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Suggest Treatment For Mild Asthma While On Pulmicort

Posted on Fri, 21 Apr 2017

Question: Hi I'm a 40 year old female I have been having problems with breathing for the last two weeks feels like theres an irritation in my throat and I cant take a deep fulfilling breath Last year I was told by an allergist I may have vcd I went to my pulmonologist two days ago and was told I have mild asthma and put on pulmicort. My question is can I have both vcd and asthma also I take my peak flow when I'm feeling really bad and it is always at 90% is this still my asthma

Answered by Dr. Prof. Kunal Saha (7 hours later)

Brief Answer:
VCD and Asthma are independent

Detailed Answer:
Thanks for asking on HealthcareMagic.

Irrespective of whether you have Vocal Cord Dysfunction (VCD), you might be having post nasal drip which is an allergic reaction that could be responsible for the irritation in your throat. It involves an allergic component and you could benefit from taking Montek LC (monteleukast + levocetirizine). It is a prescription medicine and you would need your doctor to write it for you. Asthma is reactive airway disease wherein constriction of the airways occurs and that also involves an allergic component. In such a case taking pulmocort should provide relief. Since you have allergic upper respiratory problems it is not unlikely for you to have asthma. For the rest, your pulmonologist would be able to examine the pulmonary function tests and guide you further about whether you actually have asthma.

Let me know if I could help further.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Prof. Kunal Saha (16 hours later)

Thanks for your timely response my question is what could cause you to feel as though you can not take a deep breath when your peak flow is 90 percent and o2 levels 99

Answered by Dr. Prof. Kunal Saha (9 minutes later)

Brief Answer:
Please upload the report

Detailed Answer:
Could you please upload the pulmonary function test reports.

I will wait for your response.

Regards

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Prof. Kunal Saha (3 minutes later)

I do not have immediate access to my report

Answered by Dr. Prof. Kunal Saha (15 hours later)

Brief Answer:
You can upload them once you have access

Detailed Answer:
Thanks for writing back. I understand that you do not have the reports at the movment. You can upload them once you get access to them. As such, treatment seems to be on the right track and I have already explained the pathophysiology. In case you have any further queries, feel free to ask back and I would be glad to help.

Regards

Above answer was peer-reviewed by : Dr. Kampana