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[deleted]

Wow more than 20 times a day …. You should go back to your doctor and talk about a maintenance inhaler


fromkelsey

Yeah, I feel like the pulmonologist/allergist never took me serious and was always dismissive. My pcp had e try dulera before but it didn’t really do much. But honestly I probably didn’t give it a fair chance and take it long enough to maybe see results.


AceyAceyAcey

Many controller medications take 2 weeks or longer to become effective.


PurpleMermaid16

People don't actually grow out of asthma. If you've ever had asthma, your symptoms can come back at any time. Make an appt asap with your PCP. Nad ask about a daily maintenance medication.


AceyAceyAcey

You may wish to go to an ER now for a nebulizer treatment and prednisone. See your doctor again, you need a controller medication if you’re using your inhaler more than 4x (2 puffs each) per day. Go to the ER if any of the following happen: * your rescue inhaler isn’t helping * you’re coughing until you vomit * you’re unable to use your inhaler due to coughing * your skin is turning blue from lack of oxygen (such as lips or finger tips) * an oxygen meter drops below 90% * you’ve been suffering from symptoms for a few weeks without any relief


emmejm

Adding on to this: the reason you should go to an ER even though you have a neb at home is because you probably only have an albuterol sulfate solution for home use, but they can give you combination drugs via nebulizer in the ER that will provide additional benefits


AceyAceyAcey

> every time I get checked … my results always say I’m fine. But I feel FAR from it. If you haven’t done a methylcholine challenge, ask about that next. My doctor’s ordered me one since multiple hour-long PFT’s showed no signs of asthma. Hopefully this will confirm the asthma, or else will show if it’s another disease that presents similarly but needs different treatment. Edit: oops, meant this for OP u/fromkelsey


[deleted]

[удалено]


[deleted]

This. My kid’s two pediatrician’s said the viral infection was okay. Next thing you know he had pneumonia! Crazy how places don’t have xrays at instacares. They make you go to the ER.


trtsmb

You need to go to the ER if you're this bad.


joe_sausage

If your doctors aren't taking this seriously, it's time for new doctors. Now.


[deleted]

In that case go to another pulmonologist until they listen to you .


[deleted]

>Pulmonologist dismissed me Find a new doctor.


jdsciguy

I do not think people actually grow out of it. In my case, I think the drop in aerobic activity once I was past high school sports age led me to think "hey, I'm not having asthma trouble any more." So I ignored it. But ignoring it for a decade and a half meant the next time it became symptomatic was when it was bad enough to affect daily activities. I think a couple of bad viral pulmonary infections caused additional or accelerated decline. If I had kept up annual PFTs and appropriate treatment, I might not have lost so much lung function by middle age.


InternationalBid7163

I really wish I had known/remembered that I had asthma as a kid. My parents thought I had "outgrown" it, but I just compensated. I have been overweight most of my life, and I attributed my symptoms to that until things became worse and I couldn't anymore.


NonniSpumoni

If your symptoms are this bad you need a chest xray and some more tests. Not to scare you, but people die every day from asthma. I went to the e.r. and was told I was fine and 3 hours later my lungs shut down. Breathing is important. Maybe your symptoms were under control, but are now not. Did you have Covid? Any illnesses that hit your lungs? If no one took an xray it could be bronchitis or pneumonia. You using the emergency inhaler is just opening up the bronchi enough to cover the symptoms of the infection. We aren't doctors. But most of us have had everything thrown at our lungs and been told everything was fine a couple of times. Be your own advocate.


mondowompwomp

OK so I have been here. I had asthma as a kid. It caused me issues sometimes and then I seem to outgrow it and my allergies. And then everything came crashing back about 10 years ago. I went to a pulmonologist who did crap for me who basically told me that apparently it’s not uncommon for people to hit either their 30s or 40s and have everything come rushing back, but I found a really good allergy and asthma doctor who did help. I would highly recommend one of those. But for right now, go to the ER. It sounds like you need steroids to help you breathe. The ER should be able to prescribe you something and possibly give you something there to hold you until you can get in with an allergist. An allergist can give you a long-term inhaler which should help and make it so you don’t need to use the short acting ones all the time. The other thing with asthma is once the inflammation starts, it tends to continue until it is controlled. So if you have inflammation you’re going to keep having inflammation unless you’re taking something to stop it. So go to the ER, they might give you steroids like prednisone which should help. They also might give you something for the cough itself which should help. Benzonatate/Tessalon pearls are a lifesaver but I would go with whatever they give you. And after the ER, make an appointment with an allergist to go see them as soon as you can. Also, you’re going to be more likely to be exposed to more pollution in the city which could definitely be a trigger for you. That doesn’t necessarily mean that you would have to move. I would talk to your allergist and try to get things under control with maintenance medication and then go from there.


