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Doctor insights on: Asthma Management In Pregnancy

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Which step in asthma management would a home nebuliser be used?

Which step in asthma management would a home nebuliser be used?

Rarely: Nebulizers allow you to take albuterol aerosolized rather than through an inhaler device. For adults, there is really no benefit to this except maybe cost. There are some other nebulized meds, but they typically have to be used more often than the meds available via other inhaler devices. They are best for children or sick elderly who can't use a more-complicated inhaler. ...Read more

Dr. Andrew Berry
4 doctors shared insights

Pregnancy (Definition)

When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more


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Any new latest findings in treatment for asthma exacerbation in children?

No: Nothing new for many years now. Singulair (montelukast) is probably the newest good thing and it is not for exacerbations, but for maintenance. ...Read more

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What are the best drugs for asthma in a pregnant woman?

What are the best drugs for asthma in a pregnant woman?

All are best: Pulmicort and Atrovent (ipratropium) HFA are class b drugs. All others are class c. If Pulmicort and atrovent (ipratropium) fail to control your asthma do not hesitate to take any class c asthma drug recommended by your physician. The best drug for your fetus is oxygen. Uncontrolled asthma deprives the uterus of oxygen. ...Read more

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Rhinitis, hives, anxiety, depression. Tested positive for hyperthyroidism and specialist appt only in 6 mths. Any strategies to cope in the meantime?

Rhinitis, hives, anxiety, depression. Tested positive for hyperthyroidism and specialist appt only in 6 mths. Any strategies to cope in the meantime?

Many symptoms: Are you being treated for hyperthyroidism? Your primary doctor should check your thyroid labs every 3-4 months to make sure that the dosing is OK. Regarding depression you should get a referral to a Psychologist. ...Read more

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Pregnant with asthma. Which of my meds are ok?

Probably all.: Asthma is worse in 1 of 3 women when pregnant. 1/3 are unaffected while 1/3 actually improve. Asthma meds are either class b or c. The difference - while class c drugs may cause problems in pregnant laboratory animals no problems have been reported in humans. Uncontrolled asthma is a greater risk to your pregnancy than any class c drug. Pulmicort, singulair (montelukast) & Atrovent HFA are class b asthma drugs. ...Read more

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IN CASE OF EMERGENCY. How to control heart rate in COPD bronchiectasis patient. Pulse 145. plz suggest a drug. ?

IN CASE OF EMERGENCY. How to control heart rate in COPD bronchiectasis patient. Pulse 145. plz suggest a drug. ?

High pulse rate: or tachycardia could be caused by Albuterol inhalation. If so, you may change this to Ipratropium and/or inhaled steroids. Please discuss with your provider the side effects of your medications. ...Read more

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Can status asthmaticus be the first presentation of asthma in kids?

Asthma symptoms: Asthma is like a rainbow with a myriad of signs and symptoms. Sometimes you have kids that cough when they exercise, or seem to get "bronchitis" when the seasons change. Kids may have eczema or allergies as well. There are many subtle signs, as well as many many triggers. It is possible to present with severe respiratory distress bit i would be cautious to label a child after one episode. ...Read more

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Pulmonary function test in the past show asthma diagnosis. Tomorrow I have repeated pft for uncontrolled asthma. Any suggestions?

Asthma mgt: I would suggest asking for an interpretation in comparison with your prior test. PFTs are one part of the evaluation. If you have uncontrolled asthma, an asthma action plan and review of your medications and triggers is suggested. ...Read more

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Cpap (continuous positive airway pressure) in nicu for what?

Cpap (continuous positive airway pressure) in nicu for what?

Keep airway open: It is used to keep the infants airway open, usually for a condition called laryngomalacia, where the airway has a tendency to collapse. ...Read more

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Can compounding trauma (Alzheimer in family, death of parent,etc) during childhood be a trigger for migraines and other health issues later in life?

Can compounding trauma (Alzheimer in family, death of parent,etc)  during childhood be a trigger for migraines and other health issues later in life?

Speaking as a: psychologist, the liklihood of onset depression goes up during the teen years if there is trauma or loss during the critical window of age 2 to 4. This is because of a developmental stage--constancy--that is interrupted, and then re-visited during the teen years, when it is again interrupted through individuation. Physical illnesses can accompany this, but consult an MD for more specific info. ...Read more

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Describe a period beyond which levocetirizine and montelukast should not be used in young kids suffering bronchial asthma?

