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Doctor insights on: Persistent Asthma

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Is mild persistent asthma really all that dangerous?

Is mild persistent asthma really all that dangerous?

Remember: Anyone with asthma, could eventually have a flare so severe that it could be life threatening. Granted this is much less likely the case with someone with mild persistent asthma than more severe forms. ...Read more

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Dr. Sue Ferranti
3,043 doctors shared insights

Asthma (Definition)

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


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Hello Drs. Is there any ALT to advair? Generic? Ways to get samples? Do not have ins now and cost is $300. Persistent asthma sx.

Hello Drs. Is there any ALT to advair? Generic? Ways to get samples? Do not have ins now and cost is $300.  Persistent asthma sx.

No generic but...: There are no generic inhalers at this time. Similar inhalers are Symbicort, (budesonide and formoterol) Dulera and Breo. If you have commercial ins or no insurance you can often get a voucher for a free month online (with a prescription from your doctor). There are 2 products that go in the nebulizer that together are equivalent to Advair: Pulmicort and Brovana. both nebs twice a day. It's possible they cost less. ...Read more

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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?

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?

May need controller: She may need a controller medication to help prevent symptoms instead of a more convenient rescue med. However she may be able to use an inhaler with a spacer. ...Read more

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I have persistent asthma and an iron deficiency. What to do?

Asthma: You should be under the care of an internist familiar with asthma control as well as your iron deficiency. ...Read more

Dr. John Chiu Dr. Chiu
2 doctors agreed:
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Mrs. Puji (40 y.o). She suffered asthma moderate persistent. Doc, what kind of bronchodilator and corticosteroid she should take? thanks

Dr. John Chiu Dr. Chiu
2 doctors agreed:
Mrs. Puji (40 y.o). She suffered asthma moderate persistent. Doc, what kind of bronchodilator and corticosteroid she should take? thanks

Talk to doctor: How do you find out she has moderate persistent asthma? If indeed it is, she will likely need a controller drug with an inhaled steroid +/- a long-acting bronchodilator or Singulair (montelukast). Since every asthma case is different, this should be monitored by your doctor and not by self-treatment. ...Read more

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I've had persistent coughing and postnatal drip for several months. I have asthma but am not on routine meds. Should I be?

I've had persistent coughing and postnatal drip for several months. I have asthma but am not on routine meds. Should I be?

Likely need medicine: Symptoms of persistent cough and post-nasal drip could be related to asthma, allergies or even indigestion/reflux. Recurrent coughing (esp at night) associated with shortness of breath is worrisome for asthma - the most likely diagnosis (dx) esp if there is prior known history of asthma. Allergic cause more likely if itchy eyes, sneezing - but often coexists with asthma. Need to see MD for dx/med. ...Read more

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Persistent (3 months) cough in 22 month old. Is it asthma?

Persistent (3 months) cough in 22 month old. Is it asthma?

Possibly: There are several things that can cause a persistant cough(asthma, reflux - heartburn and others). I presume your child is not in distress. And that he/she has been examined by your pediatrician..In that case i would recommend seeing an allergist..To take a full history(including family history of allergies/asthma) and examination. Several possible medications can be tried. That should be helpful. ...Read more

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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?

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

Dr. James Fox Dr. Fox
5 doctors agreed:
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I was stung by an unknown insect yesterday swelling redness and wheezing were persistent (common with my history of asthma) i was stung by an unknown insect yesterday swelling redness and wheezing were persistent (common with my history of asthma) this mo

Dr. James Fox Dr. Fox
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I was stung by an unknown insect yesterday swelling redness and wheezing were persistent (common with my history of asthma) i was stung by an unknown insect yesterday swelling redness and wheezing were persistent (common with my history of asthma) this mo

Possible anaphylaxis: The fact that the sting triggered wheezing suggest that this could be a systemic reaction (anaphylaxis). Swelling and redness at the site of a sting are common, and by themselves would not be serious. Benadryl (diphenhydramine) and ice may help with the local reaction. If wheezing persists, you should contact your physician. ...Read more

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Dr. John Chiu Dr. Chiu
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Is it normal to have chest pain and soreness after asthma attacks and coughing ? My cough is productive and persistent . I am fatigued without fever.

