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Medical Forum / Diseases and Disorders / Asthma / February 2007

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Dog allergy causing asthma, even though I've never had asthma before?

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tclyons@gmail.com - 01 Dec 2006 22:13 GMT
Hello everybody, I've been lurking for a while but this is my first
post. I couldn't find a case very much like mine, as most that I've
read had asthma as a child.
I had never had asthma and I am 24 now... Up until 2.5 months ago I was
extremely healthy and active, having played sports all my life (and
skating to work most days for the past couple of years). I have
allergies here and there, mostly seasonal but have always gotten itchy
and congested around dogs.
a couple months ago my cousin moved in along with her dog. We kept the
dog in the basement. I started to get sick, but I didn't think it was
because of the dog. I figured it was fall sinus/allergy time. I began
coughing every day, and horrible at night with wheezing. My neck would
get itchy from time to time. I went to doctors and even ER because I
was getting nauseous and vomited one day. But mostly it was the cough,
it would NOT stop - it was aweful. They said it was a sinus infection,
and prescribed antibiotics. I went to the DR (3 dif ones) 5 times in
the next few weeks. They kept saying 'sinus infection' but would run no
tests. Then my cousin took her dog with her to her parents' for
thanksgiving POOF! The coughing subsided. So I researched on the
internet (some more). It sounds just like allergic asthma. We got an
air purifier for the bedroom but I was still coughing, even though it
is on the 2nd floor and dog was in the basement. So the dog was sent to
the parents' house and I'm not coughing so much any more. I would have
to sell my car to visit the local allergist/asthma specialist. So I
went to my doc again but he didn't do any testing (what a waste of
money these people are!).
The dog has been gone for 3 days now, and while I'm not coughing much,
I have pains in my chest (left and right) from time to time, as well as
some nausea (which seems to be decreasing in occurance). I still feel
pretty weak.
We have 2 cats and 2 kittens, I'm concerned that when the 2 kittens
grow up that they may cause me allergy problems (although I don't seem
to be allergic to my cats). But can asthma flare up easily once it's
been 'tripped'? Has anyone had a one-time occurance with asthma and
then nothing ever again? How long did it take for your lungs to heal?
I am afraid to skate to work now. Especially in the cold. Was it just
the dog or could I have lasting effects from this bout?
Any experiences, advice, etc would be appreciated. Thanks and have a
great Friday,

TL
Handmade clothing by your truly. Truly. http://www.thimblescratch.com
www.thimblescratch.com
00doc - 02 Dec 2006 14:24 GMT
> We have 2 cats and 2 kittens, I'm concerned that when the 2 kittens
> grow up that they may cause me allergy problems (although I don't seem
[quoted text clipped - 5 lines]
> Any experiences, advice, etc would be appreciated. Thanks and have a
> great Friday,

First off,  you haven't told us anything that makes it clear you ever had a
bought of asthma. This all could have been just allergic rhinitis. I also
don't see any reason to think it was a sinus infection (now - with 20/20
hindsight). It is that time of year and sinus infections out of the blue are
probably more common that new allergies out of the blue, especially in the
"cold and flu season", so it is a good guess except for the rest of the
history of how it relates to the dog. I'm not sure much testing was
indicated or would have done much good. Usually the intial treatment of
allergies and sinus infections is to just try the meds and then do more if
things don't go as expected. The one thing I might be a biot critical about
in your care is the continuing down the same road that wasn't working
without eliciting the additional history of allergic exposures or doing the
sinus CT to try to see why the antibiotics were failing.

Doing pulmonary function testing would help to confirm the diagnosis of
asthma but since it doesn't sound like the docs were considering that it is
understandable that they didn't order it. A CT of the sinuses might have
helped exclude a diagnosis of sinus infection but may have shown fluid in
the sinuses from the allergies as well (and isn't 100% in excluding sinus
infections either). As I said above I  might have only ordered this after
apparently adequate treatment for sinusitis failed depending on how sure it
was sinus and not allergic (or viral) it was.

I do have to wonder about a few other things. 1) Over how long were all
these visits? Sometimes sinusitis can take a few weeks to improve. If all of
the visits were in close succession the docs may have been dragging their
feet because they thought you were just not giving it enough time. 2) Was it
getting better between visits? If was improving between visits and then
relapsing, either due to absences of the dog or because they gave
antihistamines as part of the sinusitis tretment, it may have seemed that
their treatment was on the right track and that all you needed was more or
different antibiotics.

It seems pretty clear you are allergic to dogs. I'm not sure how much it
matter how much of your symptoms were from the lungs or how much from the
nose - it is clear that it was all triggered by a dog allergy (at least
fromhow you describe it). It can take longer than a few days for the allergy
symptoms to completely resolve after such a bought. The other thing is that
you probably have some dander lurking in your home. It needs to be
thoroughly cleaned. You may even need to clean the ventilation system if
general cleaning doesn't work. Taking antihistamines probably would also
help.

As for the cats - you don't seem to be allergic to them and as long as you
are not they will not be a problem. It is not a sure bet that you will
develope allergies to the cats but the history of dog allergy does put you
at risk. You'll just have to see what happens with that.

Signature

00doc

tclyons@gmail.com - 04 Dec 2006 18:53 GMT
Thanks for your response. I appreciate taking the time to help me out.

> I do have to wonder about a few other things. 1) Over how long were all
> these visits? Sometimes sinusitis can take a few weeks to improve. If all of
> the visits were in close succession the docs may have been dragging their

Over the course of 2 months. First visit was end of September, then 2
weeks later (after antibiotics), then back for more and more for the
coughing and nausea.

