Doctor insights on:
Best Protocol For Mild Persistent Asthma
Guidelines available: Diagnosis of asthma is made based on a detailed history of symptoms, timing, triggers, etc. Lung function tests with response to albuterol can be helpful. Exhaled Nitric Oxide is a newer test that is useful. A chest x-ray is usually normal but helpful in eliminating other diagnoses. If lung function tests are normal, then methacholine challenge test may be necessary. ...Read more
My 19mo was diagnosed with mild persistent asthma, she coughs in am, when runs, etc, does she always need nebulizer or is there inhaler/quicker way?
What is the best test to check if I have torn chest muscles after an asthma that left me with severe persistent muscle pain for months?
Exam: Although costochrondritis (inflammation of the rib joints) can happen, asthma attack does not cause torn muscles. Suggest that you see your doctor and get examined if the pain is unbearable since it may be from something more serious or merely a transient problem which will heal in a few weeks. ...Read more
Have taken Propranolol 25mg twice a day, although I have very mild asthma, for Migraine Aura reducing them to 1 every 8 weeks from 4 a mth but stopped taking Betablokers. I have read peolpe with Migraine Aura have 27% chance of Stroke. Best to take it?
I can tolerate Propranolol with mild Asthma which is the best for Sinus Tachycardia Bisoprolol or Propranolol? As Bisoprolol is metabolized in Liver.
Beta blockers: And asthma, bisoprolol would be relatively safer in asthma than propranolol, as bisoprolol is more selective to act on heart receptors. As for sinus tachycardia, your cardiologist would answer you better on which drug to use to control it. Bisoprolol isn't used for migraine, best wishes ...Read more
What is the best allergy med (most safe) if a patient has had seizures? My daughter (18) was taking zyrtec, rhinocort, &advair for allergies & mild asthma prior to having seizures that began almost a yr. Ago. To air on the safe side he took her off all
Fexofenadine: Tough to say which is safest and if any can contribute to sezures in your daughter, but fexofenadine (allegra) does not cross the blood brain barrier. That is the reason it does not cause drowsiness. And because it does not cross the blood brain barrier, it likely has limited ability to contribute to your daughters seizures. ...Read more
What is a good substitute for treating asthma when your inhaler is all out. I can't afford another inhaler. What is the best solution in this case.
Must use controller: There is no real substitute of inhaler except keep a nebulizer with inhalation sol for emergency'.You can get free inhalers from your doctor. I can understand if you have no insurance so inhalers can be expensive. For those days, keep Prednisone home and use sparingly as adv by your physician. ...Read more
It's the weekend, should I go to the emergency room? I have been having severe asthma attacks in the morning. I don't take any medication because it has always been very mild, but the past few weeks it has become increasingly worse and this morning I alm
If your attacks are not regular and occur infrequent, you may only require a "rescue" inhaler. If they are frequent you may need a "controller" type. It would be up to your physician after taking your history and some non-invasive tests to determine which may be best for you.
Good luck. ...Read more
"Just do it": Exercises can't cure asthma; but those in good aerobic condition have less work of breathing, less minute ventilation, + are less likely to trigger bronchospasm felt due to cooling/drying of airways. Long distance cold air running most challenging, but are less affected by swimming or sports involving short sprints: LAX, field hockey, football, track, b-ball; pretreat with a bronchodilator. ...Read more
Testing and history: If by "mild asthma" you mean it does not occur frequently, this may be what is called intermittent asthma. However, to rule out any other respiratory conditions, you should see your family physician, give a good history of the attack frequency, what you were doing when it happened, family historey of asthma, etc. You may also take a spirometry test (breathing test) that can rule out other condition. ...Read more
Yes: Most importantly, you should avoid what triggers your asthma and you may not need any medication at all. If you have allergies or acid reflux, treating that will help your asthma tremendously. You can use an albuterol inhaler as needed, or if you don't want prescription medicine you can use herbal or chinese medicine. ...Read more
2 types: All persons with asthma should have a quick relief inhaler like albuterol to be used when needed for immediate relief. Persons with persistent asthma need a daily controller medication. The most effective daily controller are inhaled steroids. Other medications used as alternative or add-on therapy is montelukast tabs and long-acting bronchodilators. The best inhaler is the one used correctly! ...Read more
Asthma: "Asthma (493), including reactive airway disease, exercise-induced bronchospasm or asthmatic bronchitis, reliably diagnosed and symptomatic after the 13th birthday, is disqualifying. Reliable diagnostic criteria may include any of the following elements: substantiated history of cough, wheeze, chest tightness, and/or dyspnea that persists or recurs over a prolonged period of time, generally more > ...Read more
Depends on symptoms:
Depending on their age, children with asthma will have coughing, wheezing, and/or shortness of breath triggered by viral infections, exercise or allergic exposures. Younger children predominantly have colds that always "goes to their chest".