Dr. John Chiu Dr. Chiu
6 doctors agreed:
Is it normal to have chest pain and soreness after  asthma attacks and coughing ? My cough is productive and persistent . I am fatigued without fever.

Yes: If the cough has been severe and frequent, you may end up with chest wall pain. It appears that you are not over your asthma attack yet and you should talk to your doctor regarding adjusting your asthma treatment. Rarely rupture of air sacs (lung collapse) may cause similar symptoms. ...Read more

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My 2 year old son is having a constant persistent cough but has severe asthma and allergies has moderate to severe asthma and allergies is on an advair inhaler twice a day for the last two weeks and the last three days i switched him back to his Pulmicort

My 2 year old son is having a constant persistent cough but has severe asthma and allergies has moderate to severe asthma and allergies is on an advair inhaler twice a day for the last two weeks and the last three days i switched him back to his Pulmicort

Has : Has he been seen by an allergist, or are these medications being given by his pediatrician.? There may be more going on. Would definitely have him seen by his doctor or whoever is covering for him. ...Read more

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38yr old b/f. Itchy all over at night, night sweats, persistent dry cough no help with inhalers had lung biopsy diagnosis with asthma lotio no help with itchy?

Additional allergies: The itching suggests that there might be a complicating component. I would advise that they check a serum tryptase and a serum alpha-galactose level. This may help sort if you are having a systemic reaction from mast cell release or a rare meat allergy that reacts 6-10 hours after eating meat. ...Read more

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Dry persistent cough. Negative for allergies, gerd, asthmas, cancer & heart conditions. Leads to shortness of breath. What can I do?

Dry persistent cough. Negative for allergies, gerd, asthmas, cancer & heart conditions. Leads to shortness of breath. What can I do?

Consider bronch: On occasion recurrent dry cough with associated shortness of breath, especially if the difficulty breathing is on inspiration, can be related to vocal cord dysfunction. This may require an ENT physician to directly visualize the larynx and below. If that is normal, a pulmonologist may need to look directly into the lung for the cause. ...Read more

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persistent clearing of throat and excess mucus in throat Have tried allergy/asthma meds and low dose PPIs. A new allergist or GI doc? Silent re

 persistent clearing of throat and excess mucus in throat Have tried allergy/asthma meds and low dose PPIs.
A new allergist or GI doc? Silent re

LERD possible: Exposure of the vocal cords to stomach acid & pepsin will result in inflammation of the vocal cords (as is also often seen with acid regurgitation). Acute laryngitis may result, but watch out for chronic hoarseness, throat clearing, airway spasms, bronchitis, an asthma-type presentation, and even a higher risk of throat cancer. Agree, further evaluation is in order. ...Read more

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history of severe asthma no meds now.persistent mucus in throat sinuses are clear. 2 Ent docs tried asthma, allergy meds and low dose PPIs. Any thoughts?

 history of  severe asthma no meds now.persistent mucus in throat sinuses are clear. 2 Ent docs  tried asthma, allergy meds and low dose PPIs. Any thoughts?

Seen ENT: If PPI twice daily failed after several weeks, it is time to see an ENT at an university center. Your current symptoms are not typical for asthma. In children, throat clearing may be a sign of asthma however. With a past history of severe asthma, I think a Lung function test is in order as well. ...Read more

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What is asthma?

What is asthma?

Definition...: Asthma is a disease of the airways characterized by recurrent acute exacerbations of bronchospasm and airway inflammation. Between exacerbations, most asthmatics have no symptoms. There is no cure but there are effective treatments. ...Read more

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What is asthma?

What is asthma?

Asthma: Asthma is a condition that affects the smaller airways (bronchioles) of the lungs. From time to time the airways narrow (constrict) in people who have asthma.The typical symptoms are wheeze, cough, chest tightness, and shortness of breath. Symptoms can range from mild to severe. Treatment usually works well to ease and prevent symptoms .Treatment is usually with inhalers ...Read more

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