My Crohn's and Colitis Blog » Bronchial Asthma Treatment » cough bringing on uncontrolled asthma
cough bringing on uncontrolled asthma
Question:
Question. Can this viral infection still be causing me problems. It has been about 6 weeks now. Should I return to my doctor for further testing?
You should go back and see the doctor. Your medications seem to be controling the effects of the problem but the problem hasen’t yet gone away. (I have found that the standard doctor response for a viral illness is to relieve the major discomforts and wait for it to go away on its own.) ‘Reply to’ address changed to foil email spammers.
Response:
Question. Can this viral infection still be causing me problems. It has been about 6 weeks now. Should I return to my doctor for further testing? You should go back and see the doctor. Your medications seem to be controling the effects of the problem but the problem hasen’t yet gone away. (I have found that the standard doctor response for a viral illness is to relieve the major discomforts and wait for it to go away on its own.)
Probably because there is no effective medication for this kind of illness. Antibiotics for viral illnesses protect or cure secondary bacterial infections, not the prime viral one. However I think the original poster should be well by now. Maybe he has a lurking bacterial infection which needs treating. — Surfer! To e-mail change ww to w in ‘Reply to’
Response:
Hello cougher, Whatever the cause of cough, try to control it so it doesn’t overtake you. Cough twice, stop, then twice again, etc. This actually allows for moving secretions more effectively as you will probably be able to get more air under the mucous to force it up and out. A rapid, continuous cough tends to be shallow and unproductive and causes a spasmotic sputtering. Good luck AW
Response:
I have had bronchial asthma since birth. Recently I have developed a cough that seems to bring on asthma attacks that are not controlled by my normal medication. I develop rapid heart beat, sweat attacks, severe breathing difficulty, and fatique. My normal medication did not control the developing asthma attacks and only taking 20 – 30 mg prednisone would bring relief. By the way, during the coughing spells I seem to be bringing up a foamy fluid which is clear. Once the cough expells this fluid my asthma clears up till the next coughing spell. I went to my doctor who said I have a viral infection of the trachea and larynx. He gave me an antibiotic and changed my steroid inhaler from Azmacort to Flovent 110mcg two puffs twice daily. I also take two puffs Serevent twice daily and Theophylline. This seemed to initially help but my cough is back, again bringing on asthma attacks. The severity of the attacks is not as bad as that which prompted me initially to see my doctor. This new medication routine seems to be controlling my asthma, but barely. I am fine as long as I am sedentary, but as soon as I try to do something, even walking, brings on the coughing attacks followed by more asthma attacks. Question. Can this viral infection still be causing me problems. It has been about 6 weeks now. Should I return to my doctor for further testing?
Response:
- Hide quoted text — Show quoted text – I have had bronchial asthma since birth. Recently I have developed a cough that seems to bring on asthma attacks that are not controlled by my normal medication. I develop rapid heart beat, sweat attacks, severe breathing difficulty, and fatique. My normal medication did not control the developing asthma attacks and only taking 20 – 30 mg prednisone would bring relief. By the way, during the coughing spells I seem to be bringing up a foamy fluid which is clear. Once the cough expells this fluid my asthma clears up till the next coughing spell. I went to my doctor who said I have a viral infection of the trachea and larynx. He gave me an antibiotic and changed my steroid inhaler from Azmacort to Flovent 110mcg two puffs twice daily. I also take two puffs Serevent twice daily and Theophylline. This seemed to initially help but my cough is back, again bringing on asthma attacks. The severity of the attacks is not as bad as that which prompted me initially to see my doctor. This new medication routine seems to be controlling my asthma, but barely. I am fine as long as I am sedentary, but as soon as I try to do something, even walking, brings on the coughing attacks followed by more asthma attacks. Question. Can this viral infection still be causing me problems. It has been about 6 weeks now. Should I return to my doctor for further testing?
Flovent is a more effective inhaler than Azmacort. Your dose of 2 puffs x 2 of Flovent 110mcg is in the Moderate Dose range (2-6 puffs fluticasone 110 is Moderate). Perhaps your doctor needs to increase the Flovent to better control the asthma, like to 6-8 puffs/day. Perhaps you have a coexisting related condition, like bronchitis, sinusitis (post nasal drip can aggravate asthma) or GER (gastroesophageal reflux). Are you using a Peak Flow Meter to monitor lung function and an Action Plan to increase meds if lung function drops below 80% of personal best? I suggest you check with your doctor. I would think the viral infection would have run its course by now. Here some links on cough: COUGH http://www.ummed.edu/dept/pulmonary/irwin/pitfalls.htm Common Pitfalls in Managing Patients with Chronic Cough http://www.vh.org/Providers/TeachingFiles/PulmonaryCoreCurric/Chronic… http://www.mayo.ivi.com/mayo/9411/htm/cough.htm Cough http://www.scl.ncal.kaiperm.org/medadvice/cough/index.html Cough/Nasal Congestion Ellis
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