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Medical Forum / Diseases and Disorders / Asthma / November 2004

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Joy - 12 Nov 2004 12:12 GMT
http://www.medscape.com/viewarticle/450757_4

Another Thunderstorm theory
Joy - 12 Nov 2004 12:14 GMT
"In contrast to our findings for fungal spores, we were unable to detect an
association between emergency asthma visits and weeds, grasses, or trees.
The aeroallergen effect was only slightly attenuated by coadjustment for
ozone but did not appear to be sensitive to coadjustment to the other
pollutants (NO2,SO2, coefficient of haze, and SO4). In summary, air
pollutants were higher during thunderstorm days than days without
thunderstorms, but the daily time-series analysis detected no statistically
significant effect of these pollutants on asthma, whereas there was a
significant effect of fungal spores. Thus, of all the climate and air
quality changes observed during thunderstorms, only fungal spores could be
shown to influence asthma hospital admissions."

For those who are not members.
Richard Friedel - 13 Nov 2004 06:30 GMT
> http://www.medscape.com/viewarticle/450757_4
>
> Another Thunderstorm theory

Thanx. For full Chest article (no sign-up), see
http://www.chestjournal.org/cgi/content/full/123/3/745
Regards, Richard Friedel
00doc - 13 Nov 2004 18:19 GMT
> http://www.medscape.com/viewarticle/450757_4
>
> Another Thunderstorm theory

People have noted a pretty consistant rise in asthma after
thunderstorms. Most of the theories I have seen about why it
happens have been about increased ozone levels produced by
the lightning. I've never really found this to be all that
convincing. Then there are the ever present psychological
explainations that have also been underwhelming (the thunder
scares/stresses the asthmatics).

This would seem to be more plausible.

Signature

00doc

Joy - 13 Nov 2004 19:04 GMT
> > http://www.medscape.com/viewarticle/450757_4
> >
[quoted text clipped - 9 lines]
>
> This would seem to be more plausible.

Yes and it goes along with my history of sensitization in a flooded house.
If the C Pneumonia theory of Dr Martin at NJH is correct, the timing of the
flood and  pneumonia resulted in my asthma. I have also been watching the
Allergic Fungal Sinusitis studies. That is the theory that some people have
a adverse/abnormal reaction to mold resulting in Chronic Sinusitis. That I
have yet to get over. And what they all seem to have in common is MOLD.

Joy
jackmallory@webtv.net - 17 Nov 2004 05:02 GMT
How about the relative humidity after and during a thunderstorm?
Joy - 17 Nov 2004 05:58 GMT
I just had a discussion with someone who stated that headaches that occur
during weather fronts are in fact migraines. Her point was that it is just
the pressure change itself that results in all kind of symptoms, not the
mold and not the humidity. To which I had to acknowledge that might be the
cause of my asthma Thunderstorm problem. One day we may figure this out.
Leave no stone unturned! Thanks Jack. Do you have symptoms during storms?

> How about the relative humidity after and during a thunderstorm?
NorthShoreCEO - 17 Nov 2004 13:09 GMT
I know a few people who get headaches from sudden changes in
barometric pressure - and none of them have allergies or asthma
and it's the only time they get headaches.   It's probably one of
those things that has multiple causes.

>I just had a discussion with someone who stated that headaches
>that occur
[quoted text clipped - 11 lines]
>> How about the relative humidity after and during a
>> thunderstorm?
Joy - 17 Nov 2004 13:30 GMT
> I know a few people who get headaches from sudden changes in
> barometric pressure - and none of them have allergies or asthma
> and it's the only time they get headaches.   It's probably one of
> those things that has multiple causes.

I have never heard of this, but she was also telling me about people who can
predict earthquakes. She said they get pain before or something. I will have
to go back and find that post.

Joy
Chefchk - 18 Nov 2004 04:55 GMT
>I know a few people who get headaches from sudden changes in
>barometric pressure - and none of them have allergies or asthma
[quoted text clipped - 16 lines]
>>> How about the relative humidity after and during a
>>> thunderstorm?

I actually get the same headaches as the barometric pressure goes up.  They are
from Psuedo Tumor Cerebri, supposedly a side effect from steroids, but I can't
find enough info on that to be sure.  The day before it rains my head is
killing me.  By the time the rain is mid-over, Im feeling better.  My asthma
isn't as affected, unless the rain is a sudden one, or it accompanies a drastic
change in weather, dry-humid, hot-cold, etc.

Psuedo tumor is a condition where there is too much fluid in your spinal column
and it puts pressure on your eyes, causing bad headaches.  THe thingies (yeah,
thats a technical term, LOL) that regulate the fluid don't work correctly.
When the fluid is very high, you get papilledema in your eyes, which is
swelling of the nerves.  You then have to have a spinal tap to correct the
fluid amount.  I have had 3.  To regulate it on a regular basis, I take Diamox
which is a diuretic specifically targeted for the spinal column, I think.  The
only side effects, for me, is that I get pins & needles all the time in
extremities and I can't drink anything carbonated - it tastes funny.

