It is hard to say if it is asthma or not. Many things can cause a chronic cough, so you could be correct. However, it is important for you to know that chronic cough is a symptom of asthma. Also, the "Hollywood" version of an asthma attack is a late stage symptom of asthma issues. There are many earlier stage symptoms that people frequently neglect, but it is much better to treat those symptoms than to wait for the "asthma attack".
You may want to take him to another doctor for a second opinion.
It sounds like you REALLY need to find a GOOD doctor. What kind of doctor did you see before? You need to see either an allergy and asthma doctor or a pulmonologist. In general an allergist is better for asthma as they are trained to treat all asthma triggers, but it sounds like you need a pulmonologist to get a diagnosis. You may want to use http://www.healthgrades.com/ to find a doctor near you. Healthgrades is a website where patients can rate their doctors on a variety of qualities.
I would recommend looking for one that is a fellow in one of the pulmonology certifying boards - American Association for Bronchology and Interventional Pulmonology, or American Thoracic Society.
First, many of us have found blood allergy tests to give A LOT false negatives. I would suggest that you find someone who would perform scratch testing. It is much more accurate.
Second, you may want to have your syrum triptase level tested. There are several mast cell disorders that can cause random,unexplained anaphlaxis. I had several unexplained systemic reactions this spring. The last on caused my throat to itach and feel like it was closing. My allergist ordered the test. to check for Mast Cell Activation Disorder. I have not gotten the results back yet. I did keep benadryl liquid gels very handy. Liquid benadryl would probably be better, but it is not very portable.
Also, has an of yoru doctors prescribed an Epi-Pen. It sounds like you should have one and be prepared to use it. When I had my last reaction, I got mine out and laid it on my desk. Two benadryl took care of my reaction, so I didn't need it.
About the Xolair, I highly recommend it. I have been on it for several years and not had a problem.
I totally understand you allergist's point of view. I know I would rather not take antibiotics, but I also have precedent that I don't get over infections without them. I prefer to be treated by my PCP or infections because he will have a CBC run routinely and not just throw antibiotics at something. However, he won't treat my lungs anymore and asks me what antibiotic I think is best.
As cwilie said, this is the one place we can come and share our frustrations with people who can relate. Not only are we to help each other as we strive for a more healthy life, but also help each other with the mental battles as well.
Healthwell Foundation is great to work with. They offer co-pay assistance grants on a yearly basis, I had a grant through them for my Xolair several years ago, now I am considered "under insured" for Xolair at least until June. I am in the process completing my grant aplication for Zyflo. I just have to remember to send in a copy of my insurance card.
They are always pleasant on the phone and are very helpful if you have a question. SonyaView Thread
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I have many of the same problems. What did you dr tell you about VCD? The only way to firmly diagnose VCD is and ENT scope exam of the throat in which the vocal chords spasm during the exam. What kind of dr treats your asthma? Have you had allergy immunotherapy?
Would you be willing to share your treatment plan? It might helps us make some suggestions to tweaks you can discuss with your dr.
Let me tell you a little about myself. I have had asthma and allergies my whole life, but the asthma was not diagnosed until 2000. Then in 2008 it got severe. I started allergy immunotherapy and was diagnosed with VCD. I had constant thick mucous and chronic cough. I was getting very sick about every 8 weeks in 2008 and decreasing to every 4 weeks in late 2010 and into 2011. I was very sick from mid January to mid-March 2011 and then again in the end of March. In May of 2011 I was diagnosed with Aspirin Exacerbated Respiratory Disease. Aspirin desensitization was life changing.
Do you take Mucinex and/or a decongestant? Mucinex thins mucous so that it is easier to cough up. Drinking lots and lots of water is also helpful. Do you take Singulair or another leukotriene modifying? I have to take Zyflo twice a day or I start having mucous issues again.
I have had mycoplasma pneumoniaand bronchitis since aspirin desensitization, but I don't get as sick as I used to.
I agere with Judy and coughy16 - this will get better.
While I have had asthma my whole life, it was not diagnosed until 2000. It got severe in 2008. It took about 3 1/2 years working with a very good specialist to get my asthma controlled. Things continue to get better, but still can be a bit rough at times.
Allergy immunotherapy is one of the best things an asthmatic can do, provided allergies is a trigger which it is for most people. It took a while, but I finally reached the point where I don't keep a box of tissues in every room of the house. lol
One of the best things you can do is read all you can. Educating yourself is one of the best things you can do to help yourself. It will help you be a part of your care team.
Please keep in touch and let us know how you are doing. It may take a while, but you are not alone.
Hi, Who is treating your asthma? Are you seeing a primary care or a specialist? You really need to discuss any changes with them.
There is certainly no reason to not layer the Advair and Qvar until this flare as really cleared.
I would the two neb treatments will definitely help. If you can work one more albuterol treatment in per day (NO ipatropium - it will dry you out too much). If you are using ipatropium, I personally would not use the Spiriva. They do the same thing.
Singulair works totally differently. I would definitely keep taking it.