Do Relaxation Exercises For Anxiety Help In Treating Asthma?
I have had a prescription for a corticosteroid inhaler and a emergency inhaler. After reading your texts from a prior conversation regarding stress and airway inflammation, I decided to use the corticosteroid to see if that would help reduce airway inflammation. yesterday I gave a shot of emergency inhaler and took the corticosteroid and the airways opened up quite a bit. tried it again today.
If you and all the other drs are correct and there is no COPD but instead mild asthma or just stress induced inflamed airways, I will keep this program up and see if the relaxed airways will reduce my anxiety levels of not breathing then causing the airways to lessen the inflammation.
So,
Use Inhalers to open airways
Breathe Easier,
Stress goes down
Inflammation goes down or away
So no copd,! Correct?
Inflamed airways!! Yes?
Use Inhalers?
Begin mild exercise program to lessen anxiety and Stress
No, you are not having COPD.
Detailed Answer:
Thanks for your question on Healthcare Magic.
Yes, I am here only to answer you.
I don't know why HCM people are forcing me to ask you about closing conversation in previous question.
That was pathetic stuff.
Sorry if you felt bad at that time.
I was not at fault.
So let's forget that thing and concentrate on your current question.
My dear friend, you are not having COPD for sure.
You may have stress induced asthma (?).
Stress is the risk factor in causation as well as precipitation of asthma.
So in your case stress might be the causative factor.
So no harm in taking inhaled corticosteroid. It is best for inflamed airways.
Another likely causative factor for asthma in your case is stress induced GERD.
So please let me know
1. Do you still have GERD?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further. Wish you good health. Thanks.
If I have active GERD right now, I do not know, I do not sense or feel it. I heard of Gerd induced asthma.
Thanks for the answer to COPD, I figured it anyway from our conversations
Now that i can breathe, my ribs are giving me a bit of sensation when expanding outward. Wierd
What 'closed now'?
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Why you are saying 'closed now'?
Do you want to close our conversation?
Why? Sorry if I hurt you.
I don't want to loose you. Y friend.
I am always ready too help you. Thanks.
Thanks buddy. You bring my pressure down.
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I am so so so happy now. You bring my pressure down. Actually my family say that I am very emotional towards my patients.
I personally feel that it's my moral responsibility and duty to help them when any patient is approaching me. I feel bad when patient don't do follow up or not happy with my treatment. This is the reason I was so much worried about your reply.
Whenever your reply comes, I feel happy and this gives me secure feeling.
Sorry for the over dose of emotions.
Like You, I am also waiting for your reply.
Actually GERD is more or less a diagnosis of symptoms.
So please let me know
1. Do you have burning epigastric pain?
2. Do you have belching or burning?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
No need to apologize, emotions are good. I am more comfortable with a Dr who will show some, when they dont, you sometimes get the sense that they just come in to look at you and send you out the door. Not because they are rude but that you are just another file or case that they will treat and then move on to the next in line. I am sure Drs are busy people and dont have time for emotions
Is burping more after eating or when you are empty stomach?
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Yes, you are right that doctors are busy people.
But I believe in giving respect to the patients and their complaints.
Anyways leave this discussion. We will do it on some other day. Right?
Coming back to your question.
So you are having burping frequently in the day for many years.
This can also be causative factor for asthma.
So please let me know
1. Is burping more after food?
2. Is burping more on empty stomach?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
So I do not have a full stomach and am burping. I think I burp more on an stomach with little to no food in it.
You should avoid coffee.
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Coffee contains caffeine. And it is biggest risk factor for GERD and burping.
So you should quit coffee. If quitting is not possible then you should decrease your coffee intake.
And it is better to take small small meals instead of large meals.
So please let me know
1. Will you quit coffee?
2. Do you take large (heavy) meal?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
I usually have small meals unless it happens to be italian cuisine. then I can eat until i feel stuffed.
Yes, you should definitely quit coffee.
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Sorry for late reply.
Yes, you should definitely quit coffee.
This will be beneficial for you.
Mostly your burping will also subside.