Describe a period beyond which levocetirizine and montelukast should not be used in young kids suffering bronchial asthma?

No such period: There is no period when these drugs should not be used. The question is whether they are still working and whether something different may be required. Your doctor should be able to provide the answer for these questions. ...Read more

Dr. Alan Ali Dr. Ali
7 doctors agreed:
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Can smoking during pregnancy cause mental illness and physical health complications later in a child's life?

Dr. Alan Ali Dr. Ali
7 doctors agreed:
Can smoking during pregnancy cause mental illness and physical health complications later in a child's life?

Smoking in pregnancy: Advise to quit as soon as you found out u r pregnant. Low birth weight and other complications possible. Also if quitting now, it would do both of you good. ...Read more

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I'm in my second trimester of pregnancy. I'm very happy for baby! are these emotions common in pregnancy?

I'm in my second trimester of pregnancy. I'm very happy for baby! are these emotions common in pregnancy?

Yes: It is wonderful to be happy about your baby, and many other women feel this way when pregnant too. If you have any concerns at all about your emotions in pregnancy, be sure to tell your obgyn physician. ...Read more

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Which step in asthma management would a home nebuliser be used?

Rarely: Nebulizers allow you to take albuterol aerosolized rather than through an inhaler device. For adults, there is really no benefit to this except maybe cost. There are some other nebulized meds, but they typically have to be used more often than the meds available via other inhaler devices. They are best for children or sick elderly who can't use a more-complicated inhaler. ...Read more

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In what step in asthma management would a home nebulizer be used?

In what step in asthma management would a home nebulizer be used?

Both...: ...Maintenance meds (such as budesonide) and rescue meds (such as albuterol) are available in nebulizer ampoules, and can be used by people unable to use handheld mdi's (multidose inhalers). ...Read more

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Dr. John Chiu Dr. Chiu
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Is QVAR and effective control medication for asthma management? Side effects please?

Dr. John Chiu Dr. Chiu
3 doctors agreed:
Is QVAR and effective control medication for asthma management? Side effects please?

Yes: In general , yes but not all people with asthma responds to QVar which is an inhaled steroid. The major side effects are hoarseness and thrush at the throat area which can be mostly prevented by using an aerochamber and gargling with water after each treatment session. Large doses in young children may resulted in around 1/2 inch of loss in eventual height. ...Read more

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Asthma related question about advair. Safe in pregnancy?

Asthma related question about advair. Safe in pregnancy?

See Below.Category C: The fda uses a pregnancy category c system to classify possible risks to a fetus when a medicine is taken during pregnancy. Pregnancy category c is given to medicines that have not been studied in pregnant humans, but do appear to cause harm to the fetus in animal studies.Because advair can be essential for asthma control, mds sometimes recommend that women continue it. Vital to control asthma. ...Read more

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Is it safe to use asthma drugs while planning for pregnancy?

Is it safe to use asthma drugs while planning for pregnancy?

Yes - important: It is very important that patients with asthma optimize their asthma before getting pregnant. They should continue to use these medications during pregnancy. Pregnant asthmatics do not compensate as well as they would when not pregnant. The medications are safe and being able to breath is crucial. ...Read more

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How did asthma developed? And is this will affect my pregnancy?Or for the baby? How did asthma developed? And is this will affect my pregnancy?Or the baby?

How did asthma developed? And is this will affect my pregnancy?Or for the baby? How did asthma developed? And is this will affect my pregnancy?Or the baby?

Asthma : Asthma is caused by over-reactive airways in the lung. There is sometimes a family history. Asthma can be worsened by air pollution or smoke exposure. Although asthma can run in families, your baby will have only half of your genetics so may not get asthma. Your asthma is extremely unlikely to affect your baby as long as you keep your asthma under control. Be sure your doctor is aware if you have asthma symptoms. ...Read more

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How does asthma affect pregnancy?

How does asthma affect pregnancy?

Variably: It is important for both mother and baby that the asthma remains under good control, and this can be achieved with medications. Pulmicort and singulair (montelukast) have category b ratings for pregnancy.It is reported that approximatley 1/3 of pregnant asthmatics improve, 1/3 worsen and 1/3 remain the same. Deterioration of asthma during pregnancy can deprive the baby of oxygen and lead to premature birth. ...Read more

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Is pregnancy ok at age 44 with asthma?

