Doctor insights on:
Tired After Asthma Attack
Are chest tightness, tiredness, shortness of breath, and light headedness early, mid, or late asthma attack symptoms?
Fasted more than 24 hrs yesterday. Had asthma attack. Feeling very weak and tired and loss of appetite. Drank fluids and ate. No change. What to do?
Asthma flare up wheezing/cough yellow mucus, fatigue! How long can I wait to seek medical help! Going on for about 4 days?
Time to seek help: You may be able to continue in your weakened state for longer but why take chances. I'll assume you have done what you can with any meds you have on hand & not improved. If this is interfering with your life it's time to get in & get extra help. ...Read more
Many things: Anything from cold air to animal dander to anything you may have allergies to. The best thing is to get tested by your physician. If necessary an allergist or pulmonologist may be needed. ...Read more
Depends: This would obviously be related the the individual patient's perceptions. But generally speaking, one feels short of breath, is working harder to get a full breath, often feels very anxious, is scared and depending on the severity of the attack and were the treatment is going, the patient might be sleepy, lethargic or worse as the attack proceeds if the meds are not working. ...Read more
Inflammation!!: Although an emotional reaction can precipitate bronchospasm, asthma is caused by a chronic inflammation of the airways. This is possibly due to allergy but there are other causes. Increases in inflammation can cause the release of inflammatory mediators that result in bronchospasm with cough, wheeze and shortness of breath. ...Read more
It depends: You need to discuss this with your health care provider. It depends upon the severity of your asthma and what medications you are taking. The standard treatment for persistent asthma is an inhaled steroid used daily with a bronchodilator as a rescue inhaler. If you have persistent asthma you will probably need to take an inhaled steroid indefinitely. If you asthma is mild you may be able to stop it ...Read more
Asthma attack: You're probably talking about an asthma attack caused by aspiration. This means inhaling something that should have been swallowed like food or stomach contents. This could set off an asthma attack. Aspiration can happen with people with swallowing difficulties such as with a stroke or when someone is intoxicated. ...Read more
Preventive therapy: The best strategy to prevent asthma attacks is to use an anti-inflammatory medicine on a daily basis as preventive therapy. It will help suppress airway inflammation (which is the root cause of asthma) & prevent symptoms worsening to the point where you have an asthma attack. There is a wide spectrum of asthma severity & you may need different strength of meds based on yr symptoms & pfts. ...Read more
It depends...: A concave chest, also known as a pectus deformity, can cause diminished lung function if severe. Usually however, a pectus deformity does not contribute to an asthma attack. It would be helpful to have lung function evaluated before and during an episode to know what the difference is and whether further evaluation by a chest wall surgeon should be pursued. ...Read more
Yes: Some physicians used to test for asthma with what is called a methacholine or histamine challenge test. These chemicals when inhaled in an asthmatic would cause bronchoconstriction of the airways at lower levels of the drugs than non-asthmatics. This is not done much (maybe not at all) anymore. Now asthma is generally diagnosed through clinical means - history and symptoms and reactions. ...Read more
Depends: Epi pens are used in people who experience severe allergic reactions. The source of the allergy is not really important. If the asthma attack is the direct result of the allergic reaction it may be beneficial. However, "epi" is a non-specific "agonist" whereas your rescue inhaler is specific for the receptors in your lungs and would probably work better with fewer side effects. ...Read more
2puffs: An attack is usually cleared with 2 puffs of a short acting bronchodilator (such as albuterol). It is best to wait at least 1 minute between puffs. If you need the rescue inhaler frequently, you will need mediacal attention. If you need to use a short acting bronchodilator other than before exercise more than twice a week, you would need a preventative medication such as an inhaled steroid. ...Read more
Not a rescue drug:
Advair is a combination drugs used as a "controller" in asthma and COPD. You should be taking it on a regular basis not after an attack. Your rescue inhaler (ie albuterol) should be used only when you are having an attack.
Talk over an asthma plan with your physician. So you know exactly when and how to use each drug.
Good Luck ...Read more