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Old 04-09-2005, 09:30 PM   #1
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Question Asthma questions...

Last Monday I was diagnosed in the ER with both asthma and pneumonia, and put on a variety of meds. (Atrovent & Albuterol for the asthma, Prednisone & Zithromax for the pneumonia.) Wednesday I went for a follow-up with my regular doctor, who added Singulair at bedtime, for the asthma & to help with seasonal allergies. This morning when I woke up, I didn't have any wheezing, but I felt tight and almost like my lungs were really heavy. I don't really know how else to describe it, except that it felt like there was a weight on my chest. It disappeared after taking my meds. Now when they diagnosed me with asthma I was wheezing really really badly, and have still had some of that off & on all week.

So what I'm wondering is this: Is the heavy feeling an asthma thing, or is that more likely from the pneumonia?

I don't know for sure what non-wheezing asthma feels like since the few times I've had any symptoms were all the wheezy type. (May have had the other and didn't know what it was, though, since I had had the wheezy type before and didn't know at the time what it was, either.)

I've seen several of you describe that you have the 'tightness', and was also wondering, how do you feel that tightness? Can you say, "This is definately the bronchials that are tight and nothing else is affected", or is it more of, "The bronchials are tight, but my whole upper chest feels tight because of it" ?

Thanks for the info! Right now I'm trying to separate out what is directly caused by the asthma and what is from the pneumonia. My doc said to take the Albuterol more often than the official prescription if I was having problems with the asthma, but I want to make sure that it really is the asthma, and not the pneumonia, before I take extra Albuterol.

Melissa

 
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Old 04-10-2005, 09:02 PM   #2
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Re: Asthma questions...

Quote:
Originally Posted by MelissaNC
Last Monday I was diagnosed in the ER with both asthma and pneumonia, and put on a variety of meds. (Atrovent & Albuterol for the asthma, Prednisone & Zithromax for the pneumonia.) Wednesday I went for a follow-up with my regular doctor, who added Singulair at bedtime, for the asthma & to help with seasonal allergies. This morning when I woke up, I didn't have any wheezing, but I felt tight and almost like my lungs were really heavy. I don't really know how else to describe it, except that it felt like there was a weight on my chest. It disappeared after taking my meds. Now when they diagnosed me with asthma I was wheezing really really badly, and have still had some of that off & on all week.

So what I'm wondering is this: Is the heavy feeling an asthma thing, or is that more likely from the pneumonia?

I don't know for sure what non-wheezing asthma feels like since the few times I've had any symptoms were all the wheezy type. (May have had the other and didn't know what it was, though, since I had had the wheezy type before and didn't know at the time what it was, either.)

I've seen several of you describe that you have the 'tightness', and was also wondering, how do you feel that tightness? Can you say, "This is definately the bronchials that are tight and nothing else is affected", or is it more of, "The bronchials are tight, but my whole upper chest feels tight because of it" ?

Thanks for the info! Right now I'm trying to separate out what is directly caused by the asthma and what is from the pneumonia. My doc said to take the Albuterol more often than the official prescription if I was having problems with the asthma, but I want to make sure that it really is the asthma, and not the pneumonia, before I take extra Albuterol.

Melissa

The discomfort is probably a combination of the asthma and the pneumonia. Seeing that pneumonia is a pulminary infection, taking the albuterol isn't going to hurt.

 
Old 04-24-2005, 08:01 AM   #3
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Re: Asthma questions...

Just a question? Did you get a peak flow meter to help you determine when you are having an asthma episode?

~ask your doctor for one if not.

 
Old 04-24-2005, 08:06 AM   #4
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Re: Asthma questions...

Actually, I am concerned about how you were diagnosed with asthma...... NHLBI standards require a Pulmonary Function test be done to diagnose asthma Officially. Now that isn't to say your diagnosis is wrong, but its an official test to help determine your reversibility.

Basically a Pre and Post Bronchodilator PFT is where you go and take the PFT, take a bronchodilator, wait a bit, then do the PFT again. I believe your FEV1 (forced Expiratory Volume in 1 second) has to have an increase of > 12 % after the bronchodilator for asthma to be the diagnosis.

Usually (maybe somewhere out there they are) PFT's are not done at the ER. Your primary doc should be able to order one for you. You will want to get the pnemonia under control first (I think) but make sure you ask about how long before the test you should cease the asthma meds.

Just some helpful info
~When in doubt, ask your doc.

 
Old 04-24-2005, 09:32 AM   #5
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Re: Asthma questions...

I think it's probably the pneumonia but agree with the others about asking your doc. Also, there is a strain of pneumonia that causes asthma in adults.
That's how I acquired the darned condition!

 
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