Asthma episodes lasting 6-8 weeks

[bojo]

I have had 3 episodes of severe asthma (dry non-productive cough, no temp., unable to lie down for weeks) that have lasted 5-9 weeks in past 2-1/2 years.  I also have seasonal allergies, but I have had these episodes in fall, middle of winter, and summer (recent one was 9 weeks).  Took antibiotics, prednisone (and told I would ALWAYS have to go on prednisone since I have "hyperactive airways".)  I am now 61, and had weekly allergy shots from age 25-36, with only minimal improvement for upper respiratory problems. Had problems ever reaching maintenance dose.  A pulmonologist told me I have an "overactive immune system".  These 3 episodes began with a minor sinus infection that developed into bronchitus (bronchitis), etc.  Recent xray showed nodules in "retrocaval pretracheal area" and was told it is "probably just leftover inflammation from my recent episode which lasted from mid May to end almost end of July.  I was also on pulmicort, Spiriva, Allegra, Singulair, Ipratropium, Xoepenex (nebulizer treatments 4 times a day) and occasionally Albuterol, as much as 3 times in one hour.  The coughing gets so harsh and so severe, I feel like I will have a heart attack!  High cholesterol for 25 years and high trigylcerides.  A recent visit to pulmonologist and review of a 10/05 echocardiogram (that my family doctor said was "okay") showed pulmonary hypertension of 50 mmHg and left side heart enlarge & tricuspid insufficiency. I am wondering if I might have sarcoidosis & concern over nodules.

[National Jewish]

It should not be assumed that the nodules are the residual of asthma.  They could just as easily be the residual of infection.

A number of conditions can mimic asthma, including endobronchial sarcoidosis.  It is unusual for severe asthma that responds poorly to steroids to start at your age.  This may not be asthma.

If traveling to Denver, Colorado is feasible for you, please consider having a thorough evaluation at National Jewish Medical Jewish Medical and Research Center.

[caregiver222]

Ocasionally, such symptoms are due to a fungal infection, which is not treatable by antibiotics. Consider purchasing a dehumidifier for your home. Usually the fungus grows on damp surfaces such as in the bathroom. Have someone else (not yourself) spray ammonia on the walls. DON'T INHALE. Have person hold their breath, go in and spray about four square foot, then go outside for an hour. In a week or two you will have the bathroom covered. I am only guessing as your problem, but fungal infections are difficult to treat and oftenb precipitate chronic asthmatic attacks. Also get an ultrasonic dust precipitator with HEPA filter and do not drink wine, alcohol or beer.

[Inanga]

i had years of contant couging which turned out to be from excess mucus cause by reacactions to foods. i suggest looking into "salicylate intollerance" - it's a cause of asthma in some people. It may be worth trying an elimintaion diet - it may be useful or it may rule out this line of enquiry.

my wife has naturally been following my low salicylate diet and her asthma has practically disappeared.

good luck