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asthma significantly worse, can't get any help

32 replies

trumpisagit · 24/06/2021 16:31

I have had reasonably bad asthma since I was a baby.
However in my 20s,30s, and early 40s it was well controlled with strong preventer inhalers.
I am mid 40s.
For the last 10 years I have had bad chest infections approximately twice a year (sometimes diagnosed as pneumonia or pleurisy). Antibiotics and steroids have cleared it up well although it always knocks me for a month or so.
For the last 12 months, I have been wheezy almost constantly, it feels like.
The asthma nurse says she has no stronger inhalers to give me. I currently take sirdupla 250 mg 2 puffs twice a day. Salbutamol 100mg 2 puffs twice a day. Plus a few extra puffs of salbutamol everyday when required. Also Montelukast tablets once a day.
I also take cetirizine for year round allergies.
I have just come off the phone to the nurse practictioner and feel like crying. I have told them repeatedly that I am wheezy all the time, and there seems to be nothing they can do.
The doctor referred me for Spirometry (which I believe would have been done at the doctors surgery pre covid, but as its aerosol has to be done in hospital). The referral was in February and still waiting.
The nurse practitioner said she will ask the receptionist to try and expedite my spirometry referral, but there is a long wait.
I said is there anything else you can do to help. No.
I just feel so sad that I am constantly wheezing.
It has stopped me running as often (although exercise doesn't make it worse, but its hard). I don't swim in cold water (sea etc) with kids as I know I will struggle to breathe.
Mornings are horrible I cough and cough for the first hour of the day.
I had an unrelated hospital appointment yesterday, and couldn't lie flat on the couch as I couldn't breathe.

Housework and gardening is a lot of effort.
Luckily my job is chair based.
I am not overweight, don't smoke etc.
Has anyone been in a similar position and can suggest anything?
I want to go back to a few years ago when things were a lot easier..

OP posts:
takemetomars · 24/06/2021 18:18

@trumpisagit

I would really like a referral. I am not sure I have seen a specialist since I was a child. In my opinion it isn't bad enough to go to a and e. It's the unrelentingness of it that's getting me down. It's not urgent, just continutous. Thanks *@sidsgranny* That sounds amazing. I will message you.
Ok, asthma nurse specialist here. Can you pm me please so I can go through your history
MistyFrequencies · 24/06/2021 18:30

I got allergy tested and came up really allergic to dogs, moved them outside (😭 as I loved them inside) and my asthma calmed straight away....
The other life changing thing for me is sinus rinsing. I use NeillMed Sinus rinse every morning and then whenever I've been outside in allergy season and it really really helps.
Other than that, I'd definitely go to A&E because as pp said, poorly controlled asthma can increase risk of attack.

Alwaystired99 · 14/07/2021 09:54

Hi @trumpisagit did you get anywhere with your GP? I feel similar to you, any cold/ chest infection exacerbates my asthma for months and I cough and cough every morning to the extent I can cry/ be sick. The GP just says they don't know enough about current inhalers, helpful, and the asthma nurse says my inhalers are fine and to take antihistamines which I do but don't help. It doesn't help that my peak flow is often great so they don't think it's that bad but I get asthma attacks from coughing too much so it feels like a vicious circle. I'm early 40s, don't smoke, not overweight, exercise when I can but it's driving me mar and my 7 month old baby hates the coughing, my son just laughs!
Hope you've got some answers/ help.

RoseAndGeranium · 14/07/2021 10:06

This sounds awful, OP. Have you been checked for acid reflux? It can be asymptomatic other than causing breathing problems and is very common in asthmatics. I had a stress-related bout of it several months ago and it felt like my asthma meds had just stopped working. I was tight chested all the time except immediately after eating for maybe five minutes and ventolin didn’t do anything for me. Mornings were the worst. It’s likely it’s not the only thing going on but maybe worth investigating as a contributing factor.

Oneearringlost · 14/07/2021 10:11

@twig1234

Duoresp, fostair and symbicort are used for mart and all contain formetarol which may explain why they haven't tried you again if allergy component. Ask to have blood eosinophils checked. Any smoking hx, produce sputum? Worse whilst at work ? Occupation risk. You do need the lung function tests and referral to resp now.
This!
StylishMummy · 14/07/2021 10:14

You need to be referred to a respiratory specialist as soon as possible. Have you had chest X-rays to show it there are any shadows on your lungs?
Badly managed asthma is a killer (extreme sufferer myself). If the GP is reluctant, demand practice manager.

trumpisagit · 15/09/2021 11:08

Hurray, my respiratory referral has come through at last for October. I am really pleased. Thanks for everyones help and suggestions.

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