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Old 07-31-2003, 02:01 PM   #1
Riker1964
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Join Date: Jan 2003
Posts: 50
Post Asthma Returning

I had really bad asthma when I was a child 0-3 years old. I never had the wheezing kind though. I had my last asthma "feeling" at 12. I have been asthma free since then, until the fall of 2000. Then I started having trouble breathing, generally during the fall - the hardest allergy season where I live. Each year it has been in the fall, but in the fall of 2002 to present, it happens more and more, not mattering what season it is. I especially feel trouble after I exercise for 2-3 days.

I have Sarcoidosis, but my lungs are bascially untouched by it. (It is only in my lymph nodes). So my pulm doc did a Methacholine challenge. The results said I only dropped 14% so pulm doc said no asthma. Well, when I took the test, I felt my lungs get tight quick, so I faked inhaling the rest of the test med. That is why the results are skewed.

Is there some other test to see if asthma really has come back - that won't scare me to death?

Also, I have aerobid and albuterol. I will talk with my primary doc about starting this again - trouble is, albuterol makes me feel really shaky and nervous inside and makes my heart race a little and maybe causes some palpitations. (I have had alot of trouble with palpitations in the past and for the last 2-3 months, I have been palp-free, so I would like to keep it that way.) What other "Emergency Inhaler" would work just as well as albuterol and NOT cause these side-effects?

Thanx for any input.
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Old 08-01-2003, 12:09 AM   #2
wrin
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Location: Edmonton, AB, Canada
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Hon, you shouldn't have done that with the methacholine challenge test. You should have TOLD the tech you were uncomfortable, and they have lower concentrations of methacholine they can test you with.

As far as the albuterol goes, some of the shakiness and palpitations might go away as you use it more, though if you've had trouble with palpitations in the past, I'd have a look-see into why. Have you ever been diagnosed with anything called PVCs?

Other 'emergency inhalers' like Berotec or Bricanyl are not as lung-selective as Ventolin/Albuterol and are rumored to actually affect the heart *more*.

Xopenex might be an option for you, also called levalbuterol, but I'm not sure if it'll help all that much, and the investment is quite high; it only comes in nebulized format, which is an exceedingly expensive way to deliver an inhaled aerosol.

I'd say go take the test again, but ask them to start with a lower concentration than they would normally start with, since last time, the test frightened you. If it helps, get the tech to stay and talk to you, if he has time.
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Old 08-01-2003, 09:54 AM   #3
Riker1964
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I have had my palpitations checked out, they are PACs and since my echo is fine, they told me to ignore them - they are most likely stress/anxiety related.

I'll see about doing that test again, but it would be nice if there was another way.
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Old 08-01-2003, 08:08 PM   #4
wrin
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There's always a full pulmonary function test which might show evidence of it but .. a methacholine challenge would really really show it well...
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