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Medical Forum / Diseases and Disorders / Asthma / February 2004

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new asthmatic

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Triplecaff - 19 Feb 2004 20:05 GMT
Hi there:
I literally just subscribed to this group. I am hoping for some feedback and
shared knowledge/opinions/experiences.

Up until a couple of years ago, my only respiratory issue was seasonal
pollen-triggered hay fever, mild incidents of skin rashes (usually
weather-triggered) and allergy to wood dust. Lived with two cats, no problem.
Work out aerobically on a regular basis, now 33, reasonably fit female, no
family history of respiratory problems, though my mom has had skin rashes due
to unknown allergies.

In 2000, I started to see an increase in nasal drip and sneezing, but Claritin
was effective. In 2001, it got worse.
I have no idea if living in NYC, a mile north of Ground Zero, has anything to
do with this (and my problems are infinitesimal in light of *that*)--but in the
year 2002 my allergies became full-blown. Claritin did nothing anymore.
Constant nasal, inner ear and throat problems, strep throat and finally
bronchitis that forced me into the emergency room because I could barely
breathe.

In 2003, trips to the allergist (who was horrified by how 40 test shots showed
a reaction to *everything*) resulted in all sorts of prescriptions to see what
would work--nasal sprays, pills, and also albutrol and Advair Air discus. I
must admit, I ignored the asthma meds because I was sure it was "just" severe
allergies.  But last month, despite a regimen of Zyrtec, Flonase and OTC meds,
I began having severe night episodes of dry coughing and shortness of breath.
Not every night, but an increasing number. I also noticed that after
particularly vigorous workouts, I would cough a lot and spit out some phlegm.
It  was as if my lungs temporarily cleared somewhat, only to constrict again at
night.

I started doing the Advair Air Diskus and it started helping immediately. No
more night wheeze, and suddenly I could run four miles instead of three with
less effort. My chronically running nose and chest congestion also eased up. Is
this related or coincidental? (maybe the insanely long stretch of freezing
weather is just causing a hiatus?)
But this also forced the realization on me that I must be, in essence,
asthmatic.
Is this common? To develop asthma out of allergy symptoms? Is it possible I
will get to the point of having asthma "attacks" and need emergency inhalers?
Or do I have a "mild" case of asthma. Will it ever go away? If I did steroid
shots or simply moved to a less allergen-filled environment, would that affect
my asthmatic symptons?

I know, I should ask my allergist. I will at my next appointment. Her working
in a harried environment where she always has five patients waiting, she
usually gives me a check-up, says I'm congested, writes out a bunch of
prescriptions and rushes off. I never heard her say, "You have asthma." But
with prescriptions of albutrol (which I haven't used) and Advair, don't I? Was
curious to see if I can get some feedback, and maybe empathy, here.

Thanks for reading.
--acey
RoxieL - 20 Feb 2004 17:53 GMT
Hi,

I'm also new to asthma.  Yes, asthma can be triggered by allergies.
In some people, if the allergies are completely under  control, they
don't have asthma symptoms.  It might be a good idea to have a 2nd
opinion by a pulmonologist.  Have you undergone pulmonary function
testing?  (That's normally the first step in accurately diagnosing
asthma.)  If the pft is unclear, the next step is a methacholine
challenge along with ct scans of chest & sinuses.  Many respiratory
problems are interrelated & often, people don' t have just one.  IE,
allergies can cause post nasal drip which can exacerbate asthma.  IMO,
it's important to undergo enough testing to determine all the causes
of your problems so that the entire package can be treated correctly.
Good luck.
Alison Chaiken - 22 Feb 2004 21:07 GMT
"The perilous path of biotech drugs"
By Paul Jacobs
Mercury News
February 22, 2004

The idea for a revolutionary new drug to treat allergies and asthma
came to scientist Tse Wen Chang in a dream.

[ . . .]

The drug that Tse Wen Chang once dreamed of, now called Xolair, is an
example of how difficult it can be to turn a dream into profits.

Tse Wen Chang's idea was simple: Most allergy and asthma drugs attack
the symptoms, not the causes. But Chang imagined a drug that would
stop the sneezes, the tears and the wheezing before they started, by
blocking a protein called IgE that triggers attacks.

[ . . .]

Read more at http://www.mercurynews.com/mld/mercurynews/8014023.htm

Signature

Alison Chaiken            "From:" address above is valid.
(650) 236-2231 [daytime]    http://www.wsrcc.com/alison/
I have always done my own typing myself, using both index fingers, and
I have never received any encouragement at all from anyone about
anything.  -- Jeffrey Cartwright via Steven Millhauser

 
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