergo a sleep study, known as polysomnography. Obstructive sleep apnea is diagnosed if the patient has an apnea index greater than 5, that is, has more than five apneic episodes per hour or a respiratory disturbance index (RDI), the combination of apneas and hypopneas, greater than 10 per hour. Clinically speaking, an obstructive apnea is defined as a complete cessation of airflow for more than 10 seconds with persistent respiratory effort. An obstructive hypopnea is defined as a partial reduction in air flow of approximately 30% to 50% with persistent respiratory effort and a reduction in oxygen saturation by at least 3% to 4% and/or an arousal from sleep. Another condition, called upper airway resistance syndrome, cannot be seen on polysomnography. This syndrome is characterized by repetitive arousals from sleep that probably result from increasing respiratory effort during narrowing of the upper airway. These patients suffer the same sleep disruption and deprivation as sleep apnea patients. In such cases, the only abnormality that appears on the polysomnogram is recurrent arousal. It is possible to measure an increase in the negative pressure exerted by the patient in an effort to breathe against increasing resistance as the airway narrows. This measurement of inspiratory pressure is not usually done during a standard polysomnogram. Patients with upper airway resistance syndrome constitute a group whose OSA may be missed by polysomnogram. http://www.helioshealth.com/sleep/sleep_08_01_04.html Obstructive Sleep Apnea – Causes Hypertension Hypertension, or high blood pressure, is a risk factor for obstructive sleep apnea (OSA). Approximately 25 percent of people with high blood pressure also have sleep apnea. GERD People with gastro esophageal reflux disorder (GERD) seem to be more at risk for obstructive sleep apnea (OSA). The main trait of GERD is the tendency for stomach acid to move up into the esophagus (throat). Stomach acid can produce spasms in the larynx (the part of the throat that houses the vocal chords). These spasms can block the flow of air to and from the lungs. Lung Disease Lung diseases such as asthma and chronic obstructive pulmonary disorder (COPD) can increase the chance of developing obstructive sleep apnea (OSA). http://www.helioshealth.com/sleep/sleep_08_02.html Symptoms The main symptom of sleep apnea is excessive daytime sleepiness. However, a person with sleep apnea may think that they just don’t sleep well for other reasons, from stress to working too much to general insomnia. Other people may also notice warning signs of sleep apnea. Spouses may notice their partners struggling to breathe at night or tossing and turning while trying to find a comfortable sleeping position. Co-workers may notice that the person is sleepier than normal and may even take naps during work. A supervisor may note that the person is not as productive as he or she used to be. http://www.njsleephelp.com/sleepdisorders.htm Sleep Disorders in the Elderly More than half of the population over 65 experiences some form of sleep disorder. Factors that can contribute to this are aging, stress, medication, and an underlying medical condition. http://www.stanford.edu/~dement/sleepinfo.html SLEEP DISORDERS INFORMATION

Response:

I have seen the sleep studies of a person who had severe Central Sleep Apnea…….he has never snored, so it took him some time to accept that he actually had a problem. His wife was aware that he was stopping breathing while he slept and finally was able to convince him to consult a Dr and have a sleep study done. Snoring does not necessarlily have to be present along side apneas.

In obstructive sleep apnea (OSA) the soft tissues of the neck and throat collapse during sleep and block the airway. It is not hard to imagine that people with thick fleshy necks tend to have more tissue to obstruct the airway or how all this blockage will predispose to snoring as well as OSA. In central sleep apnea, an uncommon condition, there is some defect in the respiratory centers of the brain, frequently as a result of stroke or trauma, that causes lapses in the signals to breath. There is no obstruction so there is not likely to be snoring, at least no more likely than for any normal person. — CBI, MD

Response:

Recently I have experienced night time awakenings resulting in awakening with a gagging sensation like I stopped breathing. Those around me notice the problem and suggested I have sleep apnea. I saw an ENT last month for a diagnosis; he said I don’t have sleep apnea since I don’t snore.

That’s a fallacy. It’s true that most people with sleep apnea, snore. Some don’t (snore).  The only way to find out your AHI (apnea/hypopnea index) and oxygen saturation levels is to have an overnight sleep study which will also check you for other sleep disturbances like RLS (restless leg syndrome) and PLMD (legs jerking..myoclonus movements). http://www.ninds.nih.gov/health_and_medical/disorders/sleep_apnea.htm Symptoms of sleep apnea may include restless sleep, loud, heavy snoring (often interrupted by silence and then gasps),…. (note the word "may"). The sleep problem is caused by a mucus buildup in my throat or vocal cords, causing a mucus plug in my throat, which I clear by waking up and swallowing or coughing.

Which can also be caused by gastritis and/or GERD.  The gastro irritation backs up into the throat and nasal passages. The problem is worse when I have an asthma exacerbation, which I am recovering from now. It can also be worse when suffering rhinitis; the ENT prescribed Nasonex.

J

Response:

I have seen the sleep studies of a person who had severe Central Sleep Apnea…….he has never snored, so it took him some time to accept that he actually had a problem. His wife was aware that he was stopping breathing while he slept and finally was able to convince him to consult a Dr and have a sleep study done. Snoring does not necessarlily have to be present along side apneas. Alison – Hide quoted text — Show quoted text – Recently I have experienced night time awakenings resulting in awakening with a gagging sensation like I stopped breathing. Those around me notice the problem and suggested I have sleep apnea. I saw an ENT last month for a diagnosis; he said I don’t have sleep apnea since I don’t snore. The sleep problem is caused by a mucus buildup in my throat or vocal cords, causing a mucus plug in my throat, which I clear by waking up and swallowing or coughing. The problem is worse when I have an asthma exacerbation, which I am recovering from now. It can also be worse when suffering rhinitis; the ENT prescribed Nasonex. Ellis Links: http://www.uni-marburg.de/sleep/enn/database/asdadefs/def3c4.htm The International Classification of Sleep Disorders Sleep-Related Asthma Prevalence: 61-74% of asthma patients report nighttime awakenings due to sleep-related asthma. Up to 40% of patients on routine asthma treatment have reported awakening every night with episodes of asthma. http://www.pulmonologychannel.com/osa/diagnosis.shtml Obstructive Sleep Apnea "The primary method for diagnosing OSA is to have the patient undergo a sleep study, known as polysomnography. Obstructive sleep apnea is diagnosed if the patient has an apnea index greater than 5, that is, has more than five apneic episodes per hour or a respiratory disturbance index (RDI), the combination of apneas and hypopneas, greater than 10 per hour. Clinically speaking, an obstructive apnea is defined as a complete cessation of airflow for more than 10 seconds with persistent respiratory effort. An obstructive hypopnea is defined as a partial reduction in air flow of approximately 30% to 50% with persistent respiratory effort and a reduction in oxygen saturation by at least 3% to 4% and/or an arousal from sleep. Another condition, called upper airway resistance syndrome, cannot be seen on polysomnography. This syndrome is characterized by repetitive arousals from sleep that probably result from increasing respiratory effort during narrowing of the upper airway. These patients suffer the same sleep disruption and deprivation as sleep apnea patients. In such cases, the only abnormality that appears on the polysomnogram is recurrent arousal. It is possible to measure an increase in the negative pressure exerted by the patient in an effort to breathe against increasing resistance as the airway narrows. This measurement of inspiratory pressure is not usually done during a standard polysomnogram. Patients with upper airway resistance syndrome constitute a group whose OSA may be missed by polysomnogram. http://www.helioshealth.com/sleep/sleep_08_01_04.html Obstructive Sleep Apnea – Causes Hypertension Hypertension, or high blood pressure, is a risk factor for obstructive sleep apnea (OSA). Approximately 25 percent of people with high blood pressure also have sleep apnea. GERD People with gastro esophageal reflux disorder (GERD) seem to be more at risk for obstructive sleep apnea (OSA). The main trait of GERD is the tendency for stomach acid to move up into the esophagus (throat). Stomach acid can produce spasms in the larynx (the part of the throat that houses the vocal chords). These spasms can block the flow of air to and from the lungs. Lung Disease Lung diseases such as asthma and chronic obstructive pulmonary disorder (COPD) can increase the chance of developing obstructive sleep apnea (OSA). http://www.helioshealth.com/sleep/sleep_08_02.html Symptoms The main symptom of sleep apnea is excessive daytime sleepiness. However, a person with sleep apnea may think that they just don’t sleep well for other reasons, from stress to working too much to general insomnia. Other people may also notice warning signs of sleep apnea. Spouses may notice their partners struggling to breathe at night or tossing and turning while trying to find a comfortable sleeping position. Co-workers may notice that the person is sleepier than normal and may even take naps during work. A supervisor may note that the person is not as productive as he or she used to be. http://www.njsleephelp.com/sleepdisorders.htm Sleep Disorders in the Elderly More than half of the population over 65 experiences some form of sleep disorder. Factors that can contribute to this are aging, stress, medication, and an underlying medical condition. http://www.stanford.edu/~dement/sleepinfo.html SLEEP DISORDERS INFORMATION

Response:

Breathing exercises in NOT alternative

Question:

I have seen the breathing exercises taught for both respiration and for relaxation.  One of my fellow students in college whom I became friendly with was kind enough to show them to me. They are in fact based on the exercises taught in Yoga, as is evident from the order and manner they are taught.  The teaching methods and the order of techniques taught are almost identical with those taught in American Hatha Yoga circles fourty years ago, when Yoga was unqestionably alternative medicine.  Of course, once western doctors ‘proved’ how useful it was and coopted it, Yogic breathing stopped being alternative.  They also had to stop using scientific terms such as ‘prana’ and ’sanchin’ and find acceptable English terms so Americans would believe it was ‘real’ medicine, and not that weird foreign stuff. What I saw was also very basic.  My fellow student had about ten years experience as a respiratiory therapist at the time, so I assume that this is state of the art in terms of what is now being taught (I was in class with him only three years ago) to patients. This is also the case with the information and advice on your web site.  It is good, correct, and useful; it is also the same information taught in a Yogic breathing class on day one.  Without being in any way pejoritive, almost all of it is what I cover in the first day or two of a new Yoga or Tai Chi class (except for step ten–"imagine going to a healing place?"  I certainly admire the courage and self discipline it takes to say that with a straight face.) Sorry, I couldn’t help myself.  There are much better traditional  protocols in Yoga and Chi Kung (qigong).  Better in terns of being more directly relaxing, and better in terms of providing a springboard.  The ‘microcosmic orbit’ is the gold standard for Taoist healing meditation, with ‘most basic’ beginner level sets being ‘Golden Mask,’  ’Balloon Breathing,’ and ‘Flower breathing."  These are colorful transliterations of Chinese terms, and will be called by other names by other people.  I mention them because you are making a living or at least some money by teaching similar techniques to people, and I believe that you will find them objectively better if you will try them yourself.  MANTAK CHIA (a Thai name) has published the most usable books I have seen on this subject; his microcosmic orbit instructions have been used my many beginners. If you wish to see a good and clear exposition of Taoist healing formulas, let me recommend them as a down to earth place to start for English speakers. Ignore the conventional wisdom that states it takes years to learn this, I have taught it to all comers for over a decade with no problems.  The advanced training truly does take years, but this is the nursery school stuff.  The early teachers didn’t have the advanced training and so needed to stretch out the class time so as to extract more money from eager western students who were also taken with the idea of learning the ‘deep secrets of the East.’ Go for it.  Right now you are only scratching the surface.  You seem to have the courage to look beyond the conventional, if you dig a little deeper and look beyond semantics and mistransliterations of terms you will find a wealth of information that will benefit your patients. Good luck