It's good to take small meals, rather then large meals.
You should also avoid too much Italian food.
Please let me know
1. How often you eat large Italian meal?
2. As per my knowledge, Italian food contains high cholesterol, cheese, calories. Is it so?
All these are very important in GERD an it's symptoms.
So please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
You should reduce the frequency and quantity also.
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I must say Your appetite for Italian is good.
In my opinion, you should reduce the quantity and also frequency of your Italian food.
So this plus quitting coffee will mostly treat your GERD and burping.
Let's talk about inhaler.
Which inhaler you are using?
You must be in the office. Right?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Ventolin
Yes I am in office.
Better to take long acting and more potent ICS.
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Qvar is having beclomethasone. It is older inhaled corticosteroid (ICS).
Now a days, more potent and long acting ICS are available. Examples are fluticasone, budesonide, mometasone etc.
Please let me know
1. Who prescribed you this qvar?
2. Since how many days you are taking this?
3. How many times in a day, you take this?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
I have been using it for about a week now.
I had been taking 2 puffs, then yesterday I read that it was 2 puffs 2 times a day
Better to take newer, long acting, more potent ICS.
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Strange thing. You are taking inhaler prescribed to you 5 years ago.
Did you bought it 5 years ago?
Just check for expiry date.
And it's advisable to take more potent, long acting ICS.
Newer ICS have duration of action of 12 hours. So twice daily dose is sufficient.
Qvar is having duration of action 5-6 hours. So it should be taken 4 times a day.
So better to take newer ICS.
Please let me know
1. When did you consult pulmonologist in person?
2. Did he not advised about newer ICS?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further. Wish you good health. Thanks.
When I was given the initial prescription, it was given for when I felt I needed it. Until recently, I did not realize it might help inflammation go down until 2 weeks ago. So I got a new refill and started using it to see what will happen for the inflammation.
I should contact him regarding a new prescription
Yes, you should definitely ask for new ICS.
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Yes, you should definitely ask for newer ICS.
If you wish, I can also give you trade names of these newer ICS.
Do you get inhalers without prescription? I mean, do you get them over the counter?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
No, I must get a prescription from Dr to get them.
Sorry, I forgot to ask you your weight.
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I will definitely send you trade names.
Trade names are
1. Budate from lupin
2. Budecort from Cipla
3. Fluticone
4. Mom ate etc.
Sorry to say but I forgot to ask your weight.
Weight is important to determine the dose and frequency.
So please let me know your weight, so that I can guide you better.
I will be happy to help you further. Wish you good health. Thanks.
Budate (200micrograms) 2 puffs twice daily .
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
So your weight is around 82.5 kgs.
So dose for you is
1. Budesonide (budate or budecort) 200micrograms two puffs twice daily.
2. Fluticasone (fluticone) 125micrograms two puffs twice daily.
3. Mometasone (momate or asmanex) 400micrograms 1 puff twice daily.
Do you take inhaler directly? Or using spacer along with MDI?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
It's always recommended to use spacer with inhaler.
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
It's always recommended to use spacer with inhaler.
So you are doing correct technique for inhaler.
In my opinion, you should also start combination of anti allergic and anti histamine drugs.
This is to prevent suspected allergies to pets and surrounding.
Please let me know
1. Have you ever tried this combination?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
In XXXXXXX this combination is available over the counter.
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I am talking about combination of anti allergic (montelukast) and anti histamine (levocetrizine or fexofenadine).
In XXXXXXX we can get this combination over the counter (OTC).
But I don't know about US, your country.
You may get this over the counter.
I am not sure. Will you get OTC?
Have you ever tried Montelukast and levocetrizine or fexofenadine combination?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
I have called and left a message for the dr's nurse to contact me regarding new ics. When I pick up at pharmacy, I will ask about them
Yes, you should definitely ask about this combination.
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Yes, you should definitely ask about newer ICS and this combination of anti allergic and anti histamine drugs.
This combination should be taken once a day at night.
I also want to try picnovit (pulmonary antioxidants)
Have we talked about it in the past?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.