All About Running > Health and Nutrition > Asthmatics...needs some BTDTs
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Asthmatics...needs some BTDTs (Read 358 times)
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posted: 5/12/2008 at 8:27 PM
I went through a phase a few years ago where I kept getting bronchitis every time I caught the slightest cold. The was no real secret to getting over it other than seeing the doc. I take Singulair and Advair for my asthma. The Singulair works well for my allergies. I only take the Advair in the morning. I've tried taking it twice a day, but it just made me moody and jittery. I usually take both in the morning before I brush my teeth. My doc recommended I rinse well after taking the Advair. I still swear by my allergy specialist (Rubs arm from shot this morning Sad). They always give me a lung function test when I see that doc. It seems to be a more objective way of seeing if the meds are working for me.
Ross

2008 Goals
Escape from O'Hare terminal G 11:45 5/3/08
• Run for 5 min - 15 min - 30 min
5k 10k - 4m/HM
Weight < 200
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October 5...Freak Out!
posted: 5/12/2008 at 8:36 PM
Ugh, I have a feeling an allergist will be in my future. My mom just saw one in the last few months and is undergoing shots a couple of days/week.

Ross, did you have one particular illness with bronchitis that seems to have set you off? I never used to get bad or frequent respiratory illnesses until one bout back in the mid-90s that landed me in the ER after almost 2 weeks of misery (DH was also sick and went to his doctor maybe a day or two before I did. We both ended up on inhalers, antibiotics, phenergan w/codeine. I've also had several nebulizer breathing treatments in the past decade). We were both diagnosed by separate doctors with pneumonia and bronchitis. Now we both find that we are more prone to lung issues than ever before.
Kirsten

Ladies Locker Room

.: 2008 Goals :.
Get down to 123#s and STAY there!
• Run 1500 miles
• October 5 - 1st marathon - Milwaukee Lakefront - in my home state of WI
• PRs: 5k ~ 15k ~ 25k
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learning to soar
posted: 5/12/2008 at 8:40 PM
You know, that's interesting, b/c my kids get croup every time they get a cold, which is an inflammation of their upper airways. And every time it happens, what do we do? Albuterol in the nebulizer. Any relationship to future asthma? I don't know. The 4yo has already been diagnosed with allergies, which the dr has told me may actually be allergy-triggered asthma, and the 2yo may be on the way.

Sorry. Didn't mean to threadjack. Just find it interesting. The 4yo takes Singulair in the morning, BTW, b/c whether it's allergies or asthma, it's treating both. Doesn't seem to impact her mood or her sleep. She still has to take Zytec at night, too. Yeah, we'll probably do shots as soon as the doc says it's okay.
But those who wait on the LORD shall renew their strength; they shall mount up with wings like eagles, they shall run and not be weary, they shall walk and not faint. (Is. 40:31)
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October 5...Freak Out!
posted: 5/12/2008 at 8:45 PM
Oh, I hope your kiddos outgrow the allergy issues. I developed allergies around puberty and the asthma issues came along with it. The two tend to go hand-in-hand. But I've often heard that when kids have allergies young that they can sometimes outgrow them, so I hope that happens for your kids. My son seems to have developed seasonal stuff when he was maybe 3 or 4. I really hope that he ends up outgrowing them, too. My brother had allergies to some varieties of Christmas trees (which we figured out when he was always really sick every Christmas, then would miraculously get better right after New Years)...some spruces, I think. As an adult his issues are much less noticeable.
Kirsten

Ladies Locker Room

.: 2008 Goals :.
Get down to 123#s and STAY there!
• Run 1500 miles
• October 5 - 1st marathon - Milwaukee Lakefront - in my home state of WI
• PRs: 5k ~ 15k ~ 25k
view log
Playmaker / nemesis
posted: 5/12/2008 at 10:36 PM
Back in my teens and early 20's, I had exercise-induced asthma. A puff or two of my Proventil inhaler was all it took to make a run (or marching band practice) wheeze free for me.
20th Century: 800m: 2:04 |1600m: 4:37 |3200m: 10:06 |5k: 16:23 |10k: 35:38 |15k: 54:20 |25k: 1:35:59
21st Century: 5k: 19:42 |10k: 43:00