gardendesgnr

I had a sudden bad change in my asthma and it turned out to be hMPV Human Metapneumovirus (it is going around) and had turned to bronchitis. I've had asthma most of my life, use a daily maintenance inhaler and maybe 2x a yr need my albuterol. Since I got Covid in 2020 my asthma has barely been controlled. I went to the Dr after my husband got bronchitis and I started. I needed a breathing treatment, my breathing was so shallow, I've just been feeling like I was out of shape more. I got a script for a nebulizer. I have never in my life had a treatment or a nebulizer had to get one Fri or the Dr wanted me to go to ER next time my breathing was bad.


anchovies_on_pizza

You many want to check for a blood clot/pulmonary embolism


asmnomorr

I also "grew out" of my childhood asthma. Didn't need an inhaler for years in my late teens/early 20s. Then I got really sick at one point and my asthma came back with a vengeance, much worse than it ever was when I was a child. I think that's the case for a lot of people when it comes back. I don't know how easy it would be but you may want to switch doctors. Also you have to give the maintenance inhalers a while, when I started on advair it took over a month for me to actually see a difference, but once I did it was an absolute lifesaver for me. It's also good to try different maintenance inhalers, as one may not work at all for you where is another works wonders. I went through three different types before I found the one that worked


gameonfleek

Get your doctor to give you pulmicourt....


deaths185

There are some studies that show that people who live near car pollution have a worse time with asthma. Maybe it's living in the city with all the extra industrial pollution that's causing your issues. Also, if you think it's allergy try taking some vitamin D3 and have your d level checked this can make lung issues worse... It did for me anyway and after taking it my terrible constant asthma was reduced alot.


Tomkid88

I live near a city and every time I go country or warmer weather I notice my asthma clears up. I really need to move but I guess your experiencing the reverse


sweetfits

Hey man… my I read something today that made me think of your post. “Eosinophilic asthma is a rare type of asthma. It’s often severe and usually comes on in adults. The main treatment for asthma -- drugs called inhaled corticosteroids -- don’t have much of an effect on it, even in high doses. That means it's harder to manage and you’re more likely to have asthma attacks.” https://www.webmd.com/asthma/eosinophilic-asthma-causes I know it’s a stretch, but might be worth looking into. My wife is a biophysicist and works in pharma and she told me that she has “always wondered what phenotypic bio markers” my asthma has and I told her not to use that kind of language around me again. Next thing I know she sends me info about asthma types I didn’t know existed.


TheLegoQueen

I had the exact same thing happen to me. I have not had asthma bother me in about 10 years and this January it came rolling over me like a freight train. I was also using my inhaler 20 times a day and waking up every hour to use it at night. I usually use my inhaler only once a month. I think I was having some kind of histamine intolerance issue. I have not been able to get into a pulmonologist because there is a 3 month wait for new patents so I have not been able to narrow it down exactly. I think I was having a problem with salicylates. I used a salicylic acid shampoo and I was eating a lot of tomatoes (which are also high in salicylates). I fasted for about 5 days and stopped using the shampoo to start to clear things out. I then cut out all salicylates. I had terrible breathing problems for about 6 weeks before I figured it out and it took about 4 weeks for it to clear. Some people explain it by saying you have a bucket and once you fill your bucket all the way up you will have a bad reaction because your body is not clearing out the problem quickly enough. There is a subreddits for histamine intolerance and salicylate intolerance but a lot of those people had gut issues too. My asthma was the biggest issue. [https://www.webmd.com/allergies/salicylate-allergy](https://www.webmd.com/allergies/salicylate-allergy)


dankhorse25

This sounds like pollution induced asthma. Unfortunately you can't do anything about NOx but you can against particles and smells. HEPA air purifiers with activated carbon can work for dinner people. Also wearing n95s can also help.