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Medical Forum / Diseases and Disorders / Asthma / October 2003

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Nocturnal asthma?

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JakeWrite - 19 Oct 2003 22:02 GMT
I'm wondering if anyone here has any information on nocturnal asthma, or has
ever been mistakenly diagnosed with sleep apnea because of it.

I had a strong burst of allergies after a bout with mono in 1997, and since
then, I have a morbidly low tolerance for any airborne allergen - just hugging
someone who owns a dog will precipitate numerous "microarousals" during sleep
which completely destroys stage 3/4 rest. A sleep study resulted in a diagnosis
of mild sleep apnea, but I'm more convinced that my respiratory problems are
related to the asthma action. I do not get a snuffy nose or cough.

What medications might prove best for this kind of situation? I've tried bursts
of Prednisone, but that seems to have lost its effect. (I also wasn't aware the
effectiveness of the med was dependent on the time of day taken.) I've heard of
Serevent and Theo-Dur has being the first line of defense for NA. Has Theo-Dur
been discontinued?

Attemping to do my own research here since allergist and sleep doc have no idea
what to do with me. Singulair, Accolate, several nasal sprays, Advair,
Pulmicort, etc. do not help. Thanks.
gumbo - 20 Oct 2003 19:14 GMT
> I'm wondering if anyone here has any information on nocturnal asthma, or has
> ever been mistakenly diagnosed with sleep apnea because of it.
[quoted text clipped - 15 lines]
> what to do with me. Singulair, Accolate, several nasal sprays, Advair,
> Pulmicort, etc. do not help. Thanks.

A useful site I found (which I have no personal connection with) is
at http://www.users.globalnet.co.uk/~aair/ - have a look, it's got lots
of information on asthma and allergies and may give you some pointers.

-- gumbo
Joey Blue - 31 Oct 2003 02:11 GMT
I've heard that sleep apnea could cause one to pull stomach acid up into the
esophagus
and possibly cause aspiration.  The throat closes up and the diaphram pulls
down causing
a vacuum effect.  Obviously I have no idea if this is what is happening to
you.

> I'm wondering if anyone here has any information on nocturnal asthma, or has
> ever been mistakenly diagnosed with sleep apnea because of it.
[quoted text clipped - 15 lines]
> what to do with me. Singulair, Accolate, several nasal sprays, Advair,
> Pulmicort, etc. do not help. Thanks.
 
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