Response:

Breathing exercises – the kind recomended by your respiratory thereapist is NOT alternative medicine and should not be mentioned in the same sentence. Expanding the lungs, filling and emptying the residual air are all aids to asthma. Breathing exercises for relaxation is NOT alternative either. This is a proven physiology to break an anxiety re inforcement cycle see A Proven Method for Reducing Stress at www.sinus-consult.com on the other hand: WESTPORT, CT (Reuters Health) Jan 09 – There is little evidence that complementary or alternative medicine is useful in asthma treatment, according to a review of the subject published in the December issue of the Annals of Allergy, Asthma and Immunology. Drs. Donna Melissa Graham and Michael S. Blaiss of the University of Tennessee, Memphis, note that "complementary/alternative medicine is commonly used by patients with chronic conditions including asthma." Despite the lack of supporting evidence, they add, one third of the US population has tried such remedies. The researchers reviewed the literature covering a wide range of therapies, including traditional Chinese medicine, herbal medicine, aromatherapy, chiropractic manipulation and reflexology. The study was supported by an unrestricted grant from Astra Zeneca Pharmaceuticals. Murray Grossan, M.D. http://www.ent-consult.com

Response:

possible side effect to PREDNISOLONE

Question:

Hi all, Even though I have been on Prednislone before (as I have Crohns dieases) I think I might be having a allergic reaction to it. I’m on 5mg a day for a Rheumatoid arthritis problem in my hips. I was on 10 mg a day, but started getting hot flushes, so doctor thought best to reduce dose to 5 mg. What the problem is I am having what I guess would be described as coughing fits. Not a whole lot of mucus comes up, what does is clear, so no infection. but my sinus’s have gone even worse than usual. (I do have a stubborn staph infection in left sinus that even after two lots of surgery still will not clear) I know Prednislone is used for asthma treatment, but it seems as it is doing the opposite for me, well sort of. I am also on Slazaprine for some Arthritis problem. Could either of these drugs be causing the coughing, tickle in my chest? Doctor check chest, all sounded clear. E-mail replies please Thanks Phil

Response:

You may have plain, old bronchitis…you know you can get old-fashioned illnesses too.  Just because you are a chronic pain patient doesn’t mean you aren’t immune to other things <g.  BTW, by using the chronic steroids, you are actually more prone to infections. If bronchitis?  Treatment is just rest and plenty of fluids.  Most are viral and should not be treated with antibiotics, no matter the color of sputum (an old wives’ tale). — Bill Work

– Hide quoted text — Show quoted text – Hi all, Even though I have been on Prednislone before (as I have Crohns dieases) I think I might be having a allergic reaction to it. I’m on 5mg a day for a Rheumatoid arthritis problem in my hips. I was on 10 mg a day, but started getting hot flushes, so doctor thought best to reduce dose to 5 mg. What the problem is I am having what I guess would be described as coughing fits. Not a whole lot of mucus comes up, what does is clear, so no infection. but my sinus’s have gone even worse than usual. (I do have a stubborn staph infection in left sinus that even after two lots of surgery still will not clear) I know Prednislone is used for asthma treatment, but it seems as it is doing the opposite for me, well sort of. I am also on Slazaprine for some Arthritis problem. Could either of these drugs be causing the coughing, tickle in my chest? Doctor check chest, all sounded clear. E-mail replies please Thanks Phil

Response:

HOLDING ON TO A JOB WITH CHRONIC ASTHMA

Question:

Would the goal of "medical disability" be to get some kind of income from insurance or worker’s comp? If so, and you have developed the asthma during your employment and if you have disability insurance or if you have paid into worker’s comp, you can probably get some payments from either or both of them.  Also, because you can no longer do the work for which you were trained, you may qualify for vocational rehabilitation, which would provide retraining in a new profession for you. Just because dance studios give you asthma is no reason to think that you might not do fine in another type of environment where, for example, dust is not stirred up by dancing feet. Large computers are often kept in exceedingly clean rooms, which might be a good place for an allergy induced asthmatic to work. Your state government controls both worker’s comp and voc rehab. The disability insurance is private. You may qualify for SSI (supplemental security income, I think it really it) if your income is really really low and you have not assets. Then, if you pass their physical examination and rigamarole, you can get the princely sum of about $500 per month plus eligibility for Medicaid, which admits you to a system of health care where you will be treated like cattle. Good luck. Linda – Hide quoted text — Show quoted text – divorced, I have been ill quite a bit this past year….If I had a regular 9 to 5 job everyday…..I wonder all the times I would have been out would I have been layed off…I currently own a dance studio, and have closed my studio doors due to asthma attacks…..Is a person with chronic asthma able to get medical disability? if not being able to hold a job due to illness….Elvira

Response:

I have a friend with Asthma with an FEV1 0f 28% who tried to get disability. She was told that since her asthma is under control with her meds that she can’t get it.  The corollary to that is youe asthma must be totally uncontrollable to get it ….. Tim

– Hide quoted text — Show quoted text – divorced, I have been ill quite a bit this past year….If I had a regular 9 to 5 job everyday…..I wonder all the times I would have been out would I have been layed off…I currently own a dance studio, and have closed my studio doors due to asthma attacks…..Is a person with chronic asthma able to get medical disability? if not being able to hold a job due to illness….Elvira

Response:

