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serevent, aerobid, burping

Question:

have ceased to be straightforward wheezing and itching; instead, I get gas. Usually once in the morning and usually around 4pm everyday and again during the evening/night ours my stomach feels bloated and pressure builds in my esophagus and as if there is a clog.  It is as if the passageways are swelling and the gas from my stomach cant get burped up.  Sometimes if I concentrate and try to push the  "clog" down int my stomach and can get a good burp and relief for a while, but often the pressure returns.  On occassion the pressure has progressed to wheezing and coughing, then a full blown attack; this happened once in my pulmonologist’s office, but he to cant find anything wrong or a reason for my symptoms and has refered me back my ENT.  the ENT sent me to the pulmonologist and this is over the primary care person’s head.

My husband is having a similar problem, except his asthma doesn’t require regular medication, so we can’t attribute it to side-effects of any particular med.  He does use a Primatene inhaler once every few days or so, but that’s generally about all.   Actually, his asthma has greatly improved over the last several months, but these problems with gas, bloating, and pain in his chest, abdomen and back have started. It seems to be worse in the afternoons/evenings, or after a big meal.  He’s been to the doctor to rule out heart trouble.  If he burps, the pain in his chest and abdomen subsides somewhat, but we can’t figure out why he’s having lower back pain.  The back pain doesn’t seem to be related to muscle stress, and on the days when he has it, it comes and goes throughout the day.  Mylanta, Tums, and Pepto don’t help with the gas and bloating, either. Anyone got any ideas? Lisa Freeman

Response:

– Hide quoted text — Show quoted text – have ceased to be straightforward wheezing and itching; instead, I get gas. Usually once in the morning and usually around 4pm everyday and again during the evening/night ours my stomach feels bloated and pressure builds in my esophagus and as if there is a clog.  It is as if the passageways are swelling and the gas from my stomach cant get burped up.  Sometimes if I concentrate and try to push the  "clog" down int my stomach and can get a good burp and relief for a while, but often the pressure returns.  On occassion the pressure has progressed to wheezing and coughing, then a full blown attack; this happened once in my pulmonologist’s office, but he to cant find anything wrong or a reason for my symptoms and has refered me back my ENT. the ENT sent me to the pulmonologist and this is over the primary care person’s head. My husband is having a similar problem, except his asthma doesn’t require regular medication, so we can’t attribute it to side-effects of any particular med.  He does use a Primatene inhaler once every few days or so, but that’s generally about all.   Actually, his asthma has greatly improved over the last several months, but these problems with gas, bloating, and pain in his chest, abdomen and back have started. It seems to be worse in the afternoons/evenings, or after a big meal. He’s been to the doctor to rule out heart trouble.  If he burps, the pain in his chest and abdomen subsides somewhat, but we can’t figure out why he’s having lower back pain.  The back pain doesn’t seem to be related to muscle stress, and on the days when he has it, it comes and goes throughout the day.  Mylanta, Tums, and Pepto don’t help with the gas and bloating, either. Anyone got any ideas? Lisa Freeman

esophageal reflux?  Just a guess.  Ask the doctor about the possibilty.

Response:

– Hide quoted text — Show quoted text – "Myron B. Mcghee"  writes: have ceased to be straightforward wheezing and itching; instead, I get gas. Usually once in the morning and usually around 4pm everyday and again during the evening/night ours my stomach feels bloated and pressure builds in my esophagus and as if there is a clog.  It is as if the passageways are swelling and the gas from my stomach cant get burped up.   Has anyone experienced such a change in their attacks or symptoms or triggers?  Is there any research connecting serevent, aerobid, or any Certainly triggers change over time. Sometimes, gastric reflex causes asthma, and that might be contributing to your problems.  If your pulmonologist didn’t mention that, based on the description you gave here, I’d see another doctor.  

According to the package insert that comes with the Aerobid inhaler, Aerobid itself has been reported to cause GI side effects (infrequently).  These include heartburn, gas, and dyspepsia, with a reported incidence of between 1% and 9%.  I myself started getting heartburn and gas (belching) a month or so after starting on Aerobid. The fact that these inhalers are considered "safe" does not mean that they are entirely free of annoying side-effects. — Steven D. Litvintchouk                  "There seems to be no mainframe Disclaimer:  As far as I am aware,       in which we’re living." the opinions expressed herein                 — President Bill Clinton are not those of my employer.

