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Respiratory Disorders  (Expert Forum)
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chronic and progressivly worse infections
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chronic and progressivly worse infections

by Tyson, Feb 14, 2005 12:00AM
I am an asthmatic however it seems that every year I get a cold or the flu and the consequences get worse. I used to be under for a couple of days, then weeks, last time I had to go to the hospital. Is this normal? What can i do to prevent myself from worsening, all the doctors I've seen simply seem to feel its bad luck combined with allergies and asthma. Please help me.

by National Jewish, Feb 24, 2005 12:00AM
This is a very common course.  It is not bad luck that this happens, but rather airways that are not controlled and waiting for an event to trigger them.  I would discuss preventative therapy with your doctor.  There are thousands of people with asthma on preventative inhaled steroids to prevent exactly what you are describing.  The fact that the episodes have increased in severity makes this even more important to consider.
Member Comments (2)

by Ellis7, Feb 15, 2005 12:00AM
Every asthmatic should have an Action Plan to monitor and adjust the doses of his medication, depending on symptoms and peak flow readings. Typically when peak flow drops to 80% of normal, the dose of inhaled steroids is doubled and albuterol inhaler used as needed. See:

http://www.vh.org/adult/provider/internalmedicine/AsthmaIM/comp1/AssessmentB.html

Asthma Education: Interactive Guidelines: Component 1: Measures of Assessment and Diagnosis of Asthma

Part B: Periodic Assessment and Monitoring: Essential for Asthma Management
Michael W. Peterson, M.D.
Excerpt:
"Every patient with asthma should be taught to recognize symptom patterns that indicate inadequate asthma control (see figure 1-8, and Component 4). Symptom monitoring should be used as a means to determine the need for intervention, including additional medication, in the context of an action plan (see figure 4-5)."


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