I don’t know much about applying for disability, but I had a friend with a broken back, and three opinions from doctors who said he was disabled.  He was still told no, and had to appeal the no decision I think twice.  Your friend needs to appeal the decision until s/he is finally approved.  I imagine that in this case, it doesn’t matter if the person’s asthma is under control or not.  When you are dealing with disability, you have to expect, and be prepared for them to deny you benefits 100% of the time. Erik R; knows what to expect when dealing with the Government. – Hide quoted text — Show quoted text -I have a friend with Asthma with an FEV1 0f 28% who tried to get disability. She was told that since her asthma is under control with her meds that she can’t get it.  The corollary to that is youe asthma must be totally uncontrollable to get it ….. Tim divorced, I have been ill quite a bit this past year….If I had a regular 9 to 5 job everyday…..I wonder all the times I would have been out would I have been layed off…I currently own a dance studio, and have closed my studio doors due to asthma attacks…..Is a person with chronic asthma able to get medical disability? if not being able to hold a job due to illness….Elvira

Response:

divorced, I have been ill quite a bit this past year….If I had a regular 9 to 5 job everyday…..I wonder all the times I would have been out would I have been layed off…I currently own a dance studio, and have closed my studio doors due to asthma attacks…..Is a person with chronic asthma able to get medical disability? if not being able to hold a job due to illness….Elvira

It depends on how difficult to treat your asthma is.  IMO, if you have ’severe persistent asthma’ (as classified by an asthma specialist) then you probably have a case. Are you being treated by an asthma specialist?  Do you have an asthma action plan?  Are you using it?  Is your doctor aggressive about maintaining control of your asthma – and are you matching his aggressiveness? Remember the goal of an asthma treatment program is to prevent you from having to close your shop during normal business hours.   No electrons were harmed in the posting of this message.

Response:

divorced, I have been ill quite a bit this past year….If I had a regular 9 to 5 job everyday…..I wonder all the times I would have been out would I have been layed off…I currently own a dance studio, and have closed my studio doors due to asthma attacks…..Is a person with chronic asthma able to get medical disability? if not being able to hold a job due to illness….Elvira

Response:

Puzzled about Buteyko

Question:

– Hide quoted text — Show quoted text – I am confused concerning _symptoms_ and _underlying condition_. Does this mean that one may be experiencing absolutely no asthma symptoms, but never the less the condition of asthma may be deteriorating without one being aware of it? Is there a way I can determine if this is occurring in my lungs? Yes.  Asthma is an inflammatory disease of the airways.  Over time this inflammation can result in irreversible airways damage. I have been off all medication (except for 4 puffs of ventilin) for over 2 years, and feel just fine. Ventolin is a medication that only treats asthma symptoms.  The medical consensus for at least the past five years is that it should never be used on a regular basis as a sole treatment for asthma.

You miss-read my post. 4 puffs of ventilin in the last 2 years. Not per day or week or month.  I went to the ventilin for relief when I contracted a bad cold about a year ago.

Response:

I am confused concerning _symptoms_ and _underlying condition_. Does this mean that one may be experiencing absolutely no asthma symptoms, but never the less the condition of asthma may be deteriorating without one being aware of it? Is there a way I can determine if this is occurring in my lungs?

Yes.  Asthma is an inflammatory disease of the airways.  Over time this inflammation can result in irreversible airways damage. I have been off all medication (except for 4 puffs of ventilin) for over 2 years, and feel just fine.

Ventolin is a medication that only treats asthma symptoms.  The medical consensus for at least the past five years is that it should never be used on a regular basis as a sole treatment for asthma. No electrons were harmed in the posting of this message.

Response:

<snip I am confused concerning _symptoms_ and _underlying condition_. Does this mean that one may be experiencing absolutely no asthma symptoms, but never the less the condition of asthma may be deteriorating without one being aware of it? Is there a way I can determine if this is occurring in my lungs? I have been off all medication (except for 4 puffs of ventilin)

4 puffs per day?  Per week?  Per month? – Hide quoted text — Show quoted text -for over 2 years, and feel just fine. Under the circumstances, I feel foolish asking my pulmonary dr. to put me through a battery of tests. Could these tests reveal the status of the underlying condition? If I have _underlying inflammation_ , would not,t  I be aware of it through the malfunctioning of my lungs, or discomfort of some kind? On my 6 mo. visits to the dr. he asks the usual questions, taps, thumps, listens, and has me do the peak flow thing. I wonder if he should be doing more to adequately assay my present condition, whatever that may be.  On my last visit, November, he put me on an annual visit, rather than 6 mo.  From that I can only assume he is finding nothing of concern.  However, now I am worried that he may be overlooking something. come back? bob

– Surfer!

Response:

– Hide quoted text — Show quoted text – Hi Eric, Re asthma without hyperventilation. Singing techniques Speaking from my own experience and on conjecture, control of the vocal cords seems to play a very large part in filling the lungs with air.  If I simply breathe in "with the glottis open" (not quite sure of the right wording, what I mean is that there is much less resistance at the level of the larynx) I am can only breathe in and fill the chest to a much smaller extent than when making some sort of sound with my vocal cords (sobbing sound).  Similarly I seem to be able expel much more air from my chest when I consciously "close the glottis" and hum.  This principle (of course without actually sobbing or humming) is a sort of switch in avoiding EIA (exercise induced asthma).  If I consciously "breathe on the larynx" when running I am able to get much more air in and out of my lungs as is needed than when I try keeping everything as open as possible. Isn’t the experience you get in learning singing techniques, filling the lungs properly by sophisticated, inhalation (Pavarotti on TV), useful in overcoming the asthmatic difficulty in getting the lungs full of air and emptying them again?  If I try breathing without using my larynx at all, my diaphragm seems to be paralyzed and I cannot take a deep breath in an asthmatic sort of way. My inkling is that in exercise some negative pressure is needed for optimum performance (think of race horses breathing through their nostrils only) and if the larynx is not properly  tuned to modulate this pressure optimum lung performance is not possible and in an extreme case asthma may result. Research seems to indicate that normally the vocal cords move during each inspiration for modulation.  This is conjecture, but just think of doing a deep breath as an exercise.  Are your vocal cords not sensitively operated to get best results (to systematically fill different parts of the chest, as Pavarotti said)? The first asthma attack I can remember involved getting pollen in the chest and then breathing with my mouth and glottis open so that regulation of the respiratory rate had to be taken over by my bronchi – with disastrous results. Cheers, Richard Friedel it doesn’t matter how much of the dictionary you regurgitate you base all your ideas on fundamental misunderstandings about how asthma works and you still seem totally unable to distinguish between symptoms and the underlying condition are you really as obtuse as you seem or do you forget absolutely everything from one day to the next…I’ve gone over this before a couple of times I know how to avoid mild asthma symptoms by controlling my breathing…THAT DOES NOT AFFECT THE UNDERLYING INFLAMMATION…in the long term, as a strategy for dealing with asthma, it will like as not kill you full colour"