Response:

– Hide quoted text — Show quoted text – have ceased to be straightforward wheezing and itching; instead, I get gas. Usually once in the morning and usually around 4pm everyday and again during the evening/night ours my stomach feels bloated and pressure builds in my esophagus and as if there is a clog.  It is as if the passageways are swelling and the gas from my stomach cant get burped up.  Sometimes if I concentrate and try to push the  "clog" down int my stomach and can get a good burp and relief for a while, but often the pressure returns.  On occassion the pressure has progressed to wheezing and coughing, then a full blown attack; this happened once in my pulmonologist’s office, but he to cant find anything wrong or a reason for my symptoms and has refered me back my ENT.  the ENT sent me to the pulmonologist and this is over the primary care person’s head. Has anyone experienced such a change in their attacks or symptoms or triggers?  Is there any research connecting serevent, aerobid, or any other drug to cause such changes over a long period of time?

Gastrointestinal upset is a known (but not frequent) side-effect of Aerobid.  (Ask your pharmacist for the package insert if you don’t have it–it lists such side effects.)  Since I’ve been on Aerobid, I too have had episodes of burping and heartburn (particularly in the morning).  With the approval of my pulmonologist, I take Pepcid (which is now available OTC) when these GI symptoms get too annoying. — Steven D. Litvintchouk                  "There seems to be no mainframe Disclaimer:  As far as I am aware,       in which we’re living." the opinions expressed herein                 — President Bill Clinton are not those of my employer.

Response:

"Myron B. Mcghee"  writes: I need info and help with my asthma. have ceased to be straightforward wheezing and itching; instead, I get gas. Usually once in the morning and usually around 4pm everyday and again during the evening/night ours my stomach feels bloated and pressure builds in my esophagus and as if there is a clog.  It is as if the passageways are swelling and the gas from my stomach cant get burped up.  Sometimes if I concentrate and try to push the  "clog" down int my stomach and can get a good burp and relief for a while, but often the pressure returns.  On occassion the pressure has progressed to wheezing and coughing, then a full blown attack; this happened once in my pulmonologist’s office, but he to cant find anything wrong or a reason for my symptoms and has refered me back my ENT.  the Has anyone experienced such a change in their attacks or symptoms or triggers?  Is there any research connecting serevent, aerobid, or any

Certainly triggers change over time. Sometimes, gastric reflex causes asthma, and that might be contributing to your problems.  If your pulmonologist didn’t mention that, based on the description you gave here, I’d see another doctor.   Consider sitting up after dinner (or at least a good angle) instead of laying down after dinner.  Eat at least 3 to 4 hours before bed and try to make the evening meal smaller.  If I start to notice that pressure feeling – I can usually prevent problems by taking some Tums.  For other people – it may be more serious and require things like Zantac or Pepcid AC. Rethink how you are describing your symptoms.  Is it gas?  (Are you farting up a storm?) Or is it more a feeling in your esophagus?   Gastric reflux is a common trigger for asthma and is well known in the asthma community.  If your doctors haven’t even brought that up – see someone else. — Kathie Sindt

Response:

I need info and help with my asthma. I’ve been using a combination of claratin, sudofed, aerobid, serevent vancenase, for 3 yrs; had endoscopic surgery 2 yrs ago;  have recently had to add a daily dose of 20mg prednisone.  I have also seen a gastro enterologist to rule out ulcers or other stomach problems.  Nothing was found to be wrong or abnormal in my stomach, and I do not have helixcobacter. Three yrs ago I had several attacks per day, but after the surgery I was symptom free for 6 mths.  When the sinus infection returned so did my attacks.   W/n the last 8-12 mths the smyptoms of of attacks changed.  I used to get a tightening, then an itching, then the inevitable cough and wheeze. More recently though my attacks have ceased to be straightforward wheezing and itching; instead, I get gas. Usually once in the morning and usually around 4pm everyday and again during the evening/night ours my stomach feels bloated and pressure builds in my esophagus and as if there is a clog.  It is as if the passageways are swelling and the gas from my stomach cant get burped up.  Sometimes if I concentrate and try to push the  "clog" down int my stomach and can get a good burp and relief for a while, but often the pressure returns.  On occassion the pressure has progressed to wheezing and coughing, then a full blown attack; this happened once in my pulmonologist’s office, but he to cant find anything wrong or a reason for my symptoms and has refered me back my ENT.  the ENT sent me to the pulmonologist and this is over the primary care person’s head. Has anyone experienced such a change in their attacks or symptoms or triggers?  Is there any research connecting serevent, aerobid, or any other drug to cause such changes over a long period of time? Can anyone offer any helpful advice.  I need it bad!

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