You might want to check this out with your doctor.  I didn't have any symptoms
at the time except horrible headaches.

Hope this helps.

Life is uncertain - eat dessert first.
Nancy
8=: )
Joy - 18 Nov 2004 05:42 GMT
That is so interesting and I will look into it somemore. Thanks. I  am right
now working on the difference between IBS and abdominal migraine.

Joy
> I actually get the same headaches as the barometric pressure goes up.  They are
> from Psuedo Tumor Cerebri, supposedly a side effect from steroids, but I can't
[quoted text clipped - 21 lines]
> Nancy
> 8=: )
00doc - 18 Nov 2004 17:06 GMT
> That is so interesting and I will look into it somemore. Thanks. I  am right
> now working on the difference between IBS and abdominal migraine.

You might want to look into in subclical Celiac Disease while you are at it.

Signature

00doc

Joy - 18 Nov 2004 17:14 GMT
Thanks. Someone at CVSA suggested that I look into Celiac Disease.

Things are just not making sense. My son's diagnosis is Cyclic vomiting
syndrome. And there is a strong maternal inheritance suggesting
Mitochondrial involvement. However, my husband's side is the one with the
associated conditions like IBS (correct diagnosis or do they really all have
abdominal migraines?), regular migraines and bipolar depression.

I am thinking that it is time for testing - to see if it isn't something
else. 12 years is a long time to put up with this problem.

> > That is so interesting and I will look into it somemore. Thanks. I  am right
> > now working on the difference between IBS and abdominal migraine.
>
> You might want to look into in subclical Celiac Disease while you are at it.
00doc - 18 Nov 2004 17:12 GMT
> To regulate it on a regular basis, I take Diamox
> which is a diuretic specifically targeted for the spinal column, I think.  The
> only side effects, for me, is that I get pins & needles all the time in
> extremities and I can't drink anything carbonated - it tastes funny.

Actually it is a carbonic anhydrase inhibitor - it interferes with the
enzyme that makes bicarb. Lowering the bicarb makes your blood more
acidic which makes you breath harder and lowers the pCO2. Yeah, I know
- Rich and KP will have a field day with this one. Breathing harder
and having a lower pCO2 can lower intercranial pressure by restricting
blood flow. I may be wrong on this one but as I recall Diamox also has
a more direct effect on the production of CSF.

BTW - it is also commonly used as a pretreatment to ward off altidude
sickness. The idea is that you start the adaption to the high altidude
- breathing harder and dumping bicarb - before you actually get there
and so adapt more easily.

Signature

00doc

Chefchk - 19 Nov 2004 04:54 GMT
>> To regulate it on a regular basis, I take Diamox
>> which is a diuretic specifically targeted for the spinal column, I think.
[quoted text clipped - 14 lines]
>- breathing harder and dumping bicarb - before you actually get there
>and so adapt more easily.

Wow, thats so interesting.  If it makes me breathe harder, shouldn't my asthma
be worse?  I'm actually almost totally off the steroids now (which is something
I never thought I'd see).  I'm down to 3mg a day, and in two months we take it
down another notch.

Is the acidity thing why soda tastes funny and I get the pins & needles?  I
reallllly miss seltzer, it was how I got a lot of my water in.  I'd be
interested to know anything about this that you do, and anything about Psuedo
Tumor Cerebri in general.  There is woefully little info out there on it.

THanks in advance!

Life is uncertain - eat dessert first.
Nancy
8=: )
00doc - 19 Nov 2004 19:15 GMT
> >> To regulate it on a regular basis, I take Diamox
> >> which is a diuretic specifically targeted for the spinal column, I think.
[quoted text clipped - 17 lines]
> Wow, thats so interesting.  If it makes me breathe harder, shouldn't my asthma
> be worse?  

Depends on who you believe. ;-) The fact that you are not worse does
suggest that "CHS" has little to do with your asthma and so certain
therapies would be unlikely to help.

> I'm actually almost totally off the steroids now (which is
> something I never thought I'd see).  I'm down to 3mg a day,
> and in two months we take it down another notch.

Cool - I find that things get tough when you ar eunder 5 mg per day.
Going slow helps. Alternate day therapy is also something to look into
if the just going down real slow doesn't cut it.

> Is the acidity thing why soda tastes funny and I get the pins &
> needles?  I reallllly miss seltzer, it was how I got a lot of my
> water in.  

I doubt it. The nedicine, like many medicines, can just cause a funny
taste. I've never heard a good explanation for why some do this.

> I'd be interested to know anything about this that you do,
> and anything about Psuedo Tumor Cerebri in general.  There
> is woefully little info out there on it.

That's because there is woefully little known about it - period. You
probably know prety close to as much as I do about it.

Signature

00doc

Joy - 17 Nov 2004 13:36 GMT
Jack,

I don't that is it when I think more about it. The attacks I had during a
Tstorm are noticeably worse than other attacks. And you would think that I
would have trouble in a steamy shower if it were the relative humidity, when
in fact, I used showers at times to stop attacks.

Joy
> How about the relative humidity after and during a thunderstorm?
 
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