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could this be asthma?

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Old 08-20-2012, 04:19 AM   #1
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francesc HB User
could this be asthma?

Sorry I know you must get tonnes of these, and yes I am going to go to a doctor to get a proper diagnosis, but thought I'd get some advice as to if I am on the right track. Not sure if i need to see a pulmonary specialist or ENT.

Since I was a teenager I have always got really bad coughs particularly after a cold or flu type illness, even if I hadn't had a cough as part of it (2 years ago it lasted two months or more) I am also really prone to sinus infections which i have read can co-occur with asthma (I think i may have postnasal drip as i often have that feeling of choking on phlegm even when I don't have a cough) and get eczema, and my brother had mild asthma as a kid.

Anyway these are hacking coughs with a bit of a wheeze, and I always feel as if I am trying to cough up mucus. The back of my throat itches. My chest feels a bit funny, maybe i'd describe it as tight, but I'm not sure if thats just from all the coughing. I went to get something for my cough the other day (been coughing for the last four weeks) and the pharmacist asked me to cough for him and on hearing it asked if I had ever used ventolin, and seeing I said yes (a doctor gave me one when I was 15 but I didn't really use it much). Ive been using it for 5 days and I find it does quieten the cough a little after using it, but the itchy need-to-cough feeling at the back of my throat doesn't go and it doesn't completely stop the cough. I also noticed I get a bit out of breath talking while walking. My housemate who had really bad asthma most of his life thinks the coughing could be asthma related and Im aware there is a cough-variant asthma.

Outside of the coughing periods Im generally ok, maybe a little easily puffed but then again I'm not that fit Oh and had chest X-ray 2 years ago when id been coughing for 2 months which was clear. Asked GP about asthma then, readings on a basic spirometer seemed normal but she gave me a script for a preventer (without any proper diagnosis or referral for a specialist) which i stopped using when the cough stopped.

Thoughts? Asthma or maybe just irritation from mucus/postnasal drip type stuff?

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Old 08-20-2012, 07:42 AM   #2
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Re: could this be asthma?

That might be mild asthma. Certainly sounds a lot like it. Do you have allergies, do you know?

Maybe ask your doctor for a referral to a pulmonologist for further testing. Lots of folks with lifelong mild asthma just don't realize anything is really wrong, and are surprised by how much their lung capacity improves after getting it under proper control.

You might not be bad enough to need a preventer every day, but maybe you should keep one around and use it at the first sign of an illness. That might avoid some of those lengthy coughs.

Old 08-21-2012, 01:51 AM   #3
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Re: could this be asthma?

I have had something very similar over the past few years and it turned out to be a combination do things, Asthma, allergies, post nasal drip and GERD. Any od these can course an annoying cough, but together they are nasty.
I take a combination of Fexophenadine, pseudophed, symbiotic,spiriva and Omeprazol.
This is a nasty annoying condition as I'm sure anyone here can tell you.
I have just recently discovered nasal rinsing and it has been a godsend. By rinsing twice a day, I no longer need to use pseudophed or fexophenadine.
As Janewhite1 says, please see a pulmonologist, but also see an allergist.

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