I am confused concerning _symptoms_ and _underlying condition_. Does this mean that one may be experiencing absolutely no asthma symptoms, but never the less the condition of asthma may be deteriorating without one being aware of it? Is there a way I can determine if this is occurring in my lungs? I have been off all medication (except for 4 puffs of ventilin) for over 2 years, and feel just fine. Under the circumstances, I feel foolish asking my pulmonary dr. to put me through a battery of tests. Could these tests reveal the status of the underlying condition? If I have _underlying inflammation_ , would not,t  I be aware of it through the malfunctioning of my lungs, or discomfort of some kind? On my 6 mo. visits to the dr. he asks the usual questions, taps, thumps, listens, and has me do the peak flow thing. I wonder if he should be doing more to adequately assay my present condition, whatever that may be.  On my last visit, November, he put me on an annual visit, rather than 6 mo.  From that I can only assume he is finding nothing of concern.  However, now I am worried that he may be overlooking something. come back? bob

Response:

- Hide quoted text — Show quoted text – Hi Eric, Re asthma without hyperventilation. Singing techniques Speaking from my own experience and on conjecture, control of the vocal cords seems to play a very large part in filling the lungs with air.  If I simply breathe in "with the glottis open" (not quite sure of the right wording, what I mean is that there is much less resistance at the level of the larynx) I am can only breathe in and fill the chest to a much smaller extent than when making some sort of sound with my vocal cords (sobbing sound).  Similarly I seem to be able expel much more air from my chest when I consciously "close the glottis" and hum.  This principle (of course without actually sobbing or humming) is a sort of switch in avoiding EIA (exercise induced asthma).  If I consciously "breathe on the larynx" when running I am able to get much more air in and out of my lungs as is needed than when I try keeping everything as open as possible. Isn’t the experience you get in learning singing techniques, filling the lungs properly by sophisticated, inhalation (Pavarotti on TV), useful in overcoming the asthmatic difficulty in getting the lungs full of air and emptying them again?  If I try breathing without using my larynx at all, my diaphragm seems to be paralyzed and I cannot take a deep breath in an asthmatic sort of way. My inkling is that in exercise some negative pressure is needed for optimum performance (think of race horses breathing through their nostrils only) and if the larynx is not properly  tuned to modulate this pressure optimum lung performance is not possible and in an extreme case asthma may result. Research seems to indicate that normally the vocal cords move during each inspiration for modulation.  This is conjecture, but just think of doing a deep breath as an exercise.  Are your vocal cords not sensitively operated to get best results (to systematically fill different parts of the chest, as Pavarotti said)? The first asthma attack I can remember involved getting pollen in the chest and then breathing with my mouth and glottis open so that regulation of the respiratory rate had to be taken over by my bronchi – with disastrous results. Cheers, Richard Friedel

it doesn’t matter how much of the dictionary you regurgitate you base all your ideas on fundamental misunderstandings about how asthma works and you still seem totally unable to distinguish between symptoms and the underlying condition are you really as obtuse as you seem or do you forget absolutely everything from one day to the next…I’ve gone over this before a couple of times I know how to avoid mild asthma symptoms by controlling my breathing…THAT DOES NOT AFFECT THE UNDERLYING INFLAMMATION…in the long term, as a strategy for dealing with asthma, it will like as not kill you eric "the alternative to seeing things in black and white is to see them in full colour"

Response:

I do take your point that belly-aching about current asthma attitudes is not so productive as pointing out new (or old but generally overlooked)  USEFUL facts. Buteyko can obviously not afford to be a closed system,

But it is a closed system since the theory has not been dropped or modified when our understanding of asthma increased. No electrons were harmed in the posting of this message.

Response:

simple fact Richard…after 20 plus years singing…some of that time professionally…and 15 years in theatre, most of it professionally…I have a fair amount of understanding and control of my breathing…I RARELY EVER HYPERVENTILATE…the rare times I have done have not related in any way to asthma attacks you are making up theories that don’t fit the facts eric "the alternative to seeing things in black and white is to see them in full colour"

Hi Eric, Re asthma without hyperventilation. Singing techniques Speaking from my own experience and on conjecture, control of the vocal cords seems to play a very large part in filling the lungs with air.  If I simply breathe in "with the glottis open" (not quite sure of the right wording, what I mean is that there is much less resistance at the level of the larynx) I am can only breathe in and fill the chest to a much smaller extent than when making some sort of sound with my vocal cords (sobbing sound).  Similarly I seem to be able expel much more air from my chest when I consciously "close the glottis" and hum.  This principle (of course without actually sobbing or humming) is a sort of switch in avoiding EIA (exercise induced asthma).  If I consciously "breathe on the larynx" when running I am able to get much more air in and out of my lungs as is needed than when I try keeping everything as open as possible.   Isn’t the experience you get in learning singing techniques, filling the lungs properly by sophisticated, inhalation (Pavarotti on TV), useful in overcoming the asthmatic difficulty in getting the lungs full of air and emptying them again?  If I try breathing without using my larynx at all, my diaphragm seems to be paralyzed and I cannot take a deep breath in an asthmatic sort of way. My inkling is that in exercise some negative pressure is needed for optimum performance (think of race horses breathing through their nostrils only) and if the larynx is not properly  tuned to modulate this pressure optimum lung performance is not possible and in an extreme case asthma may result. Research seems to indicate that normally the vocal cords move during each inspiration for modulation.  This is conjecture, but just think of doing a deep breath as an exercise.  Are your vocal cords not sensitively operated to get best results (to systematically fill different parts of the chest, as Pavarotti said)? The first asthma attack I can remember involved getting pollen in the chest and then breathing with my mouth and glottis open so that regulation of the respiratory rate had to be taken over by my bronchi – with disastrous results. Cheers, Richard Friedel

