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Medical Forum / General / General / June 2006

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Question About Asthma

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Richie@richie.net - 13 Jun 2006 05:53 GMT
I am a 53 year old caucasian male who was diagnosed with asthma about
two years ago. I never had any respiratory problems or allergies as a
child or in early adult hood.

My asthma is fairly well controlled with steroid inhaler four puffs a
day. I use my rescue inhaler about once a week. If I reduce the
steroid inhaler to two puffs a day I get more frequent attacks.

My asthma always seems to flare up at night when I am about to go to
bed. I find that I have difficulty getting air into my lungs as if I
am sucking air through a straw. Once I fall asleep I have no problems
waking up short of breath. It is always just before I go to sleep at
round 10 PM.

I am very active and don't find that the asthma is a problem when I am
engaged in physical activity. In fact I first became aware of my
asthma problem when I was reclining in a hammock at night during a
backpacking trip when I could not catch my breath. It was quite
frightening at the time.

My question is why do I get the attacks only at night and is there
someway I can figure out what triggers them?

Thanx in advance.

Richie
Robert CLS, MT(ASCP) - 13 Jun 2006 22:42 GMT
> I am a 53 year old caucasian male who was diagnosed with asthma about
> two years ago. I never had any respiratory problems or allergies as a
[quoted text clipped - 20 lines]
>
> Thanx in advance.

Normally when I think of the physiological differences of day and night
I think in terms of the diurnal rythm of hormones. The catecholamines
are higher in the morning hours and less so in the evening.

Hope this helps.

http://www.chestnet.org/education/online/pccu/vol15/lessons3_4/lesson04.php

> Richie
 
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