What are you doing?
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October 5...Freak Out!
posted: 5/12/2008 at 10:44 PM
I've wondered if an inhaler different from Albuterol would help, but the fact that I'm having to use it every day--not just pre-run--and have had to take cough-supressants every night for the past month (which is not recommended beyond 2 weeks) to get a decent night of sleep makes me think that I need something more constant. I don't think I'm just dealing with *mild* EID or allergy-induced stuff anymore, unfortunately. I know with age my mom has had to combat her own asthma much more aggressively than when she was younger.
Kirsten

Ladies Locker Room

.: 2008 Goals :.
Get down to 123#s and STAY there!
• Run 1500 miles
• October 5 - 1st marathon - Milwaukee Lakefront - in my home state of WI
• PRs: 5k ~ 15k ~ 25k
view log
October 5...Freak Out!
posted: 5/12/2008 at 11:11 PM
Interesting...I was just reading about albuterol and found that a side-effect can be nausea/upset stomach (not sure why they differentiate). Well, I guess I know why I was having tummy troubles during my race. My lungs had me hitting the inhaler more, which helped the breathing some, but then I had to slow down to keep from needing to puke. Nice. Roll eyes
Kirsten

Ladies Locker Room

.: 2008 Goals :.
Get down to 123#s and STAY there!
• Run 1500 miles
• October 5 - 1st marathon - Milwaukee Lakefront - in my home state of WI
• PRs: 5k ~ 15k ~ 25k
view log
Funky Monkey
posted: 5/12/2008 at 11:23 PM
Quote from zoom-zoom on 5/12/2008 at 10:44 PM:
I've wondered if an inhaler different from Albuterol would help, but the fact that I'm having to use it every day--not just pre-run--and have had to take cough-supressants every night for the past month (which is not recommended beyond 2 weeks) to get a decent night of sleep makes me think that I need something more constant


Using albuterol every day means your wheezing is out of control. This is especially worrisome if you are already taking nasal steroids and singulair. This is an indication for oral steroids. Immediately.

Get thee to the doc.

Now.
It's all fun and games until the flying monkeys attack.
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October 5...Freak Out!
posted: 5/12/2008 at 11:39 PM
Quote from Trent on 5/12/2008 at 11:23 PM:
Using albuterol every day means your wheezing is out of control. This is especially worrisome if you are already taking nasal steroids and singulair. This is an indication for oral steroids. Immediately.

Get thee to the doc.

Now.


I have an appt. Weds. AM with my PCP. I'm guessing that he will be prescribing Advair or another inhaled steroid, since that sounds like the next step whenever oral meds and inhaler bronchodilators don't do the trick. I REALLY hope that I will soon get better relief, especially since I know once it gets humid I'm really going to be miserable, if last Summer's symptoms are any indication of how this year might be.
Kirsten

Ladies Locker Room

.: 2008 Goals :.
Get down to 123#s and STAY there!
• Run 1500 miles
• October 5 - 1st marathon - Milwaukee Lakefront - in my home state of WI
• PRs: 5k ~ 15k ~ 25k
view log
Funky Monkey
posted: 5/13/2008 at 12:11 AM
Quote from zoom-zoom on 5/12/2008 at 11:39 PM:
I'm guessing that he will be prescribing Advair or another inhaled steroid


If that is the next step, then you need a new doc...