Response:

"The level of carbon dioxide in the blood determines the rate at which humans breathe. When the level rises, the respiratory center signals for more rapid and deeper breathing. As the level drops, breathing automatically slows down." The common sense interpretation of this in connection with asthma is that there is too much carbon dioxide (carbon dioxide retention) in the body in asthma, whereas typically (have to be careful here) when breathing is labored the reverse is in fact the case. This knowledge should be made more generally available.

No this is not a ‘common sense’ interpretation.  This is an assumption that is unfounded.  If you notice that there is no cause and effect relationship established in the above.  However there is a scientifically established basis for the conclusion that hyperventilation occurs as an effect of asthma symptoms. No electrons were harmed in the posting of this message.

Response:

A minute amount of knowledge can do a lot: "A little knowledge is a dangerous thing". 1)     There is a vicious circle between hyperventilation and asthmatic symptoms.

(…) Hi Chris, I do take your point that belly-aching about current asthma attitudes is not so productive as pointing out new (or old but generally overlooked)  USEFUL facts. Buteyko can obviously not afford to be a closed system, although especially in the breath therapy field this and an irksome holier than thou attitude is a great temptation. Put in a provocative way, Buteyko seems to say "back to nature" and forget about the medication crap (apart from steroids)" but this is only an unbalanced but perfectly human reply to what drug therapy seems to be saying.  Cheers, Richard Friedel

Response:

Don’t really get you on this. This was  supposed to be 100 per cent praise of the US and 100 per cent criticism of Germany, at least at the time  and possibly now as well.  It is just frustrating that there seems to be no ro

Buteyko and belief

Question:

Abstract: I argue that for anyone familiar with orthodox hyperventilation research Buteyko would be highly plausible and stress the delusionary character of breathlessness in asthma and the great promise of Buteyko. I beg Colin to accept that asthmatics should be warned about the pernicious effect of hyperventilation.  Most points have been raised before somewhere. overlap). On my point that to argue about plausibility there is cultural perception (not just existence of knowledge in some scientific journal) you say "I am aware of this". Or are you saying somehow that the research on hyperventilation is somehow disproved?

No, but you are reading too much into the available information.  An example here is that paper on patients with hyperventilation in emergency rooms. The paper was not on asthma but you choose to interpret it as if it were. What you should do is study asthma for the sake of understanding asthma. What you have been doing is looking for anything that will provide support for Buteyko theory and discarding any information that does not support this theory. Firstly while effective (medication) treatments for asthma exist, morbidity and mortality have continued to climb (Barnes in Chest,

1997). You seem to like this quote.  The incidence of asthma does appear to be increasing and as the incidence of the disease rises we can expect the mortality to rise also.  You also keep trying to create a connection between asthma treatment and asthma mortality.  The author’s point in the article was that effective treatments do in fact exist for asthma – and thus most asthma deaths are preventable. Secondly Buteyko is not as harmful as most medications and as far as we know is not harmful in the very least, quite the reverse in fact.

You do not know this.  This is nothing more than an assumption on your part. If fact, the Brisbane study showed a decrease in precieved asthma symptoms with no improvement in airways function.  This should raise a caution that Buteyko does not address inflamation.  With the recent consensus that airways remodeling is a real threat to asthmatics then Buteyko can place patients at risk for a detoriation in thier condition. Fourthly  we have been over the Brisbane Trial on Buteyko ad nauseam but agree that it does show that Buteyko training reduces breathing and this is evidenced by better quality of life and much less medication usage.

(See comments above) Another thing to remember is that there were serious flaws in the Brisbane study – the loss of blinding was only one problem with the study. Remember that the ‘real’ Brisbane study did not pass peer review, and the version placed on the Buteyko web sites is misleading. asthma lives, is no argument in view of a general interest in health and not just respecting feelings of (more) likable but slightly addicted people here.

You need to pull out a dictionary and look up the word ‘addicted.’ Sixthly there is really no reason not to tell folks to breathe less and to consider Buteyko, naturally under medical supervision, because of expected benefits.

To me this means that the person teaching the Buteyko program should either be a medical doctor or be working under the supervision of one.  So far I have yet to see a Buteyko salesman with any sort of medical credentials. Colin, Your first sentence must be on Gardner

Tobasco Sauce/Cranberry Juice?????

Question:

:  … : It turns out that I have had asthmatic bronchitis that we didn’t suspect : because I have cough-variant asthma, and we thought the coughing was asthma : when it was bronchitis. :  … : tire of orange juice).  Tobasco sauce may help to clear sinuses.  On of my : favorite tricks is _really_ ‘hot’ spicy food when my sinuses are stuffy : (when you have sweat on your forehead the stuff is ‘just right’).  Of course : I like spicy food. : I suppose you (Colin) saw the post on Cayenne pepper.  "If it sounds too : good to be true …"  Is there anything at all to it?  Do you have any : references? I’ve found that consuming "hot" spicy food does help, because of the irritation caused by the spices (I think there is a mechanism for this, something to do with dilation/constriction of something or other in response to the irritation), but it is very temporary, and does not last more than about half and hour after the meal.  It causes much mucus to be coughed up too (it irritates the mucus membranes too—which does help me cough up most of the mucus in my lungs, but YMMV). I have not heard nor experienced a thing about Cranberry juice. Cheers, Kin Hoong

Response:

I suppose you (Colin) saw the post on Cayenne pepper.  "If it sounds too good to be true …"  Is there anything at all to it?  Do you have any references?

