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Medical Forum / Diseases and Disorders / Asthma / August 2003

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Emotional Impact Of Asthma Attacks

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Steven D. Litvintchouk - 08 Aug 2003 00:08 GMT
Anyone else get as depressed and anxious and steamed up as I do when
they get a big-time asthma attack?

Today, I had one of my world-class coughing spasms.  During it, and for
quite a while after, I felt emotionally upset and depressed, as well as
tired.  I just didn't feel like picking myself up, putting a bright
sunny smile on my face and going out to greet the world in a friendly
way.  In fact, right in the middle of it, I got a phone call from some
bureaucrat from my insurance company who was nit-picking about something
or other and how absolutely important it was for me to fix that nit
ASAP.  I lost my temper and just cursed and hung up.  I guess I'll have
to apologize tomorrow--if they haven't already cancelled my policy.

Sorry but I felt I just had to vent.

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Steven D. Litvintchouk
Email:  sdlitvin@earthlinkNOSPAM.net

Remove the NOSPAM before replying to me.

Sheri Shanks - 08 Aug 2003 03:16 GMT
Nothing wrong with venting.  I too had a coughing attack today as I was
walking in to work... and then for the rest of the day had chest pains...
tightness.. all the normal asthma stuff... and I got depressed also... and I
get that way when I've had a nasty attack.... or when I can't do something
because of my asthma.... but it does go away after a while..... hang in
there....

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Sheri Shanks
http://sheri-shanks.tripod.com
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> Anyone else get as depressed and anxious and steamed up as I do when
> they get a big-time asthma attack?
[quoted text clipped - 10 lines]
>
> Sorry but I felt I just had to vent.
Alan - 08 Aug 2003 10:39 GMT
Steven

Yes, I can appreciate how you feel, I have just got over a three month
period of worsening asthma which ended in me undergoing hospital tests for
emphysema.  Fortunately I didn't have it but the thoughts that I did and my
worsening asthma condition did drag me down. Now three months on with better
treatment I am feeling great, my asthma is under control again and the
future looks rosie once more.  Hang in there mate, just around the corner is
a great day with your name written all over it.

Regards
Alan Lewis
UK
Chris Owens - 08 Aug 2003 17:28 GMT
Well, let's see:  You have an attack of an illness that inlcudes
a variety of hormonal fluctuations.  You treat it with
medications that cause other hormonal fluctuations.  Plus, you
probably have an history of sequelae after attacks that includes
whole boatloads of not-fun things like ER visits, hospital stays,
and not having the energy to do things you want.  So, OF COURSE
there's stress, anxiety, and depression associated with having an
attack.

However, there's also things you can do to mitigate the severity
of the emotional backwash.  I'm assuming that you're diligent
about taking your maintenance meds and monitoring your peak flows
. . . prevention is WAY better than cure.  Treat the attack early
and agressively, which will minimize the hormonal flux.  Take an
antihistamine if you've had to use a significant amount of
bronchodilator; the medication will help quell the degranulation
effects of the mast cells and the sedation will take the edge off
the bronchodilator side effects.  If at all possible, REST.  And
don't feel obliged to leap forth and face the world, smile glued
firmly in place.  Get an answering machine or suscribe to voice
mail, and turn off the phone.  Make only those contacts and
perform only those tasks that YOU deem essential [actually, this
is a good bit of advice for ANYBODY  :)].  In short, take steps
to minimize the disequilibrium, and give yourself the chance to
regroup.

Chris Owens

> Anyone else get as depressed and anxious and steamed up as I do when
> they get a big-time asthma attack?
[quoted text clipped - 16 lines]
>
> Remove the NOSPAM before replying to me.
Sim - 16 Aug 2003 23:47 GMT
 Take an
> antihistamine if you've had to use a significant amount of
> bronchodilator; the medication will help quell the degranulation
> effects of the mast cells and the sedation will take the edge off
> the bronchodilator side effects.  If at all possible, REST.

This is excellent advice - I forget to take anti-histamine in winter as I
only usually use it in summer for
pollen allergy relief.  It really helps - especially if you are holding off
on the pred usage.
I suffer from dust mite and mold allergy and taking anti-hist can help a bad
attack.

Sim
jackmallory@webtv.net - 22 Aug 2003 19:21 GMT
Sim you sound like maybe you're not using a coticosteroid along with
the salbutimol and anti-histamines  Consider asking for one.   Might do
you a whole lot of good.
chrissie - 23 Aug 2003 13:32 GMT
"Steven D. Litvintchouk" <sdlitvin@earthlinkNOSPAM.net> wrote

> Today, I had one of my world-class coughing spasms.  During it, and for
> quite a while after, I felt emotionally upset and depressed, as well as
[quoted text clipped - 7 lines]
>
> Sorry but I felt I just had to vent.

My experience is very similar.  I get very, very bad tempered, in
particluar when I'm wheezy or tight-chested.  It's as if everything in
life is so difficult, any slight annoyance or adversity makes me lose
my temper.

On oral steroids I get very high and manic.  Can't sleep at all.  And
then afterwards I am exhausted and prone to get very depressed.  My
asthma consultant and GP both they this is a common reaction....has
anyone else found a way of coping with this?
Steven D. Litvintchouk - 24 Aug 2003 01:49 GMT
> "Steven D. Litvintchouk" <sdlitvin@earthlinkNOSPAM.net> wrote
>
[quoted text clipped - 19 lines]
> asthma consultant and GP both they this is a common reaction....has
> anyone else found a way of coping with this?

Take the steroid first thing in the morning when you awaken.  You should
be able to sleep by the time you're ready for bedtime.

Don't take any stimulants, like coffee or other caffeine, that might
make you even more hyper.

You might also ask your doc about a different dosing schedule.

For example, dosing every other day, or dosing in bursts interspersed
with little or no steroid, to minimize cumulative buildup.

Signature

Steven D. Litvintchouk
Email:  sdlitvin@earthlinkNOSPAM.net

Remove the NOSPAM before replying to me.

chrissie - 24 Aug 2003 19:06 GMT
Many thanks for your reply.

I've always taken my steroids straight after breakfast (ie as early as
possible but not on an empty stomach).  I take them when my asthma is
really bad, and generally I have a course of 40mg for 5 days -
occasionally for as long as 10 days.  I'm not sure every other day
would work.  A lower dose just doesn't zap the asthma.  For years I
was OK on steroids.....now I get really manic.  Increasingly I
struggle to keep going long enough with the steroids to really
overcome the asthma...and so get into a yo-yo effect.

Has anyone had this problem?

I'm on pretty much everything I can be on.....2000 mcp of Flixotide a
day, Serevent, Zafirlucast, Ventolin (inhaler and nebuliser) and
Oxytetracycline (because of my bronchiectasis).  My consultant tried
me on theophyllines but the side effects were terrible - I told him I
go back to them if the asthma really meant I had not choice.  I seem
to be having a course of steroids and of antibiotics every month or so
now.
 
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