A daily albuterol requirement in the setting of baseline singulair and nasal steroids suggests that you have an advanced exacerbation. Advair is for prevention only. You need oral steroids.
It's all fun and games until the flying monkeys attack.
thinbyxmas
posted: 5/13/2008 at 12:15 AM
I had to switch to Symbicort, one of the inhaled steroids, to control my asthma. It has been the greatest improvement in my breathing and running EVER. I hardly use my albuterol at all. It did not have the weight gain side effects of oral steroids, and I am one of those people who can gain weight from smelling cookies! LOL!

And there is some medical association between GERD and asthma. (Check webmd.)

Personally, I was really frustrated when my running was finally part of my life (after 3 years of training), and my flab was under control, and THEN my asthma decided to worsen, but the new med made the world of difference. I didn't realize how much I was using the Albuterol until I didn't need it any more (hardly--still carry it just in case).
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October 5...Freak Out!
posted: 5/13/2008 at 12:19 AM
Quote from Trent on 5/13/2008 at 12:11 AM:
If that is the next step, then you need a new doc...

A daily albuterol requirement in the setting of baseline singulair and nasal steroids suggests that you have an advanced exacerbation. Advair is for prevention only. You need oral steroids.


Wow...what kind of side effects could I expect with something like that? I'm actually talking to my mom right now...apparently Advair didn't do much for her and she has similar symptoms to mine.

My PCP generally seems pretty knowledgeable about allergy issues and open to try different things. He's very pro nasal steroids. He has me on Allegra and Singulair, too, but I'm not sure that either work as well as the nasal steroids for allergies and I don't think the Singulair does anything for the asthma, personally.
Kirsten

Ladies Locker Room

.: 2008 Goals :.
Get down to 123#s and STAY there!
• Run 1500 miles
• October 5 - 1st marathon - Milwaukee Lakefront - in my home state of WI
• PRs: 5k ~ 15k ~ 25k
view log
October 5...Freak Out!
posted: 5/13/2008 at 12:22 AM
Quote from thinbyxmas on 5/13/2008 at 12:15 AM:
I had to switch to Symbicort, one of the inhaled steroids, to control my asthma. It has been the greatest improvement in my breathing and running EVER. I hardly use my albuterol at all. It did not have the weight gain side effects of oral steroids, and I am one of those people who can gain weight from smelling cookies! LOL!

And there is some medical association between GERD and asthma. (Check webmd.)

Personally, I was really frustrated when my running was finally part of my life (after 3 years of training), and my flab was under control, and THEN my asthma decided to worsen, but the new med made the world of difference. I didn't realize how much I was using the Albuterol until I didn't need it any more (hardly--still carry it just in case).


Oh, that gives me such hope...especially anything that doesn't have any side-effects that involve weight gain...I don't need any assistance in that dept. No
Kirsten

Ladies Locker Room

.: 2008 Goals :.
Get down to 123#s and STAY there!
• Run 1500 miles
• October 5 - 1st marathon - Milwaukee Lakefront - in my home state of WI
• PRs: 5k ~ 15k ~ 25k
view log
Funky Monkey
posted: 5/13/2008 at 12:34 AM
You currently have "moderate persistent" asthma, or so it sounds.

Prednisone, in short duration, usually has limited side effects, including insomnia, moodiness, increased appetite and fluid retention. Which are typically better than not breathing.
It's all fun and games until the flying monkeys attack.
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October 5...Freak Out!
posted: 5/13/2008 at 12:35 AM
Quote from Trent on 5/13/2008 at 12:34 AM:
You currently have "moderate persistent" asthma, or so it sounds.

Prednisone, in short duration, usually has limited side effects, including insomnia, moodiness, increased appetite and fluid retention. Which are typically better than not breathing.


Ha, I have ALL of those things already...I wouldn't even notice the difference! Wink
Kirsten

Ladies Locker Room

.: 2008 Goals :.
Get down to 123#s and STAY there!
• Run 1500 miles
• October 5 - 1st marathon - Milwaukee Lakefront - in my home state of WI
• PRs: 5k ~ 15k ~ 25k
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