I would suspect that cayenne pepper may be in the ‘too good to be true’ catigeory in terms of asthma treatment.  A chemical from that stuff (capscin?) is sometimes used to provoke asthma attacks during respritory testing whern a diagnosis of asthma is in doubt. We make our version of Sambal Oleik (sp?).  Basically run assorted hot peppers – Hot cherry, Cayenne, Thai dragon and Hot bannana through the food processor with a little salt and vinegar and some "Italian spice" (used to use individual spices befor I discovered this and read the ingredients – same as I was using but handier).  Simmer for about 15 min. and put up in canning jars per usual procedure.  Tastes great on rice or pasta and definitely clears the sinuses.

Hmmm . . . sounds yummy. Can you point me to a ref. that explains (in plain language) the difference between cough-variant asthma, chronic bronchitis, asthmatic bronchitis and just plain asthma?

Here is a place that has some.  Unless you buy a couple of books on asthma you have to spend some time searching to get all of this kind of information.http://www.cheshire-med.com/programs/pulrehab/rehinfo.html

Response:

   … It turns out that I have had asthmatic bronchitis that we didn’t suspect because I have cough-variant asthma, and we thought the coughing was asthma when it was bronchitis.    … tire of orange juice).  Tobasco sauce may help to clear sinuses.  On of my favorite tricks is _really_ ‘hot’ spicy food when my sinuses are stuffy (when you have sweat on your forehead the stuff is ‘just right’).  Of course I like spicy food.

I suppose you (Colin) saw the post on Cayenne pepper.  "If it sounds too good to be true …"  Is there anything at all to it?  Do you have any references? We make our version of Sambal Oleik (sp?).  Basically run assorted hot peppers – Hot cherry, Cayenne, Thai dragon and Hot bannana through the food processor with a little salt and vinegar and some "Italian spice" (used to use individual spices befor I discovered this and read the ingredients – same as I was using but handier).  Simmer for about 15 min. and put up in canning jars per usual procedure.  Tastes great on rice or pasta and definitely clears the sinuses. Can you point me to a ref. that explains (in plain language) the difference between cough-variant asthma, chronic bronchitis, asthmatic bronchitis and just plain asthma? Ted

Response:

Hi all… As many of you know my asthma has been out of control since the first week of January.  I’m working closely with my specialist to try and get it back in control.  The good news is that my peak flows are edging closer to the 300 level (personal best 425) but the bad news is I still feel awful.

I have been struggling with my asthma since the beginning of January also. It turns out that I have had asthmatic bronchitis that we didn’t suspect because I have cough-variant asthma, and we thought the coughing was asthma when it was bronchitis. Anyway, last night we decided to take a small outing to the nearest Barnes and Nobel.  One of the books I picked up recommended tobasco sauce to ward off asthma attacks and once an asthma attack had started to use 2 tbsp of fresh cranberry juice.  I put the book back on the shelf since feeling the way I do it would be easy to try just (?) about anything, however, I wonder if either of these would be helpful.  Both these seem harmless, although I’m not quite sure about the tobasco sauce.  Cranberry juice wouldn’t be too bad though.  Has anyone heard of using either of these to help ease their symptoms.

Never heard of cranberry juice (as a medicine – the stuff is great when I tire of orange juice).  Tobasco sauce may help to clear sinuses.  On of my favorite tricks is _really_ ‘hot’ spicy food when my sinuses are stuffy (when you have sweat on your forehead the stuff is ‘just right’).  Of course I like spicy food.

Response:

Air quality

Question:

I recently have been told I have asthma. This is a late in the lifesytle change and I’m really having difficultly in believing in the doctor and nurse advice.  I was prescribe two ventilator, Ventolin and Azmacort, and the nurse told me to get a cold air vaporazer and use the steam room at the health spa. I have been doing all of these thing and in the latest thirty day I have bronchiolitis three times.

Bronchiolitis is a viral infection of the lower breathing tract that occurs mainly in infants under 18 months of age, per Mosby Medical Enc. So maybe you mean bronchitis or a lung infection. I have four question and would like to have input from other asthmatic on any or all of them: Is anyone get trigger from the after smell on a smokers?

2nd hand smoke can trigger asthma What humidly level should I have in my home?

Generally 30-50% Is a steam room or shower good or bad?

Not sure. It may help your infected lung, may not help asthma. The EPA discovered that ultrasonic humidifiers can send out particles of dead bacteria & molds into the room air. Steam vaporizers are considered safest since steam kills many offending microorganisms. Does anyone use a home monitor device to measure their air flow and if so why?

Peak Flow Meters should be used by most asthmatics to monitor lung condition. If peak flow drops below 80% of personal best, an action plan should be used to increase inhaled steroid (Azmacort) — S DANA

