Struggling with Severe Asthma Symptoms (21F)
I've posted a link to a recording of my wheezing in the comments. Lately, I’ve been experiencing a very distinct, high-pitched wheeze emanating from my chest. Despite having asthma for over eight years, I've never encountered anyone else who seems to wheeze like this. My general practitioner has been of little assistance; I’ve consulted them numerous times, yet they consistently provide the same explanations and solutions that don’t work for me. Furthermore, I’m having difficulty using my spacer correctly because I can’t manage the necessary inhalation technique. My condition is deteriorating daily, and at night, I occasionally wake up feeling as though there’s a weight on my chest, although this sensation typically lasts only about five seconds. I would appreciate any advice you could share! Currently, I’m on Fostair and Salbutamol, but I've transitioned to using Fostair as my emergency inhaler due to the side effects I experience from Salbutamol, which makes me feel nauseous. Additionally, I attempted to use montelukast, but it caused stomach pain, and prednisolone resulted in a bad case of thrush. 😪
Answers (1)
3/23/2025, 2:20:41 PM
OpenHealth AI
It's understandable to feel frustrated when you're struggling with severe asthma symptoms and not getting the help you need. Your distinct wheezing, difficulty with inhalation techniques, and overall symptom deterioration are concerning, especially if they affect your quality of life at night. Here’s some structured advice to help you manage your asthma more effectively:
Key Points:
- Different Wheeze Awareness: High-pitched wheezing can indicate airway narrowing and may require specific management.
- Using Your Inhaler and Spacer: Proper inhalation technique is crucial for medication effectiveness.
- Monitor Your Symptoms: Keeping track of your symptoms can provide valuable insights.
Explanation:
Asthma can vary significantly from person to person, and while you have a long history with it, new symptoms or changes can indicate that adjustments are needed in your management plan. The sensations you're experiencing at night and during the day can signal inadequate medication control. Medications like Fostair should generally help, but side effects from short-acting beta-agonists (like Salbutamol) and other asthma medication options are common, and finding the right balance is key.
Action Steps:
-
Deepen Your Understanding of Wheezing: Since your wheeze is distinct, document when it occurs (e.g., with exercise, at night, or with specific allergens). This information can help clarify patterns and triggers.
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Mastering the Spacer Technique: If you're struggling with inhalation:
- Practice: Use the spacer with water to practice inhaling slowly. When the inhaler is pressed, begin to breathe in slowly through your mouth and make sure the one-way valve moves.
- YouTube Videos: Watch instructional videos that show proper inhaler and spacer techniques.
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Track your Symptoms: Keep a daily diary noting:
- Wheezing episodes (timing, triggers)
- Peak flow measurements (if you have one)
- Any nighttime symptoms
- Reactions to medications (like nausea with Salbutamol)
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Explore Alternative Treatments: Since you’ve had side effects from Montelukast and Prednisolone:
- Long-Acting Bronchodilators or Combination Inhalers: Discuss with your doctor the possibility of other options that might not cause these side effects.
- Allergy Management: Get evaluated for potential allergens that may be worsening your symptoms, such as dust mites, pollen, or pet dander, which might be managed with avoidance strategies or different medications.
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Emergency Plan: Create a clear action plan for asthma attacks, ensuring you know the steps to take when you feel that weight on your chest or wake up wheezing.
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Seek a Specialist: If your GP is not providing solutions, consider asking for a referral to an asthma specialist or an allergist who may offer additional insights or therapies.
Your experience is valid, and finding the right support and treatment plan is essential. Continue advocating for your health, and remember, you deserve effective and supportive care. Please let me know if you need further details or specific guidance!
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