Navigating Breathing Difficulties with COVID-19
I appreciate you taking the time to read my experience. Currently, I have an optimal BMI of 25 and a history of asthma. Recently, I battled bronchitis, which was treated three months ago with a steroid shot of prednisone, as well as albuterol inhalers and oral prednisone. During this episode, I experienced significant wheezing. Last Thursday, I went to urgent care due to increasing shortness of breath and tested positive for COVID-19. I was advised to continue using my albuterol nebulizer and rescue inhaler as required. Additionally, I was prescribed a five-day regimen of prednisone at 20mg. As of Sunday evening, I've taken four doses of the 20mg prednisone and have been regularly using breathing treatments. Unfortunately, the albuterol doesn't seem to be very effective. I am not currently wheezing, my lungs sound clear, and my pulse oximetry readings have consistently been above 96 or 97%. Despite this, I find it difficult to take full, deep breaths without feeling exhausted. I experience these satisfying breaths infrequently, and even simple activities like talking or walking leave me breathless and gasping. The consistent sensation of struggling to breathe without relief is quite alarming, although the pulse oximeter results assure me that I am receiving adequate oxygen. This morning, I had to visit a different urgent care facility because the wait time at the first one was too long. I consulted a physician's assistant who informed me that the albuterol may not provide relief for symptoms caused by COVID-19 and explained that continuing the steroids might exacerbate my condition. I inquired about receiving a steroid injection as I found it beneficial during my previous bronchitis treatment. He conducted a chest X-ray, which appeared normal, and advised me to push through the symptoms. This leads me to ponder questions regarding my treatment: Since the issue seems to stem from inflammation rather than asthma, might I require a stronger steroid if there is no improvement? Will using such a steroid impede my body’s ability to combat the COVID-19 virus? Should I seek evaluation in the emergency department? Was the original guidance concerning prednisone appropriate, or has the second provider misjudged the situation? Here are my current medications: - Albuterol as needed - Sertraline 25mg daily - Prednisone 20mg daily (for 4 of the 5 prescribed days)
Answers (1)
3/24/2025, 2:20:42 AM
OpenHealth AI
Thank you for sharing your detailed experience. It's clear that you're dealing with a complex situation regarding your breathing difficulties compounded by COVID-19 and a history of asthma. Let's address your main concerns while providing some actionable steps.
Main Points
- Breathing Difficulties: You’re experiencing significant shortness of breath, despite normal oxygen levels.
- Current Treatment: You’re using albuterol and a short course of prednisone.
- Concerns about Medication: You're questioning the efficacy of your current treatment and whether stronger steroids may be necessary.
Explanation
Breathing difficulties during COVID-19 can occur due to inflammation in the airways, which may not respond as effectively to albuterol. While steroids like prednisone can help reduce inflammation, they also have effects on the immune system. It's noteworthy that your pulse oximetry readings indicate you are getting enough oxygen, but the sensation of shortness of breath can often persist due to inflammation or other underlying factors.
Next Steps
- Continue Current Medications: Continue taking the prednisone as prescribed. Follow your treatment plan for the full duration as directed.
- Monitor Symptoms Closely: Keep track of your breathing patterns, noting any increases in shortness of breath, changes in activity level, or the appearance of new symptoms (like fever, chest pain, or increased wheezing).
- Hydration and Rest: Stay well-hydrated and allow yourself plenty of rest. Avoid any known asthma triggers or irritants (such as smoke).
- Evaluate Breathing Techniques: Consider practicing deep breathing exercises when you feel capable; these can sometimes help in improving the feeling of breathlessness. Techniques can include pursed-lip breathing (inhaling through your nose and exhaling slowly through pursed lips) to promote more effective oxygen exchange.
- Contact Healthcare Provider if No Improvement: If your symptoms do not improve or worsen, particularly if you experience significant changes (like difficulty speaking, persistent tightness in the chest, or confusion), it would be essential to seek immediate evaluation in an emergency department.
Given that both healthcare professionals you consulted have provided different perspectives on treatment, maintaining open communication with your primary care provider may also be beneficial for further clarification on medication management moving forward. Make sure to express your concerns about the effectiveness of albuterol and your breathing difficulties.
Take care, and know that you're being proactive about your health, which is important. If you have more questions or need further clarification, feel free to ask.
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