> feet because they thought you were just not giving it enough time. 2) Was it
> getting better between visits? If was improving between visits and then
> relapsing, either due to absences of the dog or because they gave

Not a bit. It didn't alleviate whatsoever in 2 months. Some days I felt
slightly better than others and had more energy but for the most part
it was aweful, and in the evenings when I got home and at night, was
horrible. I didn't have headaches or much congestion.

You're right, I guess it doesn't matter what was causing it as long as
it goes away. I was just wondering that if it was asthma if it would
linger or if it would go away completely as long as I'm away from dogs.
Could this have 'tripped' an asthma 'button' that may have been in
hiding all my life? Should I be cautious and not excercise in the cold
not knowing for sure? Should I get tested for asthma if I'm still
coughing here and there and have some lung pain (and back) from time to
time? Will the test tell me anything? (done with 20 Questions!)
Have a great day,

TL
Handmade clothing by yours truly. Truly. www.Thimblescratch.com
00doc - 08 Dec 2006 00:49 GMT
> You're right, I guess it doesn't matter what was causing it as long as
> it goes away. I was just wondering that if it was asthma if it would
> linger or if it would go away completely as long as I'm away from dogs.

If it is asthma triggered by a dog allergy then it should be much better as
long as you are not exposed to dogs.

> Could this have 'tripped' an asthma 'button' that may have been in
> hiding all my life?

It is possible.

> Should I be cautious and not excercise in the cold
> not knowing for sure?

There is nothing wrong with cautious. Start slow with your cold exposure and
see how it goes. I wouldn't just totally avoid the cold.

> Should I get tested for asthma if I'm still
> coughing here and there and have some lung pain (and back) from time to
> time?

Asthma is one common cause of a chronic cough so I would say yes.

> Will the test tell me anything?

If you are having symptoms at the time it probably will. If you are not then
it may or may not.

Signature

00doc

tclyons@gmail.com - 29 Dec 2006 17:31 GMT
Thanks for your input again 00
Well, I went back to the doctor again (twice). I'm still coughing (and
sometimes wheezing at night) although not as badly as when the dog was
in the basement. The DR was still believing it to be sinuses so I got a
sinus Xray. Those came back normal, so there really is no sinus
infection, which is what all the docs kept saying it was.
I keep asking about asthma and he keeps saying we're going to test this
or that and this and THEN if those don't work, we'll see about the
asthma. He prescribed Flonase, although I don't have any nasal
congestion. It hasn't seemed to make a difference and it's been about a
week.

I'm still trying to figure out what is causing the coughing, as I'm
okay when I'm outside, upstairs, or at a hotel. I'm not okay at my
mom's house, and the two similarities between there and my house is
A)cats and B)mold
It could be that the dog was kicking up mold in the basement. We're
having a basement waterproofer come take a look and see if we have a
mold problem. It could be a combination of the remaining dog dander,
the cats, mold, and whatever else.
But in any case, my doctor is still denying that it could be asthma.
I'd like to really know for sure if it is or not (and I *really* think
it is), as I am concerned that when the weather gets humid and the
molds get high that I may have a problem, and I don't want to
compromise my safety by not having a plan of action because the doctor
doesn't think it's asthma.
I just can't seem to get over this coughing/wheezing thing, and it is
really hindering my daily activities. It's been 3 months now. In the
evening I go upstairs (bedroom) just to avoid starting the bad coughing
and wheezing.

I just saw an article about 300mg daily of magnesium helping children
with asthma and thought I'd might as well give it a try. The study was
children 7-19, and I'm 24. That's basically the daily recommended
amount, so it shouldn't hurt. I'll see how that goes...
00doc - 31 Dec 2006 15:59 GMT
> I just saw an article about 300mg daily of magnesium helping children
> with asthma and thought I'd might as well give it a try. The study was
> children 7-19, and I'm 24. That's basically the daily recommended
> amount, so it shouldn't hurt. I'll see how that goes...

I'm not sure why that doc is so resistant to considering asthma. In a
non-smoker 95-99% of chronic coughs are due to sinus problems, GERD, or
asthma. Unfortunately, all three tend to go together so it is not uncommon
to have more than one and none of them have a 100% accurate tests or perfect
responses to medications so it can be hard to figure out sometimes.

Signature

00doc

tclyons@gmail.com - 17 Feb 2007 17:11 GMT
I thought I'd give an update, since I just went to the allergy/asthma
specialists yeterday (making use of my new health insurance).
Lately things have been getting better, I've been avoiding even the
tiniest trace amounts of dog dander and have been coughing less and
less. At work, although I cough there too, things have been better
since a coworker a few cubes down from me left - she was a dog owner.
Now I cough very little at work. My cousin, who moved out this
weekend, will very rarely bring her dog dander into our house now
except when she comes to visit, so I am anticipating a near recovery
(I hope!).
But I went ahead and got allergy and asthma testing yesterday. Turns
out I'm allergic to a lot of things, especially mold, grass, and
animals. The weal from the dog spot was really small, but the cat weal
was huge! I don't seem very affected by cats, but that could be
because we've only had them for 3 years, and it takes a while to
develop allergies (I've had dogs all my life).
The asthma testing was miserable, and turned out positive that I have
asthma. So now I'm on Advair 2x a day, Zyrtec, Rhinocort which I doubt
I will use, and then rescue meds (which I hope I won't have to use).
The doctor said that although Advair is strong, he wants to hit this
hard and get me back to normal, then we can go to something milder.
The days are starting to get longer so I hope to be skating to work
soon, and I'll see how that goes, and see if exercise affects my
lungs.
The Zyrtec and the Advair will hopefully put me back to my normal
self, but my hope is to avoid triggers eventually (I am wanting to
move to CA in the next year or two) and not need any meds (for as long
as possible).
The moving to CA plan is not just for allergies, it's for the
beautiful weather, sunshine, and hippies, but the reduced mold
prevalence is a perk!
 
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