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between asthma and anxiety - not sure what to do

8 replies

whenwillisleepagain · 18/11/2011 18:50

Hi, hope this doesn't sound self-indulgently long, but please can I have some objectivity and optimism as I'm not doing much of either. I did debate whether to put this on mental health, as it's about a bit of both physical and emotional difficulty.

I had allergic asthma which caused me problems as a child, but basically I have been well for about 25 years (I'm 44). Over the last couple of years I've had a series of 'life events' - bereavements including my dad, as well as having a second child. Recently I have got very anxious about my DS (5 next week) as he has asthma and allergies. Usually I am more rational and robust but I think loss has pitched me into an anxious place.

Maybe it was just a short step from worrying about DS to getting breathless myself, but I don't want to minimise an actual problem with asthma and not give myself the right amount of meds. For 10 or 11 days I've been feeling breathless. I think this does happen for a couple of weeks some winters, but this year I am not dealing with it well. I don't usually take a preventer inhaler and rarely use a reliever, but I immediately went onto a few puffs of my beige inhaler, not sure it's helped. A couple of days ago I got a peak flow meter - not having used one for 10 years I've nothing to compare it with, but basically when I'm feeling short of breath my peak flow is slightly above the suggested average for my age and height and after reliever it's considerably over. I feel fine at night and have no cough or wheeze. When I get up in the morning I start to feel breathless and its pretty persistent but is better when I'm trying to focus on something else and succeeding IYSWIM. I saw GP this AM and she said I could be having exacerbation of my asthma and to keep a peak flow diary. I took DS to a swimming lesson this afternoon and felt like I was having asthma. 4 puffs of reliever seem to have helped. My plan would be to not hold back on the reliever, and maybe up my preventer.

But I am wondering if this just another phase in my anxious illness. Looking back, this part of November has not been great for me for a few years - 2005 miscarriage, 2006 DS born after difficult laboour and emergency CS, 2007 my dad broke his hip and was in hospital, 2008 DS admitted via A&E with viral wheeze, 2009 my uncle who was like a grandfather to me got very ill and died early Jan, and I had various illnessess and problems in early pregnancy, and last year my dad had his final illness and died the week before Christmas. I have DS's 5th birthday party tomorrow and cannot be ill, much as I would like to go under the duvet indefinitely.

OMG, sorry this is so long but any similar experiences or advice just to manage over the weekend would be so welcome.

OP posts:
breadandbutterfly · 18/11/2011 21:41

Sounds like a stressful time for you. I've been moaning about my asthma on the Ulcerative Colitis thread (I know - unlikely - but I have both, so started offloading on that thread Blush - you're welcome to join us, and there seem to be a lot of asthma experts over there ) and do know how easily stress ups the symptoms; so whether or not you think the asthma symptoms are caused by stress or not, I suppose the treatment is the same - either way, don't start stressing about the asthma on top of everything else!

Little ones getting asthmatic is stressful too and coughing can be infectious, esp wheezy ones - our house is a bit of a coughing orchestra at the moment1 (3 asthmatics and one with just a big chesty cough).

You also sound v v stressed and upset generally - is there someone you can talk to about this to get support with all you've been through recently?

hellhasnofury · 18/11/2011 22:04

DD is asthmatic. Her best peak flow is about 130% of what it should be for a woman of her height and age, she can be mid bad attack for her yet still record a reasonable peak flow according to the average but the reading willbe bad for her.

The rule of thumb her consultant gives us is, if her peak flow drops by 33% (of her best, not the average best) then she doubles her preventer treatment. If she drops below 50% then she needs to be seen by the GP or A&E depending on what other symptoms she has. DD has only just begun to develop a wheeze. She is described by her consultant as an 'a-typical' asthmatic. She doesn't always have a cough but her respiration rate will increase as she finds it hard to get a lung full of air. She also gets tingling in her hands and feet when she's really bad.

Can you do a reliever every four hours for a while to see if that helps. It can take a few weeks for teh preventer medication to take affect. The other thing DD sometimes needs to do is take a reliever about a minute before she takes her preventer just to open up her airways a little.

whenwillisleepagain · 18/11/2011 22:53

thank you both, really appreciate your replies. B&B just glanced at the other thread, will read it properly after I have got through DS' birthday party, but looks like you've been having a time of it recently, so it's extra supportive of you to be helpful to other MNers. Thank you.

HHNF, that's useful about peak flow - so many years since I had to think about this for myself, but mine has not dropped by as much as 33% - however that tip about reliever just before preventer is a good one - thank you. I think as you suggest I'll do reliever every four hours over weekend - I have been telling myself just to put up with it as it's all in my head, but tbh I don't think that's entirely the case and I mustn't be a martyr.

OP posts:
breadandbutterfly · 20/11/2011 00:07

Hope you're feeling a bit better today... :)

whenwillisleepagain · 20/11/2011 08:40

Thanks so much b&b - not really is the answer. I'm not sure what is going on with me. My peak flow, regardless of how breathless or otherwise I feel, is p;retty constant and ok. Not sure relievers actually make any difference. I seriously wonder if I'm just having some big stress event. I think I have been in total denial for 11 months about my dad's death and now I'm having a sort of psychosomatic clearout as the anniversary approaches. Another MNer contacted me to suggest breathing exercises and I have begun to try and find out about buteyko, because I see Asthma UK funded some research into it and think it can help some people - ie it's not quackery.

How are you? People are so kind on here. Am about to head off for day with kids and DH but will catch up with you later - and read that other thread

OP posts:
Trainlady · 21/11/2011 23:17

Stress often brings on conditions like asthma (and many others) and there are a lot of very good natural therapies that can help. Buteyko is good - to learn controlled breathing is positive and puts you in control. Meditation is another thing you could try, especially mindfulness meditation - nothing like the traditional meditation, more like 10-15 minutes of focusing on the here & now. Have a look on the net for it, you should get a lot of good advice - from the NHS as well.

Best,

Ewa

whenwillisleepagain · 22/11/2011 22:06

Thanks a lot trainlady. I had begun to look up information about Buteyko, but you are right about yoga too, and I've emailed a possible instructor today.

OP posts:
Trainlady · 22/11/2011 23:49

Well done you! Good luck and have lots of fun discovering your inner peace...

Best,

Ewa

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