Pregnancy and asthma: As long as asthma is well controlled, there is no problem with being pregnant. Age is a different risk factor that needs to be assessed by your obstetrician. See a pulmonologist or allergist to keep asthma in check during the pregnancy. ...Read more

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What should I know about pregnancy and asthma?

What should I know about pregnancy and asthma?

Treat it !: The treatment of asthma in pregnancy is the same as treating asthma if one is not pregnant. Out of control asthma is clearly bad for mom but is probably worse for baby. ...Read more

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Will my asthma affect my pregnancy? If so, how?

Will my asthma affect my pregnancy? If so, how?

Rule of Thirds: One third of patients will experience worsening asthma in pregnancy while another third stay the same and one third actually feel better during pregnancy. You should check with your healthcare provider because many standard asthma medications can not be taken during pregnancy. Congratulations on your baby. ...Read more

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Dr. John Chiu Dr. Chiu
3 doctors agreed:
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Is it common to develop asthma during pregnancy?

Dr. John Chiu Dr. Chiu
3 doctors agreed:
Is it common to develop asthma during pregnancy?

No: Asthma may get worse, better, or remain the same in pregnancy but is not caused by pregnancy. Labetalol may or may not worsen asthma but does not cause asthma. ...Read more

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Could asthma effect badly pregnancy and delivery! thanks?

Could asthma effect  badly pregnancy and delivery! thanks?

Asthma and pregnancy: With appropriate asthma therapy, most women can breathe easily, have a normal pregnancy, and deliver a healthy baby. Overall, the risk of poorly controlled asthma is much greater than the risk of taking medications to control asthma. Asthma therapy during pregnancy is most successful when a woman receives regular medical care and follows her treatment plan closely. Before. ...Read more

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My wife got asthma at the time of pregnancy, and how to take care of it ?

Asthma & pregnancy: Depending on severity of her asthma see either her primary care doctor or asthma specialist, usually a board certified allergist. The onset of asthma during pregnancy is not unusual, possibly due to hormonal changes. Treatment is started related to severity and modified in response to control as with all asthmatics. Don't delay, get evaluated and appropriate treatment. ...Read more

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Im pregnant and i always have my asthma what medicines can i take that are not affecting my pregnancy?

Im pregnant and i always have my asthma what medicines can i take that are not affecting my pregnancy?

See allergist: Most medications used for asthma does not adversely affect the fetus. In fact, when asthma is not under control during pregnancy, you are more likely to have problem with fetal stress and less than optimal outcome. Be sure to consult a doctor, preferably an allergist, to help control your asthma and recommend measures which may reduce the risk of the child developing asthma/allergies. ...Read more

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I have allergy and asthma & I'm pregnant.. Is it considered high risk pregnancy ? & why ?

I have allergy and asthma & I'm pregnant.. Is it considered high risk pregnancy ? & why ?

Pregnancy: Many people have allergies and asthma in pregnancy. You should be followed by your allergist or PMD during the course of pregnancy to help keep your asthma under control. ...Read more

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Do taking inhaled asthma steroids increase your likelihood for conceiving or pregnancy?

Do taking inhaled asthma steroids increase your likelihood for conceiving or pregnancy?

No: Very little of the inhaled steroid dose gets absorbed, so there is little to no effect on the rest of the body. I would not expect any effect on fertility, and I have never seen any studies or other evidence that there is any effect. ...Read more

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I'm pregnant with asthma and my nose is always stopped up (even b/4 pregnancy). I want to buy an humidifier but what kind?

I'm pregnant with asthma and my nose is always stopped up (even b/4 pregnancy). I want to buy an humidifier but what kind?

Save your money: Humidifiers may provide some relief but they also encourage dust mite growth so if you are allergic then this is not a durable solution. Most women don't want to take any medicine during the 1st trimester. Nasal saline is safest but some prescription nasal sprays are not so bad. It is imperative that your asthma is well controlled. Risking Fetal hypoxia is far more dangerous than asthma meds ...Read more

Dr. Sue Ferranti
3,045 doctors shared insights

Asthma (Definition)

A disease of the lungs caused by chronic inflammation of the airways, caused ...Read more