If your child is already known to have asthma, mild persistent asthma is defined as symptoms or use of rescue inhaler > 2x per week, but not daily. ...Read more
In my opinion Controller meds which include inhaled Steroids with long acting Bronchodilaters also inhaled in combinations if taken correctly work best and sometimes one can add Montelucast (Singular) to that to control Asthma and reduce the incidents of acute attacks and exacerbations to minimum
For acute attacks reliever meds like Albuterol or Levalbuteral are used with oral steroids sometimes ...Read more
Relief vs. Control: Every patient with asthma needs a quick relief inhaler and the most common is albuterol or the isomer lev-albuterol (same effect with less amount of medication.) for controller medications, corticosteroid inhalers (qvar, flovent, pulmicort, asmanex) are very similar except Qvar is very small size and better lung deposition. For more severe asthma, advair, symbicort (budesonide and formoterol) and dulera--all work well. ...Read more
Depends: I am not an expert on yoga but on asthma. Many complementary treatments have been studied as a treatment for asthma and if they work they subjectively cause patients to feel better but I am not aware of objective evidence they affect the physiologic abnormalities in asthma. They may also help reduce stress and anxiety which burden us all. ...Read more
Is it really asthma?: The military is very sensitive about asthma but there are many people who think they have asthma that don't really. If interested in the military it would be good to discuss with a lung doctor how sure they are of the diagnosis. In mild cases a bronchoprovocation test with either methacholine or exercise could answer the question. ...Read more
Pediatric asthma: All children with asthma should receive albuterol for quick relief of symptoms. Nih asthma guidelines suggest, children 0-4 years old with persistent asthma be treated preferably with low doses of inhaled steroids (pulmicort, flovent) or alternatively with singulair (montelukast) or cromolyn. As the severity worsens, higher doses of inhaled steroids are used and combined with singulair (montelukast) or serevent (as advair). ...Read more
Skin allergies?: Guessing you mean skin allergies. I've never heard of skin asthma. They often occur in the same person. If your skin breaks out and you have asthma, it's usually atopic dermatitis or eczema. These types of rashes respond to moisturizers, steroid creams, avoidance of causative allergens/foods and oral antihistamines for itch. ...Read more
Inhaled steroids: For all ages, the most effective and preferred treatment for persistent asthma is daily use of inhaled corticosteroids. These are the recommendation of the national guidelines to treat asthma last published in 2007. There are many available and come in inhaler, nebulizer and dry powder inhaler. ...Read more
USMC Induction: See: http://usmilitary. About. Com/od/joiningthemilitary/a/lungs. Htm "Asthma (493), including reactive airway disease, exercise-induced bronchospasm or asthmatic bronchitis, reliably diagnosed and symptomatic after the 13th birthday, is disqualifying. Reliable diagnostic criteria may include any of the following elements: substantiated history of cough, wheeze, chest tightness, and/or dyspnea that ...Read more
Skin conditions: Children have many skin conditions through childhood. Most are self resolving, or respond to over the counter salves, particularly the zinc oxide ointments. Okay to start with your circle of friends, then your local pharmacist for advise. If no resolution, then okay to take your child in for a doc to exam. Be well. ...Read more