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-   -   Officially diagnosed (http://www.healthboards.com/boards/asthma/933275-officially-diagnosed.html)

missyou009 12-28-2012 01:44 PM

Officially diagnosed
 
Well guys, I've officially been diagnosed with asthma.

I've had a chronic cough since mid-late September, and have had bronchitis and a couple of colds since then (fun...and yes, the cough developed before I got sick, weird as that is)...

So today I went to the doctor...a real one, not just the PA (Physician Assistant) at my school's health center. She took my pulse ox and performed a couple PFTs and listened to my breathing along with taking note of all my symptoms and said that I've got adult onset asthma. Fun times.

She prescribed me a Z-pack to clear up the current infection I've got going on, and 8-day course of Prednisone, and Xopenex. Seems like kind of a lot, but she's the doctor.

Hopefully this will all help clear me up and I'll be able to function normally, without asthma symptoms.

Titchou 12-28-2012 02:30 PM

Re: Officially diagnosed
 
Well, you'll need to see a pulmo and get a daily med and an asthma action plan. What you've been put on it short term and for attacks only, You aren't on anything as a daily preventer. Good luck and continued good breathing.

missyou009 12-28-2012 06:11 PM

Re: Officially diagnosed
 
[QUOTE=Titchou;5109814]Well, you'll need to see a pulmo and get a daily med and an asthma action plan. What you've been put on it short term and for attacks only, You aren't on anything as a daily preventer. Good luck and continued good breathing.[/QUOTE]

We have no pulmonologists where I live...literally none.

The MD said to use the Xopenex 4x/day while I'm on the antibiotics and prednisone, and then just prn...and if things are still bad, to come back and reevaluate.

Titchou 12-29-2012 07:17 AM

Re: Officially diagnosed
 
If you actually have traditional, standard asthma you will need a daily med. And using the rescue inhaler that many times a day once you are over this event is very bad for you long term. Find an allergist or asthma doc of some sort and see him/her. You need an action plan to keep this from happening again - if in fact you really have asthma.

missyou009 12-29-2012 12:42 PM

Re: Officially diagnosed
 
What's wrong with using Xopenex multiple times a day? My Dr. prescribed 2 puffs 4x/day as needed.

Titchou 12-29-2012 02:21 PM

Re: Officially diagnosed
 
It's what is called a "rescue" inhaler for taking when you have an attack or flare (which you are having) or for premedicating before cardio for asthmatics. It is not to be taken in that manner indefinitely. If it is needed that often - after the flare or attack - it means the asthma is not under control. It raises your blood pressure and heart rate. So, once you get over this hurdle, find a doctor who is qualified to treat asthma and get proper evaluation and treatment. Seriously, I've had asthma for almost 2 decades. this if your life we are talking about. You need to be on proper meds if you actually have asthma. It is not curable; you will have it for the rest of your life.

missyou009 12-29-2012 02:34 PM

Re: Officially diagnosed
 
[QUOTE=Titchou;5110181]It's what is called a "rescue" inhaler for taking when you have an attack or flare (which you are having) or for premedicating before cardio for asthmatics. It is not to be taken in that manner indefinitely. If it is needed that often - after the flare or attack - it means the asthma is not under control. It raises your blood pressure and heart rate. So, once you get over this hurdle, find a doctor who is qualified to treat asthma and get proper evaluation and treatment. Seriously, I've had asthma for almost 2 decades. this if your life we are talking about. You need to be on proper meds if you actually have asthma. It is not curable; you will have it for the rest of your life.[/QUOTE]

I actually don't think that Xopenex has those side effects (it's not supposed to)...but of course, that's not the point :)

I'm pretty much sure it's asthma since my doctors have been throwing that around as a possibility for about the last 5 years, and I've been put on albuterol by 2 or 3 different MDs because of that, and it's always helped.

missyou009 12-29-2012 04:18 PM

Re: Officially diagnosed
 
Another interesting thing...I just fully read the insert that came with the Xopenex, and it states under "DOSAGE AND ADMINISTRATION":

[I]"For treatment of acute bronchospasm or prevention of asthmatic symptoms, the usual dosage of XOPENEX HFA (levalbuterol tartrate) Inhalation Aerosol for adults and children 4 years of age and older is 2 inhalations (90 mcg) every 4 to 6 hours."[/I]

So while it is a short acting medication, apparently it is also used for prevention.

Titchou 12-29-2012 04:52 PM

Re: Officially diagnosed
 
Wouldn't you rather have one puff per day of a daily med and no albuterol? THat's what I am getting at. Please see a pulmo or asthma or allergy doc. I'm just concerned about your longterm health. And it is used to prevent attacks - as a premedication before cardio - I do 2 puffs , 60 seconds apart, 15 minutes before cardio. These are the things you will learn from a pulmo.
How to medicate and when - it's called an "asthma action plan." Check out the "stickies" at the top of the Asthma page. An excellent one is posted there.

missyou009 12-29-2012 05:18 PM

Re: Officially diagnosed
 
Yes, I would. As I said, there are literally no pulmos where I live. In fact, there are very few specialists period as I live in a very small city (pop. of 30,000). In the past when I've had to see specialists, I've had to go to a larger city that's about an hour away because of the lack of them here =/

ETA: I did a Google search for asthma doctors, and there actually is ONE where I live...and actually super close to my house! (Less than a mile, so I could even walk if I had to since my parents work full time and I don't drive...or I could take the bus since I have an unlimited bus pas). No pulmos...but an asthma doc is good too, right?

Titchou 12-29-2012 08:47 PM

Re: Officially diagnosed
 
That's who I would see. Good idea. Keep us posted.

iCadance 12-30-2012 08:07 AM

Re: Officially diagnosed
 
Yes an asthma dr would be good. I see an asthma & allergy dr. My son however sees a Ped pulm. I drive him about an hour to see his dr.



[QUOTE=missyou009;5110247]Yes, I would. As I said, there are literally no pulmos where I live. In fact, there are very few specialists period as I live in a very small city (pop. of 30,000). In the past when I've had to see specialists, I've had to go to a larger city that's about an hour away because of the lack of them here =/

ETA: I did a Google search for asthma doctors, and there actually is ONE where I live...and actually super close to my house! (Less than a mile, so I could even walk if I had to since my parents work full time and I don't drive...or I could take the bus since I have an unlimited bus pas). No pulmos...but an asthma doc is good too, right?[/QUOTE]

missyou009 12-30-2012 09:32 AM

Re: Officially diagnosed
 
I'll try to make an appointment before I go back to school...but I might not be able to...since this is literally the only asthma/allergy doc in town, I have no idea how busy/booked they might be.

iCadance 12-30-2012 11:27 AM

Re: Officially diagnosed
 
Let us know what they say.

[QUOTE=missyou009;5110449]I'll try to make an appointment before I go back to school...but I might not be able to...since this is literally the only asthma/allergy doc in town, I have no idea how busy/booked they might be.[/QUOTE]

missyou009 12-30-2012 11:47 AM

Re: Officially diagnosed
 
[QUOTE=iCadance;5110481]Let us know what they say.[/QUOTE]

Will do :)


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