For web links on Bronchitis see http://www.familyinternet.com/peds/top/000124.htm  Acute Bronchitis http://www.njc.org/MFhtml/URI_MF.html  URI (Colds) &  Acute Bronchitis http://www.njc.org/PRhtml/!k_bronc.htm  Chronic Bronchitis Is it possible you have Bronchiectasis see web page at http://www.njc.org/MFhtml/BRN_MF.html  Excerpt: "What are the Symptoms? Symptoms of bronchiectasis include a recurring cough with mucus.  The mucus may be discolored and foul smelling, sometimes  containing blood. Fatigue, weight loss, shortness of breath and  abnormal chest sounds can occur. Also, many persons with  bronchiectasis have chronic sinusitis. Bronchiectasis can be  treated in a number of ways. Your clinician will evaluate your  case and recommend the best treatment for you.       Treatment of sinusitis Saline nasal washes help control sinusitis, which causes drainage into the airways and subsequent infections. A prescription corticosteroid nasal spray can decrease swelling and mucus production. A nasal spray containing cromolyn sodium may be helpful if allergies cause your nasal symptoms.       Treatment of gastroesophageal reflux Elevate the head of your bed six to eight inches and avoid consuming food, alcohol, coffee, cola or tea for several hours before bedtime. You may need antacids or other medications to control heartburn because stomach acids can irritate the lungs. If your case is severe, you may need surgery to tighten the sphincter at the base of the esophagus.       Antibiotics Sometimes continuous treatment with an antibiotic can help bronchiectasis, but drug-resistant organisms can develop in the lung. Therefore, your doctor will prescribe an antibiotic based on your individual signs and symptoms. For example, you may need an antibiotic only when you experience increased shortness of breath, cough, blood in the mucus or an increase in the amount and thickness of the mucus." Your lung condition suggests an infection from sinusitis or GER; if you have either, they must be treated before you can get your asthma under control. By the way, the latest asthma treatment would add a long-acting bronchodilator to your drugs, probably a Serevent inhaler. Are you seeing an asthma doctor? pulmonologist? See FAQ for alt.support.asthma at http://www.radix.net/~mwg/asthma-gen.html Ellis, not a doctor

Response:

– Hide quoted text — Show quoted text -I recently have been told I have asthma. This is a late in the lifesytle change and I’m really having difficultly in believing in the doctor and nurse advice.  I was prescribe two ventilator, Ventolin and Azmacort, and the nurse told me to get a cold air vaporazer and use the steam room at the health spa. I have been doing all of these thing and in the latest thirty day I have bronchiolitis three times. I have four question and would like to have input from other asthmatic on any or all of them: Is anyone get trigger from the after smell on a smokers? What humidly level should I have in my home? Is a steam room or shower good or bad? Does anyone use a home monitor device to measure their air flow and if so why? — S DANA

1.  Yes I do trigger on smoke.  It can be from the smoke left in a room after those smoking leave or it can be that left on clothes of a smoker.  I travel a great deal on business and I vividly remember checking into a hotel and all of the non-smoking rooms were gone.  They assigned me to a room on a smoking floor (without telling me that’s what they were doing) and when I got to the floor (without even going into a room) I triggered immediately just from the residual smoke in the hallway.  Needless to say, they "found" me a non-smoking room right away when I showed up at the desk in the midst of an attack. 2.  I don’t know about humidity levels.  For me humidity seems to be a trigger but I’m told it helps others.  I do know that having it too dry is also a trigger for me.  Finding that midrange is somewhat difficult and I’m still working on it. 3.  As to the steam room or shower it depends on whether it helps you or not.  It does not help me.  It helps my sinuses but hurts my asthma.  I avoid steam rooms because of this but I do stay in the shower long enough to help the sinuses but get out before the asthma triggers. 4.  In the US at least it is easy to go to a pharmacy and ask for a peak flow meter.  The last one I bought was about $30.00 USD.  I find it essential for monitoring my asthma.  Sometimes I *feel* like my breathing is constricted but the flow meter tells me it’s fine.  Other times it’s felt fine but the meter has told me it wasn’t.  I don’t use it as often as I did in the beginning because I’m learning to read my body much better but at first it is a wonderful help.  It also provides objective clinical data to help in managing your case. Loki

Response:

I recently have been told I have asthma. This is a late in the lifesytle change and I’m really having difficultly in believing in the doctor and nurse advice.  I was prescribe two ventilator, Ventolin and Azmacort, and the nurse told me to get a cold air vaporazer and use the steam room at the health spa. I have been doing all of these thing and in the latest thirty day I have bronchiolitis three times. I have four question and would like to have input from other asthmatic on any or all of them: Is anyone get trigger from the after smell on a smokers? What humidly level should I have in my home? Is a steam room or shower good or bad? Does anyone use a home monitor device to measure their air flow and if so why? — S DANA

Response:

Cigarette Smoke is a very common asthma trigger (I can spot a smoker 10 feet away by the smell), dust mites like humidity levels above 50% so don’t trade one problem for another, if dry air is a problem a hot shower may help (it sure helped my 5 year old last time he had croup), on the air flow monitor ?? sounds expensive, and I expect that air quality is more important than quantity. John Rhoades, RRT Asthma Guide http://asthma.miningco.com Asthma – The Mining Company – Hide quoted text — Show quoted text – I recently have been told I have asthma. This is a late in the lifesytle change and I’m really having difficultly in believing in the doctor and nurse advice.  I was prescribe two ventilator, Ventolin and Azmacort, and the nurse told me to get a cold air vaporazer and use the steam room at the health spa. I have been doing all of these thing and in the latest thirty day I have bronchiolitis three times. I have four question and would like to have input from other asthmatic on any or all of them: Is anyone get trigger from the after smell on a smokers? What humidly level should I have in my home? Is a steam room or shower good or bad? Does anyone use a home monitor device to measure their air flow and if so why? — S DANA

Response:

Is anyone get trigger from the after smell on a smokers?

Some do, some don’t.  If you do, avoid close contact with smokers. What humidly level should I have in my home?

Whatever makes your breathing easiest.  I prefer a humidity level around 30%, but others do better at higher or lower levels.  My two brothers, for example [yes, we ALL have asthma] respectively prefer 13-15% and 50-60%. Is a steam room or shower good or bad?

Good if it helps your breathing; bad if it hinders it. Does anyone use a home monitor device to measure their air flow and if so why?

Yes, yes, yes!  One of the problems with asthma is that, if you don’t feel well, you are less likely to be active, which makes it less likely that you will perceive that your airflow is shutting down.  Regular use of a PFM gives you an objective measure of how well you are doing. Chris Owens – Hide quoted text — Show quoted text – — S DANA

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